Clinical Effectiveness of Laser Fluorescence, Visual Inspection and Radiography in the Detection of Occlusal Caries

2005 ◽  
Vol 39 (6) ◽  
pp. 490-495 ◽  
Author(s):  
V. Angnes ◽  
G. Angnes ◽  
M. Batisttella ◽  
R.H.M. Grande ◽  
A.D. Loguercio ◽  
...  
Keyword(s):  
Visual Inspection ◽  
Clinical Effectiveness ◽  
Laser Fluorescence ◽  
Occlusal Caries

scholarly journals Use of laser fluorescence (DIAGNOdentTM) for in vivo diagnosis of occlusal caries: a systematic review

2004 ◽  
Vol 12 (3) ◽  
pp. 177-181 ◽  
Author(s):  
Isauremi Vieira de Assunção Pinheiro ◽  
Maria Cristina dos Santos Medeiros ◽  
Maria Ângela Fernandes Ferreira ◽  
Kenio Costa de Lima
Keyword(s):  
Systematic Review ◽  
Gold Standard ◽  
Visual Inspection ◽  
Accurate Method ◽  
Laser Fluorescence ◽  
Permanent Teeth ◽  
Cochrane Library ◽  
Occlusal Caries ◽  
In Vivo Diagnosis

This systematic review was conducted to assess the accuracy of laser fluorescence (DIAGNOdentTM) for diagnosis of occlusal caries in permanent teeth, using any sort of gold standard. The MEDLINE, LILACS, BBO and Cochrane library databases accessed by BIREME were searched for English, Spanish and Portuguese-language papers published between 1982 and 2003. Four works in English were selected. DIAGNOdentTM was found to be an accurate method for diagnosis of occlusal caries, mainly if employed simultaneously with visual inspection.

In vivo Effectiveness of Laser Fluorescence Compared to Visual Inspection and Radiography for the Detection of Occlusal Caries in Primary Teeth

2003 ◽  
Vol 37 (6) ◽  
pp. 437-441 ◽  
Author(s):  
R.O. Rocha ◽  
T.M. Ardenghi ◽  
L.B. Oliveira ◽  
C.R.M.D. Rodrigues ◽  
A.L. Ciamponi
Keyword(s):  
Visual Inspection ◽  
Primary Teeth ◽  
Laser Fluorescence ◽  
Occlusal Caries

scholarly journals In situ and in vitro comparison of laser fluorescence with visual inspection in detecting occlusal caries lesions

2009 ◽  
Vol 26 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Andréia Bolzan de Paula ◽  
Juliana Álvares Duarte Bonini Campos ◽  
Michele Baffi Diniz ◽  
Josimeri Hebling ◽  
Jonas Almeida Rodrigues
Keyword(s):  
Visual Inspection ◽  
Laser Fluorescence ◽  
Occlusal Caries ◽  
Caries Lesions ◽  
In Vitro Comparison

Detection of early occlusal caries of the first permanent molar using different techniques (An in vivo study)

2019 ◽  
Vol 31 (1) ◽  
pp. 1-8
Author(s):  
Samah F. Al-Qazzaz ◽  
Abeer M. Hassan
Keyword(s):  
Sensitivity And Specificity ◽  
Visual Inspection ◽  
Caries Detection ◽  
Occlusal Caries ◽  
Clinical Sensitivity ◽  
Permanent Molar ◽  
Permanent Molars ◽  
Early Caries ◽  
First Permanent Molars ◽  
Better Than

Background: Molars and premolars are considered as the most vulnerable teeth of caries attack, which is related to the morphology of their occlusal surfaces along with the difficulty of plaque removal. different methods were used for early caries detection that provide sensitive, accurate preoperative diagnosis of caries depths to establish adequate preventive measures and avoid premature tooth treatment by restoration. The aim of the present study was to evaluate the clinical sensitivity and specificity rates of DIAGNOdent and visual inspection as opposed to the ICDAS for the detection of initial occlusal caries in noncavitated first permanent molars. Materials and Methods: This study examined 139 occlusal surface of the first permanent molar pooled from fifty patients aged 8-9 years by three methods. The selected criteria include one occlusal site per tooth (first permanent molars) with carious lesions range from 0 to 3 according to ICDASII (gold standard) visual criteria then the clinical sensitivity and specificity of visual inspection according to Ekstrand et al.in 1997 and DIAGNOdent were performed. . Results: the highest correlation was found between the ICDASII and DIAGNOdent. The sensitivity of the DIAGNOdent for the enamel caries detection (D1) was better than that of visual inspection. The sensitivity and the specificity for the DIAGNOdent at D3 threshold were better than the D1 threshold and the visual inspection method. Conclusion: DIAGNOden pen can be used as a tool for early caries detection in cases of difficult diagnosis that provide good additional sensitivity to the visual inspection.

scholarly journals Dye-enhanced laser fluorescence detection on natural caries lesions in primary teeth

2015 ◽  
Vol 21 (3) ◽  
pp. 145
Author(s):  
Fausto Medeiros Mendes ◽  
Victor Moreira Leamari ◽  
Márcia Turolla Wanderley ◽  
Mariana Minatel Braga ◽  
Juliana Mattos-Silveira ◽  
...  
Keyword(s):  
Primary Teeth ◽  
Fluorescent Dyes ◽  
Protoporphyrin Ix ◽  
Polarized Light ◽  
Laser Fluorescence ◽  
Primary Molars ◽  
Smooth Surfaces ◽  
Occlusal Caries ◽  
Occlusal Surfaces ◽  
Caries Lesions

Objective: This study aimed to investigate the association of two fluorescent dyes and Laser Fluorescence (LF) device in detecting smooth and occlusal natural caries in primary teeth in vitro.Methods: Measurements were performed with the LF and with LF associated with tetrakis (N-methylpyridyl)porphyrin (LF TMPyP) and protoporphyrin IX (LF PPIX) in 72 smooth (63 primary molars) and 134 occlusal sites (81 primary molars). For validation, surfaces were sectioned and sections obtained were evaluated under stereomicroscope. Smooth surfaces were also evaluated using polarized light microscopy and Knoop microhardness. For both smooth and occlusal surfaces, ROC analyses were performed, and sensitivities, specificities and accuracies were assessed. In smooth surfaces, Pearson’s correlation coefficients between LF values and lesions hardness or lesions depth were calculated.Results: LF TMPyP presented higher correlation with hardness and lesion depth than other methods in smooth surfaces. No differences were observed in other parameters among the methods, in both smooth and occlusal surfaces.Relevance: The LF TMPyP might improve performance in quantifying smooth-surface caries lesions in primary teeth. However, the sensitivity is improved at D2 (caries extending into inner half of the enamel but not to amelodentinal junction) threshold when using PPIX in smooth caries lesions. The association of LF with fluorescent dyes does not improve the performance on occlusal caries.

scholarly journals In Vitro Detection of Caries Around Amalgam Restorations Using Four Different Modalities

2017 ◽  
Vol 11 (1) ◽  
pp. 609-620 ◽  
Author(s):  
Tamara E. Abrams ◽  
Stephen H. Abrams ◽  
Koneswaran S. Sivagurunathan ◽  
Josh D. Silvertown ◽  
Warren M.P. Hellen ◽  
...  
Keyword(s):  
Fluorescence Spectra ◽  
Visual Inspection ◽  
Laser Fluorescence ◽  
Amalgam Restoration ◽  
Icdas Ii ◽  
Sensitivity Specificity ◽  
Natural Decay ◽  
Amalgam Restorations ◽  
Carious Teeth

Objective:The aim of this study was to evaluate the ability of PTR-LUM (The Canary System, CS), laser fluorescence (DIAGNOdent, DD), LED fluorescence (Spectra), and visual inspection (ICDAS II) to detect natural decay around bonded amalgam restorationsin vitro.Methods:Seventeen extracted human molars and premolars, consisting of visually healthy (n=5) and natural cavitated (n=12) teeth were selected. For the carious teeth, caries was removed leaving some decayed tissue on the floor and or wall of the preparation. For sound teeth, 3 mm. deep cavity preparations were made and teeth were restored with bonded-amalgam restorations. Thirty-six sites (13 sound sites; 23 carious sites) were selected. CS and DD scans were performed in triplicate at 2, 1.5, 0.5, and 0 mm away from the margin of the restoration (MOR). Spectra images were captured for the entire surface, and dentists blinded to the samples provided ICDAS II scoring.Results:Canary Numbers (Mean±SE) for healthy and carious sites at 2, 1.5, 0.5, and 0 mm from the MOR ranged from 12.9±0.9 to 15.4±0.9 and 56.1±4.0 to 56.3±2.0, respectively. DD peak values for healthy and carious sites ranged from 4.7±0.5 to 13.5±2.99, and 16.7±3.7 to 24.5±4.4, respectively. For CS and DD, sensitivity/specificity for sites at 2.0, 1.5, 0.5, 0 mm ranged from 0.95-1.0/0.85-1.0, and 0.45-0.74/0.54-1.0, respectively. For ICDAS II, sensitivity and specificity were 1.0 and 0.17, respectively. For Spectra, data and images were inconclusive due to signal intereference from the amalgam restoration.Conclusions:Using thisin-vitromodel, CS and DD were able to differentiate between sound and carious tissue at the MOR, but larger variation, less reliability, and poorer accuracy was observed for DD. Therefore, CS has the potential to detect secondary caries around amalgam restorations more accurately than the other investigated modalities.

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