Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth

Pontes, Laura Regina Antunes; Novaes, Tatiane Fernandes; Moro, Bruna Lorena Pereira; Braga, Mariana Minatel; Mendes, Fausto Medeiros

doi:10.1590/1807-3107bor-2017.vol31.0091

Cited by 8 publications

(4 citation statements)

References 26 publications

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“…Studies put QLF sensitivity as ranging between 0.62 and 0.74 and specificity as ranging from 0.86 to 1.0. [206][207][208] Thus, QLF has a higher specificity than sensitivity (i.e. it is better able to identify teeth without carious disease).…”

Section: Discussion and Summarymentioning

confidence: 99%

Presenting patients with information on their oral health risk: the PREFER three-arm RCT and ethnography

Harris

Vernazza

Laverty

et al. 2020

Health Serv Deliv Res

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Background A new NHS dental practice contract is being tested using a traffic light (TL) system that categorises patients as being at red (high), amber (medium) or green (low) risk of poor oral health. This is intended to increase the emphasis on preventative dentistry, including giving advice on ways patients can improve their oral health. Quantitative Light-Induced Fluorescence (QLF™) cameras (Inspektor Research Systems BV, Amsterdam, the Netherlands) also potentially offer a vivid portrayal of information on patients’ oral health. Methods Systematic review – objective: to investigate how patients value and respond to different forms of information on health risks. Methods: electronic searches of nine databases, hand-searching of eight specialist journals and backwards and forwards citation-chasing followed by duplicate title, abstract- and paper-screening and data-extraction. Inclusion criteria limited studies to personalised information on risk given to patients as part of their health care. Randomised controlled trial (RCT) – setting: NHS dental practice. Objective: to investigate patients’ preferences for and response to different forms of information about risk given at check-ups. Design: a pragmatic, multicentred, three-arm, parallel-group, patient RCT. Participants: adults with a high/medium risk of poor oral health attending NHS dental practices. Interventions: (1) information given verbally supported by a card showing the patient’s TL risk category; (2) information given verbally supported by a QLF photograph of the patient’s mouth. The control was verbal information only (usual care). Main outcome measures: primary outcome – median valuation for the three forms of information measured by willingness to pay (WTP). Secondary outcomes included toothbrushing frequency and duration, dietary sugar intake, smoking status, self-rated oral health, a basic periodontal examination, Plaque Percentage Index and the number of tooth surfaces affected by caries (as measured by QLF). Qualitative study – an ethnography involving observations of 368 dental appointments and interviews with patients and dental teams. Results Systematic review – the review identified 12 papers (nine of which were RCTs). Eight studies involved the use of computerised risk assessments in primary care. Intervention effects were generally modest, even with respect to modifying risk perceptions rather than altering behaviour or clinical outcomes. RCT – the trial found that 51% of patients identified verbal information as their most preferred form, 35% identified QLF as most preferred and 14% identified TL information as most preferred. The median WTP for TL was about half that for verbal information alone. Although at 6 and 12 months patients reported taking less sugar in drinks, and at 12 months patients reported longer toothbrushing, there was no difference by information group. Qualitative study – there was very little explicit risk talk. Lifestyle discussions were often cursory to avoid causing shame or embarrassment to patients. Limitations Only 45% of patients were retained in the trial at 6 months and 31% were retained at 12 months. The trial was conducted in four dental practices, and five dental practices were involved in the qualitative work. Conclusions Patients prefer personal, detailed verbal advice on oral health at their check-up. A new NHS dental practice contract using TL categorisation might make this less likely. Future work Research on how to deliver, within time constraints, effective advice to patients on preventing poor oral health. More research on ‘risk work’ in wider clinical settings is also needed. Trial registration Current Controlled Trials ISRCTN71242343. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 8, No. 3. See the NIHR Journals Library website for further project information.

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Section: Discussion and Summarymentioning

confidence: 99%

Presenting patients with information on their oral health risk: the PREFER three-arm RCT and ethnography

Harris

Vernazza

Laverty

et al. 2020

Health Serv Deliv Res

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“…8, 18,19,22,25,26,[36][37][38][39] However, weak specif icit y and sensitiv it y results led other authors to not indicate its use without BW or CT, invalidating the aim of the studies about these appliances. 18,22,[27][28][29][40][41][42][43][44] A study by Subka et al 44 Kühnisch et al 45 and Ozkan et al 46…”

Section: Methodsmentioning

confidence: 99%

Laser fluorescence as an alternative for digital radiography in detecting caries lesions

et al. 2020

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Diagnosis of caries lesions consists of visual/tactile methods following the International Caries Detection and Assessment System (ICDAS) and radiographic methods (BW), however these methods have limitations for detecting caries at different depths and locations and is usually influenced by the examiner’s experience. New technologies have emerged to improve caries diagnosis methods, among these are methods that use optical principles to quantify differences between healthy and demineralized tissues, for example: quantitative light- -induced fluorescence (QLF), the “DIAGNOdent” caries detection pen, and VistaProof (fluorescence camera). This literature review aims to provide up-to-date information on the applicability of fluorescence-based methods in the diagnosis of caries. The results show that DIAGNOdent pen was the most effective method for diagnosing caries, wherein some authors indicate that it can be used as the only diagnostic method, but most recommend using it as a complementary method to ICDAS and BW. LFpen must be used in association with ICDAS and 2 articles indicate near-infrared light transillumination (NILT) as a substitute for BW, however there is still a need for further studies to reach a concrete decision. In conclusion, digital methods for the diagnosis of caries are efficient, but they do not replace visual/tactile methods and bitewing radiographs. Therefore, they should be used as a complementary diagnostic method to those already known and widely used and studied.

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“…Neste interim, o DIAGNOdent surgiu como uma ferramenta que complementava o diagnóstico visual e radiográfico de lesões, por meio da emissão de uma fluorescência do tecido dental (Shi et al, 2000a;Shi et al, 2000b;Nicolau, 2004;Pretty, 2006;Braga et al, 2010;Pontes et al, 2017). Este aparelho utiliza um laser de diodo com comprimento de onda de 655 nm, que quando em contato com a superfície do dente, irá emitir uma luz vermelha.…”

Section: Métodos De Análise Da Lesão De Mancha Brancaunclassified

“…Proporção conteúdo inorgânico e orgânico (960cm -1 /1450cm Nesse estudo, o aparelho DIAGNOdent (Kavo, Biberach, Alemanha) foi utilizado como avaliação inicial das amostras. A luz laser (655nm) foi absorvida por metabólitos, como as porfirinas bacterianas presentes no substrato, e ocorreu a emissão e a captação da fluorescência vermelha pelo aparelho (Shi et al, 2000;Nicolau, 2004;Pretty, 2006;Braga et al, 2010;Pontes et al, 2017;Luczaj-Cepowicz et al, 2019). Os resultados obtidos por esta metodologia apontaram que 75% das superfícies analisadas eram hígidas, 10% eram lesões que acometiam até junção esmalte-dentina, 7% eram cárie em esmalte e outros 7% eram cárie em primeiro terço de dentina.…”

Section: Parâmetro Hígido Cariadounclassified

Caracterização de lesões de mancha branca naturais

Araújo¹

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Aos meus paisAlexssandra e Ernani por todo esforço, incentivo, apoio e amor. Espero um dia poder retribuir tudo que vocês fizeram e fazem por mim. Amo vocês! À minha avó Irene, e às minhas tias-avós Maria (in memoriam) Porfiria e Raimunda, por todo seu cuidado, amor, carinho e dedicação. À minha família, em especial aos meus irmãos Erick e Hayram, por toda a torcida e apoio de sempre. Às minhas amigas/irmãs Fernanda e Júlia que dividiram todos esses anos ao meu lado, desde a graduação. Muito obrigada por tudo! Ao meu namorado, Christian, por todo o apoio, amor, carinho e incentivo que tem me dado durante esse último ano. I love you! AGRADECIMENTOS

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Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth

Cited by 8 publications

References 26 publications

Presenting patients with information on their oral health risk: the PREFER three-arm RCT and ethnography

Presenting patients with information on their oral health risk: the PREFER three-arm RCT and ethnography

Laser fluorescence as an alternative for digital radiography in detecting caries lesions

Caracterização de lesões de mancha branca naturais

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