Lesion Activity Assessment (LAA) in Conjunction With International Caries Detection and Assessment System (ICDAS) for Occlusal Caries Diagnosis in Permanent Teeth

2015 ◽  
Vol 40 (5) ◽  
pp. E189-E196 ◽  
Author(s):  
FVMD Cotta ◽  
LS de Castilho ◽  
AN Moreira ◽  
SM Paiva ◽  
EF Ferreira ◽  
...  
Keyword(s):  
Characteristic Curve ◽  
Lesion Detection ◽  
Assessment System ◽  
Caries Detection ◽  
Permanent Teeth ◽  
Occlusal Caries ◽  
Good Reliability ◽  
Caries Diagnosis ◽  
Activity Assessment ◽  
School Of Dentistry

SUMMARY Objective The aim of this study was to investigate the clinical performance and to validate the Lesion Activity Assessment (LAA) in conjunction with the International Caries Detection and Assessment System (ICDAS) for occlusal caries diagnosis in permanent teeth. Methods Patients with erupted or partially erupted third molars were recruited from the surgery clinic of the School of Dentistry of the Universidade Federal de Minas Gerais, Brazil. A calibrated examiner evaluated 49 teeth using the ICDAS-LAA criteria. The histologic criterion proposed by Ekstrand and others was used to validate severity at the thresholds D1 (outer half of the enamel), D2 (inner half of the enamel and outer third of the dentin), and D3 (inner or middle third of the dentin). Lesion activity was validated using 0.1% methyl red solution. Results The method demonstrated good reliability (weighted kappa for severity=0.60; unweighted kappa for activity=0.61). The ICDAS presented a higher performance for lesion detection (area under the receiver operating characteristic curve [Az]=0.79) using the threshold D3. At the thresholds D1 and D2, the results for Az were 0.57 and 0.74, respectively. Regarding the ICDAS-LAA, Az = 0.59. Conclusions Clinical protocols can use ICDAS for the severity diagnosis of occlusal caries, but the LAA performance was poor.

scholarly journals In vitro Detection of Occlusal Caries on Permanent Teeth by a Visual, Light-Induced Fluorescence and Photothermal Radiometry and Modulated Luminescence Methods

2015 ◽  
Vol 49 (5) ◽  
pp. 523-530 ◽  
Author(s):  
Mahmoud Jallad ◽  
Domenick Zero ◽  
George Eckert ◽  
Andrea Ferreira Zandona
Keyword(s):  
Preventive Intervention ◽  
Early Stage ◽  
Characteristic Curve ◽  
Intraclass Correlation ◽  
Assessment System ◽  
Photothermal Radiometry ◽  
Caries Detection ◽  
Permanent Teeth ◽  
Occlusal Caries

Background: The paradigm shift towards the nonsurgical management of dental caries relies on the early detection of the disease. Detection of caries at an early stage is of unequivocal importance for early preventive intervention. Objective: The aim of this in vitro study is to evaluate the performance of a visual examination using the International Caries Detection and Assessment System (ICDAS) criteria, two quantitative light-induced fluorescence (QLF) systems - Inspektor™ Pro and QLF-D Biluminator™ 2 (Inspektor Research Systems B.V., Amsterdam, The Netherlands) - and a photothermal radiometry and modulated luminescence, The Canary System® (Quantum Dental Technologies, Toronto, Ont., Canada) on the detection of primary occlusal caries on permanent teeth. Methods: A total of 60 teeth with occlusal surface sites ranging from sound to noncavitated lesions (ICDAS 0-4) were assessed with each detection method twice in a random order. Histological validation was used to compare methods for sensitivity, specificity, percent correct, and the area under the receiver operating characteristic curve (AUC), at standard and optimum sound thresholds. Interexaminer agreement and intraexaminer repeatability were measured using intraclass correlation coefficients. Results: Interexaminer agreement ranged between 0.48 (The Canary System®) and 0.96 (QLF-D Biluminator™ 2). Intraexaminer repeatability ranges were 0.33-0.63 (The Canary System®) and 0.96-0.99 (QLF-D Biluminator™ 2). The sensitivity range was 0.75-0.96 while that of specificity was 0.43-0.89. The AUC were 0.79 (The Canary System®), 0.87 (ICDAS), 0.90 (Inspektor™ Pro), and 0.94 (QLF-D Biluminator™ 2). Conclusion: ICDAS had the best combination of sensitivity and specificity followed by QLF-D Biluminator™ 2 at optimum threshold.

Validation of DIAGNOdent laser fluorescence and the International Caries Detection and Assessment System (ICDAS) in diagnosis of occlusal caries in permanent teeth: an in vivo study

2016 ◽  
Vol 124 (2) ◽  
pp. 188-194 ◽  
Author(s):  
Lia S. Castilho ◽  
Fernanda V. M. D. Cotta ◽  
Audrey C. Bueno ◽  
Allyson N. Moreira ◽  
Efigênia F. Ferreira ◽  
...  
Keyword(s):  
Assessment System ◽  
Laser Fluorescence ◽  
In Vivo Study ◽  
Caries Detection ◽  
Permanent Teeth ◽  
Occlusal Caries

Comparative In Vitro Validation of VistaProof and DIAGNOdent Pen for Occlusal Caries Detection in Permanent Teeth

2012 ◽  
Vol 37 (3) ◽  
pp. 234-245 ◽  
Author(s):  
K Seremidi ◽  
P Lagouvardos ◽  
K Kavvadia
Keyword(s):  
Clinical Relevance ◽  
Laser Light ◽  
Caries Detection ◽  
Permanent Teeth ◽  
Visual Methods ◽  
Occlusal Caries ◽  
Caries Diagnosis ◽  
Diagnodent Pen ◽  
Light Fluorescence

Clinical Relevance Laser/light fluorescence devices were highly reliable for occlusal caries diagnosis in permanent teeth but not superior in accuracy to visual methods.

scholarly journals Detection of Occlusal Carious Lesion using the SoproLife® Camera: A Systematic Review

2016 ◽  
Vol 17 (9) ◽  
pp. 774-779 ◽  
Author(s):  
Sophie Doméjean ◽  
Julie Rongier ◽  
Michèle Muller-Bolla
Keyword(s):  
Systematic Review ◽  
Scientific Evidence ◽  
Assessment System ◽  
Caries Detection ◽  
Permanent Teeth ◽  
Carious Lesion ◽  
Carious Lesions ◽  
Pubmed Database ◽  
Icdas Ii

ABSTRACT Aim The aim of this systematic review was to assess the in vivo scientific evidence regarding the ability of a recently developed light fluorescence device, SoproLife® (Sopro-Acteon group, La Ciotat, France) in detecting occlusal carious lesions. The PubMed database was searched for in vivo trials that evaluated the validity of the SoproLife® camera for the detection of occlusal carious lesions. Among the 11 articles originally identified with the keyword “Soprolife,” only three articles were included. The three included surveys used the International Caries Detection and Assessment System (ICDAS)-II criteria as gold standard for the assessment of SoproLife® compared or not to other detection devices (DIAGNOdent® and Spectra Caries Detection Aid®). Two of the included studies reported only on permanent teeth or both primary and permanent teeth. The SoproLife® validity values varied markedly among studies with a sensitivity ranging between 0.43 and 0.95 and a specificity between 0.55 and 1. Interobserver reproducibility with the SoproLife® was reported in two of the three studies (0.98 and 0.72) and none of the studies reported about intraobserver reproducibility. No clear-cut conclusion can be made based on the three included clinical studies; further in vivo investigations are needed to confirm the validity of the SoproLife® camera in terms of detection of occlusal carious lesions. How to cite this article Doméjean S, Rongier J, Muller-Bolla M. Detection of Occlusal Carious Lesion using the SoproLife® Camera: A Systematic Review. J Contemp Dent Pract 2016;17(9):774-779.

scholarly journals SOPROLIFE System: An Accurate Diagnostic Enhancer

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Mona Zeitouny ◽  
Mireille Feghali ◽  
Assaad Nasr ◽  
Philippe Abou-Samra ◽  
Nadine Saleh ◽  
...  
Keyword(s):  
Assessment Tool ◽  
High Reliability ◽  
Intraclass Correlation ◽  
High Sensitivity ◽  
Assessment System ◽  
Diagnostic Methods ◽  
Caries Detection ◽  
Occlusal Caries ◽  
Posterior Teeth ◽  
Icdas Ii

Objectives.The aim of this study was to evaluate a light-emitting diode fluorescence tool, the SOPROLIFE light-induced fluorescence evaluator, and compare it to the international caries detection and assessment system-II (ICDAS-II) in the detection of occlusal caries. Methods. A total of 219 permanent posterior teeth in 21 subjects, with age ranging from 15 to 65 years, were examined. An intraclass correlation coefficient (ICC) was computed to assess the reliability between the two diagnostic methods.Results.The results showed a high reliability between the two methods (ICC = 0.92; IC = 0.901–0.940;P<0.001). The SOPROLIFE blue fluorescence mode had a high sensitivity (87%) and a high specificity (99%) when compared to ICDAS-II.Conclusion.Compared to the most used visual method in the diagnosis of occlusal caries lesions, the finding from this study suggests that SOPROLIFE can be used as a reproducible and reliable assessment tool. At a cut-off point, categorizing noncarious lesions and visual change in enamel, SOPROLIFE shows a high sensitivity and specificity. We can conclude that financially ICDAS is better than SOPROLIFE. However SOPROLIFE is easier for clinicians since it is a simple evaluation of images. Finally in terms of efficiency SOPROLIFE is not superior to ICDAS but tends to be equivalent with the same advantages.

scholarly journals Sensitivity and Specificity of Different Diagnostic Methods in Occlusal Caries Detection of Permanent Teeth among Paediatric Patients

2021 ◽  
Vol 16 (2) ◽  
pp. 113-126
Author(s):  
Ilham Wan Mokhtar ◽  
Annapurny Venkiteswaran ◽  
Mohd Yusmiaidil Putera Mohd Yusof
Keyword(s):  
Sensitivity And Specificity ◽  
Near Infrared ◽  
Visual Detection ◽  
Diagnostic Methods ◽  
Infrared Light ◽  
Caries Detection ◽  
Permanent Teeth ◽  
Occlusal Caries ◽  
Occlusal Caries Detection ◽  
Occlusal Surfaces

Dental caries is a commonly progressive disease that proceeds through various degrees of severity that a dentist can detect. The aims of the in vivo study were to assess the accuracy of the individual model (near-infrared light transillumination [NILT] device, visual and radiographic examinations) in detecting occlusal caries, and to evaluate the performance of visual and NILT device combination for occlusal caries detection in deciding the treatment options. Fifty-two non-cavitated occlusal surfaces from 16 patients were assessed with three different diagnostic devices in random order. Identified lesions were prepared and validated. Logistic regression analysis was performed for each method. The sensitivity and specificity values for each method and the combined models were statistically measured using RStudio version 0.97.551. At the enamel level, visual detection was the most sensitive method (0.88), while NILT was the most specific (0.93). NILT scored the highest for sensitivity (0.93) at the dentine level and visual detection scored the highest for specificity (0.88). Visual detection + NILT model was significantly better (p = 0.04) compared to visual detection or NILT alone (df = 1). The visual-NILT combination is a superior model in detecting occlusal caries on permanent teeth. The model provided surplus value in caries detection hence improving the treatment decision-making in occlusal surfaces.

Factors Affecting the Detection and Treatment of Occlusal Caries Using the International Caries Detection and Assessment System

2011 ◽  
Vol 36 (6) ◽  
pp. 597-607 ◽  
Author(s):  
AA Al-Khatrash ◽  
YM Badran ◽  
QD Alomari
Keyword(s):  
Dental Caries ◽  
Clinical Relevance ◽  
Assessment System ◽  
Caries Detection ◽  
Occlusal Caries ◽  
Factors Affecting ◽  
The World ◽  
Predominant Form ◽  
Dental Schools

Clinical Relevance Occlusal caries is the predominant form of dental caries at the present time. This study documents the variability in detection and treatment of occlusal caries among dentists graduating from different dental schools around the world and practicing in Kuwait. Furthermore, it shows that dentists tend to overtreat occlusal caries.

The International Caries Detection and Assessment System – ICDAS: A Systematic Review

2018 ◽  
Vol 52 (5) ◽  
pp. 406-419 ◽  
Author(s):  
Kim Rud Ekstrand ◽  
Thais Gimenez ◽  
Fernanda R. Ferreira ◽  
Fausto M. Mendes ◽  
Mariana M. Braga
Keyword(s):  
Roc Curves ◽  
Diagnostic Odds Ratio ◽  
Assessment System ◽  
Caries Detection ◽  
Activity Assessment ◽  
Caries Progression ◽  
Overall Performance ◽  
Meta Analyses ◽  
Caries Lesions ◽  
Specific Search

The aims of this study were: (1) to evaluate the overall reproducibility and accuracy of the International Caries Detection and Assessment System (ICDAS) for assessing coronal caries lesions, and (2) to investigate the use of systems associated with the ICDAS for activity assessment of coronal caries lesions. Specific search strategies were adopted to identify studies published up to 2016. For the first objective, we selected studies that assessed primary coronal caries lesions using the ICDAS as a reference standard. A total of 54 studies were included. Meta-analyses summarized the results concerning reproducibility and accuracy (correlation with histology, summary ROC curves [SROC], and diagnostic odds ratio [DOR]). The latter 2 were expressed at D1/D3 levels. The heterogeneity of the studies was also assessed. Reproducibility values (pooled) were > 0.65. The ICDAS mostly presented a good overall performance as most areas under SROC were > 0.75 at D1 and > 0.90 at D3; DOR ≥6. For the second objective, we selected studies investigating activity assessment associated with the ICDAS. The meta-analyses pooled results based on the same methodology and parameters as above. Longitudinal findings regarding caries progression were described to estimate the validity of these systems. On average, the systems for activity assessment of caries lesions showed moderate values concerning reproducibility and overall performance. Active caries lesions were more prone to progress than inactive ones after 2 years. In conclusion, the ICDAS presented a substantial level of reproducibility and accuracy for assessing primary coronal caries lesions. Additional systems associated with the ICDAS that classify caries lesion activity can be useful as they are moderately reproducible and accurate.

Diagnostic Performance of Different Methods in Detecting Incipient Non-Cavitated Occlusal Caries Lesions in Permanent Teeth

2019 ◽  
Vol 43 (3) ◽  
pp. 173-179
Author(s):  
Murat Ünal ◽  
Arzu Koçkanat ◽  
Seniha Güler ◽  
Esra Gültürk
Keyword(s):  
Intraclass Correlation ◽  
In Vitro Study ◽  
Roc Curves ◽  
Caries Detection ◽  
Permanent Teeth ◽  
Kappa Statistics ◽  
Occlusal Caries ◽  
Diagnodent Pen ◽  
Icdas Ii

Aim: This in vitro study was aimed to investigate the performance of the new caries detection tools on the incipient occlusal caries. Study design: In our study, 100 permanent molar teeth, which were considered to have incipient, enamel caries (D1 and D2 threshold values) according to ICDAS II score. After the visual examination, caries measurements have been applied to all teeth by using DIAGNOdent pen (DP), CarieScan PRO (CP) and SoproLife camera (SC). In addition, in vitro examinations were repeated 2 weeks later. After sectioning and evaluation in stereomicroscope, the lesion depth was determined with histological criteria that are accepted for the gold standard for this research. Sensitivity, specificity, accuracy and area under the ROC curve were calculated at D1 and D2 thresholds. The intra-examiners' reproducibility were analysed using Cohen's kappa statistics and intraclass correlation coefficient (ICC). Results: Intra-examiner repeatability values varied from 0.94 to 0.99 and kappa values ranged from 0.90 to 0.99. While the highest sensitivity and specificity value showed for SC at D1 and D2 thresholds, CP presented the lowest values. The area under ROC curves (Az) varied from 0.70 to 0.99. ICDAS II showed the highest area under ROC curves (Az). Conclusions: ICDAS II, visual diagnostic method by itself is considered to sufficient in order to diagnose incipient occlusal caries. SC may be used as an alternative method for the ICDAS II, since its advantages by displaying caries lesion on the computer monitor, follow-up and motivation of the patients provided.

scholarly journals The Effect of Distance and Tooth Structure on Laser Fluorescence Caries Detection

2012 ◽  
Vol 37 (2) ◽  
pp. 150-160 ◽  
Author(s):  
K Markowitz ◽  
RM Stenvall ◽  
M Graye
Keyword(s):  
Clinical Relevance ◽  
Laser Fluorescence ◽  
Caries Detection ◽  
Carious Lesion ◽  
Occlusal Caries ◽  
Caries Diagnosis ◽  
Tooth Structure

Clinical RelevanceDevices used to aid occlusal caries diagnosis are supposed to detect small lesions deep in the pit and fissure system. In detecting small occlusal caries, distance and tooth structure may separate the instrument and the carious lesion. In this study distance and tooth structure were found to reduce the ability of the DIAGNOdent to detect caries.

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