Author:
Alkan Elif,Mücahit Akça,Şeker Merve,Meşeli Simge,Kargül Betül,Tağtekin Dilek,Yanikoğlu Funda,Çelik Zeynep
Abstract
Background/Aim: Evaluating the performance of two fluorescence-based methods on the detection of occlusal carious lesions in permanent teeth, compared with visual inspection and radiographic examination was the aim of this study. Material and Methods: Occlusal surfaces of 150 extracted human permanent molars were examined by two researchers using the International Caries Detection and Assessment System ll (ICDAS-II), FluoreCam (Daraza) and DIAGNOdent Pen® (KaVo). Standardized periapical radiographs were taken. The teeth were sectioned for histological validation and examined under 25x magnification under a stereomicroscope (Leica M27.5) using Downer criteria 0-4 as the gold standard. The correlation of diagnostic methods with histological analyses was evaluated using Spearman's rank correlation coefficients (rho). Results: All teeth were scored from 0 to 6 for ICDAS-II. The highest correlation of the gold standard was found with ICDAS-II followed by FluoreCam and DIAGNOdent Pen®. The association strength of ICDAS-II, Radiography, FluoreCam and DIAGNOdent Pen® with the histological evaluation was quite strong (p<0.05). Both fluorescence-based methods performed similarly. Conclusions: Radiograph is not specific for early carious lesions but may be used as an adjunct method for dentin caries. ICDAS-II classification is an accurate method for clinical examination of occlusal caries however additionally using fluorescence as a quantitative and visual examination is quite supportive and reinforcing especially for detecting enamel caries lesions.
Publisher
Centre for Evaluation in Education and Science (CEON/CEES)
Reference35 articles.
1. Roberson T, Heymann HO, Swift Jr EJ. Clinical significance of dental anatomy, histology, physiology and occlusion. Sturdevant's art and science of operative dentistry. 4th Edition, Mosby Inc., Orlando, 476-483;
2. Diniz MB, Lima LM, Eckert G, Zandona AF, Cordeiro RC, Pinto LS. In vitro evaluation of ICDAS and radiographic examination of occlusal surfaces and their association with treatment decisions. Oper Dent, 2011;36:133-142;
3. Pitts NB. " ICDAS"-an international system for caries detection and assessment being developed to facilitate caries epidemiology, research and appropriate clinical management. Community Dent Health, 2004:193-198;
4. Jablonski-Momeni A, Stachniss V, Ricketts D, Heinzel-Gutenbrunner M, Pieper K. Reproducibility and accuracy of the ICDAS-II for detection of occlusal caries in vitro. Caries Res, 2008;42:79-87;
5. Gomez J, Zakian C, Salsone S, Pinto SCS, Taylor A, Pretty IA,et al. In vitro performance of different methods in detecting occlusal caries lesions. J Dent, 2013;41:180-186;