A comparison of diagnosis of early stage interproximal caries with bitewing radiographs and periapical images using consensus reference

Takahashi, Noriaki; Lee, Cliff; Silva, John D. Da; Ohyama, Hiroe; Roppongi, Motoi; Kihara, Hidemichi; Hatakeyama, Wataru; Ishikawa-Nagai, Shigemi; Izumisawa, Mitsuru

doi:10.1259/dmfr.20170450

Cited by 18 publications

(17 citation statements)

References 26 publications

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“…6 BW is also superior to pa in caries detection. 7 Results from this study show that most dentists know and practice caries detection using BW. A minority might make a mistake of relying on less than optimum diagnostic tools and the reason for this is either "time" or lack of knowledge, neither of which is acceptable if a diagnostic error is made.…”

Section: Discussionmentioning

confidence: 76%

Radiographic Caries Detection Behavior in a Sample of Dentists and Dental Specialists

Khan

2019

Egyptian Dental Journal

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Radiographic caries detection depends not only on correctly acquired radiographs but also on the way they are displayed and interpreted.Objective: This research aims to measure behavioral factors important for caries detection among dentists. Materials & Methods:A sample of 206 dentists was surveyed using a self-reported questionnaire after a focus group and a pilot study. Questions asked were related to the type of image used, the way the image is displayed, the use of magnification, and the use of vision correction aids if needed. Responses were analyzed using descriptive statistics. Results:The use of the following was BW (>95%), viewing box (68%), masking extra-light (<15%), dimming room's light (<15%), magnification (<13%), and vision correction aid (85% from those who need it). The most frequently reported reasons were "availability" and "lack of knowledge". Conclusions:There is a significant undesirable behavioral practice during radiographic caries detection among the studied sample. The main reasons seem to be "convenience" and lack of knowledge.

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Section: Discussionmentioning

confidence: 76%

Radiographic Caries Detection Behavior in a Sample of Dentists and Dental Specialists

Khan

2019

Egyptian Dental Journal

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“…The research performed by Takahashi., et al [47] to assess the diagnostic property of intraoral bitewing radiographs (BTW) compared with periapical radiographs (PA) showed that there was no significant difference in the specificity of BTW and PAs; moreover, they founded that BTWs offer a significant advantage over PAs in the diagnoses of early stages of interproximal carious lesions.…”

Section: Discussionmentioning

confidence: 99%

Three-dimensional Analysis of the Distance between Pulp Tissue and Caries or Obturation in Different Projections using CBCT

Obino¹,

Nardo²,

Quero³

et al. 2019

Act Scie Dental

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The aim of this research was to analyze the distance between radiographic pulp chamber and caries or obturations in vivo using cone-beam computed tomography (CBCT) imaging in different projections. Materials and Methods:A total of 50 premolar and molar teeth from 50 patients were examined using CBCT imaging, previously taken for diagnosis and treatment. Slices in different projections were scanned and the distance between radiographic pulp chamber and caries or obturations was measured using a software's tool. Results:The distance in two-dimensional projection was significantly lower than in three-dimensional projection in all the examined teeth, showing a less distance from the pulp chamber and the caries or obturation. Conclusions:The distance between the caries and the pulp tissue of a tooth in a three-dimensional projection is less than in a twodimensional projection; for this reason, it would be better to pay attention to the proximity to the pulp chamber and it is recommended to consider a smaller distance than the one the two-dimensional radiograph showed.

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“…Higher sensitivity is required for early detection of dental caries, such as in enamel. BWR show significantly better sensitivity than periapical radiographs for all levels of caries progression (BWR: 94.5 for dentin caries, 90.43-82.7 for enamel caries, periapical: 69.7 for dentin caries, 39.01-56.2 for enamel caries), although there was no significant difference on specificity (18).…”

Section: Introductionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

“…MID is a viable treatment option for enamel caries, in that false positives (caries misdiagnosed as being present when it is actually not) would not lead to treatments that irreversibly cause tooth structure to be removed from a healthy tooth (18). Previous studies have shown that BWR offer a significant advantage over periapical radiographs in the diagnosis of early stages of interproximal caries (IC) (18). BWR serve as an important tool in the accurate diagnosis of early stage lesions and is thus one of the most essential services that need be included in preventative and early interventional dental care plans (19).…”

Section: Introductionmentioning

confidence: 99%

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Importance of bitewing radiographs for the early detection of interproximal carious lesions and the impact on healthcare expenditure in Japan

Grieco¹,

Jivraj²,

Silva³

et al. 2022

Ann Transl Med

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Background: Globally, the direct cost of dental caries is approximately $298B yearly, consuming 5-10% of national healthcare budgets. Bitewing radiographs (BWR) are the standard method of diagnosing interproximal dental caries. In Japan, bitewing radiographs are rarely used. This retrospective observational study was conducted to measure the potential economic impact of carious lesions left undiagnosed and untreated due to this omission of bitewing radiographs. Methods:The total number of existing carious lesions, the number of undiagnosed lesions, and costs of treating these lesions were calculated from the national database of Ministry of Health, Labor and Wellness in Japan between June 2013 and 2017. The number of affected teeth was estimated using prevalence data and undiagnosed lesions were estimated. The expense associated with treating progressed lesions was calculated using the standard Japanese fee structure. BWR trends were assessed, and analyses were performed to understand the differences between states and populations over time. Results:The average number of BWR taken monthly per office was 48.3±1.1 (average ± SD). It was calculated that an average of 6,429,155 lesions went undiagnosed per month, 93.5 teeth per practice, and 1.6 teeth per patient. The cost of treating lesions that went undiagnosed and then progressed into more

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A comparison of diagnosis of early stage interproximal caries with bitewing radiographs and periapical images using consensus reference

Abstract: BTWs offer a significant advantage over PAs in the diagnoses of early stages of interproximal carious lesions.

Cited by 18 publications

References 26 publications

Radiographic Caries Detection Behavior in a Sample of Dentists and Dental Specialists

Radiographic Caries Detection Behavior in a Sample of Dentists and Dental Specialists

Three-dimensional Analysis of the Distance between Pulp Tissue and Caries or Obturation in Different Projections using CBCT

Importance of bitewing radiographs for the early detection of interproximal carious lesions and the impact on healthcare expenditure in Japan

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