2017
DOI: 10.2334/josnusd.16-0595
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Alternative methods to visual and radiographic examinations for approximal caries detection

Abstract: A shift in caries prevalence from occlusal surfaces to approximal surfaces has been demonstrated by epidemiological studies. Two recent meta-analyses evaluated the performance of visual examination and radiography for carious lesion detection, and reported low sensitivity but high specificity for early approximal caries detection. This suggests that the conventional methods have a higher risk of failing to detect approximal lesions. Consequently, in caries susceptible populations, there is a risk of progressio… Show more

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Cited by 67 publications
(73 citation statements)
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“…However, it should not be limited to this criterion alone; an assessment of lesion activity is required. It is based mainly on two clinical indicators; the presence of plaque related to the localization of the lesion and the tactile sensation to the sounding [33][34][35][36].…”
Section: Clinical Forms and Complicationsmentioning
confidence: 99%
See 1 more Smart Citation
“…However, it should not be limited to this criterion alone; an assessment of lesion activity is required. It is based mainly on two clinical indicators; the presence of plaque related to the localization of the lesion and the tactile sensation to the sounding [33][34][35][36].…”
Section: Clinical Forms and Complicationsmentioning
confidence: 99%
“…The complex anatomy of pits and fissures and the presence of discoloration can complicate both clinical examination and diagnosis. Indeed, early lesions may not be clinically and radiographically visible, and their early diagnosis will require new diagnostic techniques based on fluorescence [34][35][36][37].…”
Section: Clinical Forms and Complicationsmentioning
confidence: 99%
“…In essence this gives that area a more darkened appearance. [5] FOTI was initially designed by Friedman and Marcus in 1970 for the detection of proximal caries. Posterior approximal caries is diagnosed by placing the light probe on the gingiva below the cervical margin of the tooth, whereby light passes through the tooth structures and approximal decay appears as dark shadow on the occlusal surface.…”
Section: Fotimentioning
confidence: 99%
“…Numerous diagnostic techniques have recently been developed to detect demineralization and remineralization during formation of carious lesions (17). Optical coherence tomography (OCT), a diagnostic technique for obtaining cross-sectional images of the internal structure of lesions, has considerable potential for noninvasive imaging of demineralizing lesions, because it obviates the need to remove the surface and eliminates radiation exposure (18,19). In the detection of re-and de-mineralization, the mechanisms of OCT differ from those of transverse microradiography, the standard method for assessing mineral changes in experimental lesions of teeth.…”
Section: Introductionmentioning
confidence: 99%