Performance of laser fluorescence devices, visual and radiographic examination for the detection of occlusal caries in primary molars

Neuhaus, Klaus; De Almeida Rodrigues, Jonas; Hug, Isabelle; Stich, Hermann; Lussi, Adrian (2011). Performance of laser fluorescence devices, visual and radiographic examination for the detection of occlusal caries in primary molars. Clinical oral investigations, 15(5), pp. 635-41. Berlin: Springer-Verlag 10.1007/s00784-010-0427-5

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The aim of this in vitro study was to compare the performance of two laser fluorescence devices (LF, LFpen), conventional visual criteria (VE), ICDAS and radiographic examination on occlusal surfaces of primary teeth. Thirty-seven primary human molars were selected from a pool of extracted teeth, which were stored frozen at -20°C until use. Teeth were assessed twice by two experienced examiners using laser fluorescence devices (LF and LFpen), conventional visual criteria, ICDAS and bitewing radiographs, with a 2-week interval between measurements. After measurement, the teeth were histologically prepared and assessed for caries extension. The highest sensitivity was observed for ICDAS at D(1) and D(3) thresholds, with no statistically significant difference when compared to the LF devices, except at the D(3) threshold. Bitewing radiographs presented the lowest values of sensitivity. Specificity at D(1) was higher for LFpen (0.90) and for VE at D(3) (0.94). When VE was combined with LFpen the post-test probabilities were the highest (94.0% and 89.2% at D(1) and D(3) thresholds, respectively). High values were observed for the combination of ICDAS and LFpen (92.0% and 80.0%, respectively). LF and LFpen showed the highest values of ICC for interexaminer reproducibility. However, regarding ICDAS, BW and VE, intraexaminer reproducibility was not the same for the two examiners. After primary visual inspection using ICDAS or not, the use of LFpen may aid in the detection of occlusal caries in primary teeth. Bitewing radiographs may be indicated only for approximal caries detection.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry
04 Faculty of Medicine > School of Dental Medicine > Division of Fixed Prosthodontics (discontinued)

UniBE Contributor:

Neuhaus, Klaus; De Almeida Rodrigues, Jonas; Hug, Isabelle; Stich, Hermann and Lussi, Adrian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1432-6981

Publisher:

Springer-Verlag

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

04 Oct 2013 14:08

Last Modified:

26 Jun 2018 13:35

Publisher DOI:

10.1007/s00784-010-0427-5

PubMed ID:

20505963

Web of Science ID:

000296888600005

BORIS DOI:

10.7892/boris.417

URI:

https://boris.unibe.ch/id/eprint/417 (FactScience: 198724)

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