1. Performance of near-infrared light transillumination in the detection of occlusal caries lesions in deciduous teeth.
- Author
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Marcondes APM, Campos PH, Ribeiro CS, Novaes TF, Lussi A, and Diniz MB
- Subjects
- Humans, Sensitivity and Specificity, Transillumination, Reproducibility of Results, Dental Caries Susceptibility, Fluorescence, Photosensitizing Agents, Tooth, Deciduous, Photochemotherapy methods, Dental Caries diagnostic imaging, Dental Caries pathology
- Abstract
Background: This study compared the performance of near-infrared light transillumination (NILT; DIAGNOcam [DC]) in detecting occlusal caries lesions in deciduous molars with the performance of the International Caries Detection and Assessment System (ICDAS), digital radiographic method (RX) and laser fluorescence (DIAGNOdent pen [LFpen])., Methods: Fifty-seven extracted deciduous molars with no frank cavitation caries lesions were selected. One site per tooth was evaluated twice each by two examiners using all methods. Then, a histological examination was performed using a stereomicroscope. The performance of the methods was assessed with respect to two thresholds: D
1 (all visible caries lesions affecting enamel) and D3 (caries lesions extended into dentin)., Results: A weighted kappa and intraclass correlation coefficients were calculated for intra- and inter-observer reproducibilities, varying from 0.31 (RX) to 0.89 (LFpen). The intra-observer reproducibility at D1 and D3 thresholds varied from 0.51 (ICDAS) to 0.85 (DC) and from 0.30 (ICDAS) to 1.00 (RX), respectively. The inter-observer reproducibility varied from 0.28 (RX) to 0.47 (DC) and from 0.22 (LFpen) to 0.75 (DC), respectively. At the D1 threshold, higher sensitivity and accuracy were found for LFpen (0.76/0.71) and ICDAS (0.65/0.66); and higher specificities were found for RX (0.94), DC (0.79), and ICDAS (0.71). At the D3 threshold, all methods exhibited lower sensitivities (0.13-0.35) and higher specificity, accuracy, and area under the ROC curve values (0.70-1.00). All methods showed a correlation with histological results, especially for ICDAS and DC., Conclusions: NILT technology (DC) and LFpen exhibited similar performance for the detection of occlusal caries lesions in deciduous molars when compared with ICDAS criteria., Competing Interests: Declaration of Competing Interest The authors have nothing to declare., (Copyright © 2023 Elsevier B.V. All rights reserved.)- Published
- 2023
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