Traditional and novel methods for occlusal caries detection: performance on primary teeth

Autor(es)

Souza, J. F. ^{[1, 2]} ; Boldieri, T. ^[1] ; Diniz, M. B. ^[3] ; Rodrigues, J. A. ^[4] ; Lussi, A. ^[5] ; Cordeiro, R. C. L. ^[1]

Afiliação do(s) autor(es)

^[1] Univ Estadual Paulista UNESP, Dept Pediat Dent, Araraquara Sch Dent, Araraquara, SP - Brazil

^[2] Fac Odontol Araraquara, Dept Clin Infantil, BR-14801903 Araraquara, SP - Brazil

^[3] Cruzeiro Sul Univ UNICSUL, Dept Pediat Dent, Sch Dent, Sao Paulo - Brazil

^[4] Univ Fed Rio Grande do Sul, Dept Pediat Dent, Sch Dent, Porto Alegre, RS - Brazil

^[5] Univ Bern, Sch Dent Med, Dept Prevent Restorat & Pediat Dent, Bern - Switzerland

• Tipo de documento: Artigo Científico
• Fonte: Lasers in Medical Science; v. 28, n. 1, p. 287-295, JAN 2013.
• Citações Web of Science: 26

Resumo

This study aimed to assess the performance of International Caries Detection and Assessment System (ICDAS), radiographic examination, and fluorescence-based methods for detecting occlusal caries in primary teeth. One occlusal site on each of 79 primary molars was assessed twice by two examiners using ICDAS, bitewing radiography (BW), DIAGNOdent 2095 (LF), DIAGNOdent 2190 (LFpen), and VistaProof fluorescence camera (FC). The teeth were histologically prepared and assessed for caries extent. Optimal cutoff limits were calculated for LF, LFpen, and FC. At the D (1) threshold (enamel and dentin lesions), ICDAS and FC presented higher sensitivity values (0.75 and 0.73, respectively), while BW showed higher specificity (1.00). At the D (2) threshold (inner enamel and dentin lesions), ICDAS presented higher sensitivity (0.83) and statistically significantly lower specificity (0.70). At the D-3 threshold (dentin lesions), LFpen and FC showed higher sensitivity (1.00 and 0.91, respectively), while higher specificity was presented by FC (0.95), ICDAS (0.94), BW (0.94), and LF (0.92). The area under the receiver operating characteristic (ROC) curve (Az) varied from 0.780 (BW) to 0.941 (LF). Spearman correlation coefficients with histology were 0.72 (ICDAS), 0.64 (BW), 0.71 (LF), 0.65 (LFpen), and 0.74 (FC). Inter- and intraexaminer intraclass correlation values varied from 0.772 to 0.963 and unweighted kappa values ranged from 0.462 to 0.750. In conclusion, ICDAS and FC exhibited better accuracy in detecting enamel and dentin caries lesions, whereas ICDAS, LF, LFpen, and FC were more appropriate for detecting dentin lesions on occlusal surfaces in primary teeth, with no statistically significant difference among them. All methods presented good to excellent reproducibility. (AU)

• Processo FAPESP: 09/00218-0 - Avaliação do desempenho de métodos baseados em indução de fluorescência na detecção de lesões de cárie: estudos in vitro e in vivo
• Beneficiário: Rita de Cássia Loiola Cordeiro
• Modalidade de apoio: Auxílio à Pesquisa - Regular