An in vitro Assessment of the Extent of Caries under Small Occlusal Cavities

Amerongen, J.P. van; Penning, C; Cate, J.M. ten

doi:10.1159/000261435

Cited by 37 publications

(12 citation statements)

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“…It is known that the histological examination is the gold standard to assess the extent to which a tissue is affected by disease [Mitropoulos et al, 2010]; however, it is not an available tool in clinical practice. On the other hand, radiographic examination is the method of choice to assess caries depth [van Amerongen et al, 1992;Ekstrand et al, 1997]. In the present in vivo study, a sample of 95 teeth with dark shadow from dentin was assessed, and 85.3% did not present a radiolucent image (67.4%) or presented a radiolucent image restricted to the enamel-dentin junction (17.9%).…”

Section: Discussionmentioning

confidence: 92%

Clinical and Radiographic Diagnosis of Underlying Dark Shadow from Dentin (ICDAS 4) in Permanent Molars

Bertella¹,

Moura²,

Alves³

et al. 2013

Caries Res

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This study investigated the radiographic pattern of underlying dark shadow from dentin (ICDAS 4) in permanent molars and assessed the association between enamel breakdown and radiographic features. Ninety-five teeth (54 patients) were clinically and radiographically assessed. The majority of ICDAS 4 caries lesions presented enamel breakdown (n = 78, 82.1%) and no radiographic image (n = 64, 67.4%) or a radiolucent zone restricted to the enamel-dentin junction (n = 17, 17.9%). No association was found between enamel breakdown and radiographic features. This study suggests that a radiographic examination is needed prior to the decision making process for underlying dark shadows from dentin.

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Section: Discussionmentioning

confidence: 92%

Clinical and Radiographic Diagnosis of Underlying Dark Shadow from Dentin (ICDAS 4) in Permanent Molars

Bertella¹,

Moura²,

Alves³

et al. 2013

Caries Res

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“…Laboratory work, in which the validity of radiographic decisions were checked histologically, showed that false positives are uncommon [Ricketts, 1991;Russell and Pitts, 1991;Tveit et al, 1991]. On the other hand, it has been re ported that radiographs considerably underestimate le sion size [Ricketts, 1991;van Amerongen et al, 1992], It is possible that demineralisation presents relatively late on radiographs because the rays pass through intact buccal and lingual enamel as well as dentine, and the scatter from soft tissues affects contrast. A clinical trial in which the validity of the radiographic diagnosis is checked by oper ative intervention seems overdue.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Clinically Undetected and Untreated Molar Occlusal Dentine Caries in Adolescents on the Isle of Wight

Naylor¹,

Wilson²

1992

Caries Res

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The prevalence of clinically undetected occlusal dentine caries was determined in a group of adolescents living on the Isle of Wight by comparing data from clinical and radiographic examinations carried out in 1987. 6.3% of maxillary molars and 12.9% of mandibular molars which had been designated as clinically sound showed dentine caries on radiographs. Comparison of the radiographic data from 1975 and 1987 showed that there were more sound and fewer filled occlusal surfaces in 1987, but more primary occlusal caries. Approximately 50% of subjects examined in both 1975 and 1987 had at least one molar tooth with primary and/or secondary caries in dentine on radiograph.

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“…On the other hand, radiographs have been shown to underestimate the size of the lesion considerably. 10 Digitally enhanced radiography was developed to improve the use of radiograph for diagnosis of early caries. Using computer technology to enhance images from a video camera or from a digital x-ray sensor has been proven to be an objective and reproducible methodology.…”

Section: Introductionmentioning

confidence: 99%

Emerging technologies for diagnosis of dental caries: The road so far

Amaechi

2009

Journal of Applied Physics

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It is now universally recognized that the development of new technologies for early detection and quantitative monitoring of dental decay at an early stage of formation could provide health and economic benefits ranging from timely preventive interventions to reduction in the time required for clinical trials of anticaries agents. The use of technologies as adjunct to clinical visual examination for caries diagnosis will facilitate preventive care in dentistry to lower treatment cost as well as reduce the cost and time for testing potential anticaries agents. This article describes the various technologies available to aid the dental practitioners in detecting dental caries at the earliest stage of its formation, assessing the activities of the detected carious lesion, and quantitatively or qualitatively monitoring of the lesion over time. The need and the importance of these technologies were also discussed. The data discussed are primarily based on published scientific studies and reviews from case reports, clinical trials, and in vitro and in vivo studies. References have been traced manually by MEDLINE® or through manufacturer's websites. While some of the devices are fully developed and commercially available, others are still under development. The devices vary in their modes of action as well as their capability as caries diagnostic aids. It is clear that the differences in caries presentations and behavior in different anatomical sites make it unlikely that any one diagnostic modality will have adequate sensitivity and specificity of detection of carious lesions for all sites; a combination of diagnostic tools will help us diagnose lesions earlier and detect failing restorations sooner, all to avoid more costly, destructive dental procedures and truly take dentistry into the preventive rather than the reactive mode.

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An in vitro Assessment of the Extent of Caries under Small Occlusal Cavities

Cited by 37 publications

References 1 publication

Clinical and Radiographic Diagnosis of Underlying Dark Shadow from Dentin (ICDAS 4) in Permanent Molars

Clinical and Radiographic Diagnosis of Underlying Dark Shadow from Dentin (ICDAS 4) in Permanent Molars

Prevalence of Clinically Undetected and Untreated Molar Occlusal Dentine Caries in Adolescents on the Isle of Wight

Emerging technologies for diagnosis of dental caries: The road so far

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