Impact of Low Level Magnification on Incipient Occlusal Caries Diagnosis and Treatment Decision Making

Sisodia, Neha; Manjunath, Maurya

doi:10.7860/jcdr/2014/8533.4742

Cited by 12 publications

(9 citation statements)

References 12 publications

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“…The results yet again confirm the advantage of the DOM (×3.4) magnification in facilitating a more precise diagnosis. 26 The results are similar to those of this study which found that using a DOM with (×8) magnification the diagnosis of initial carious lesions was more precise than in a direct observation.…”

Section: Observation Without Magnificationsupporting

confidence: 90%

Application of Contemporary Magnifying Methods in the Diagnostics of Occlusal Carious Lesions on First Permanent Molars in Children

Rashkova¹,

Bogovska-Gigova²,

Tankova³

et al. 2020

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Introduction: Dental operating microscopes (DOM) enable dentists to examine, with the aid of magnification and photodocumentation in clinical conditions, the occlusal anatomy of newly erupted permanent molars and to detect any early carious lesions more precisely. Aim: To determine the advantages of magnifying technology in detecting early occlusal carious lesions in newly erupted permanent first molars. Materials and methods: We examined 176 first molars of 44 children divided into two age groups: 7-8 and 9-10 years. The surfaces of each of the teeth were examined after they were cleaned with a brush without paste. The diagnoses were first made using only illumination and a clinical examination. These were followed by a visual examination of the occlusal surface using a DOM at ×8 magnification. A photo of the occlusal surface was then taken with a camera at the respective magnification for the purposes of photodocumentation. Results: This study demonstrated that dental operating microscopes increased by 7% the rate of successful detection of early caries lesions on the occlusal surfaces. There was also a significant increase of the number of diagnosed cavitated caries in the dentine in comparison with those detected with naked eye. Using DOMs in pediatric dentistry facilitates the more detailed and precise diagnosing of early stage carious lesions and/or cavitations in the fissures. Conclusion: The use of a DOM facilitates differential diagnosing between deep fissures and early carious lesions, which is a key point in the assessment of occlusal surfaces of newly erupted permanent molars, necessary for their preventative sealing and micro-invasive treatment.

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Section: Observation Without Magnificationsupporting

confidence: 90%

Application of Contemporary Magnifying Methods in the Diagnostics of Occlusal Carious Lesions on First Permanent Molars in Children

Rashkova¹,

Bogovska-Gigova²,

Tankova³

et al. 2020

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“…19 Similarly, Sisodia et al, while comparing high power magnification with microscope with low powered loupes reported sensitivity and specificity that were not different from unaided visual inspection. 18 Ari et al assessed the performance of ICDAS-II using low powered magnification with light emitting diode headlight and alternating current impedance spectroscopy device for detection of occlusal caries on primary molars and reported that with magnification, the sensitivity and specificity scores for examiners were 0.87-0.90 and 0.70-0.75, respectively, at the D1 diagnostic threshold, which is lesser than the values reported in our study. 20 But studies that were done previously, without using ICDAS scoring reported better performance with magnification.…”

Section: Discussioncontrasting

confidence: 55%

“…They reported that the intra-observer reproducibility for caries detection using surgical operating microscope ranged from average to good. 18 Yet another study by Ari et al 2013, evaluated low power magnification with LED light for ICDAS coding of occlusal caries in primary molars, reported good to excellent reproductivity. 20 On the contrary, Mitropoulos et al in 2012 compared the impact of lowpowered magnification on the detection of occlusal caries.…”

Section: Discussionmentioning

confidence: 99%

“…14-17 ICDAS II criteria for occlusal caries detection with and without magnification (high and low level) were assessed in few studies with varying results. [18][19][20] Due to such contradictory and sparse evidence on the use of magnification in ICDAS II system, this study was done with the objective to compare the validity and reliability of ICDAS II system with and without magnification under surgical microscope at 6X magnification, for detection of occlusal caries, by using a golden standard of histological examination and scoring. A null hypothesis was generated that there will be no difference in the reliability and validity of ICDAS II system in detecting occlusal lesions with or without magnification.…”

mentioning

confidence: 99%

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Reliability and validity of ICDAS II coding for occlusal caries using magnification: an in-vitro study

Sathyanarayanan¹,

Usha²,

Sudhagar³

2017

Int J Sci Rep

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INTRODUCTIONDental caries is a disease that is characterized by the localized destruction of susceptible dental hard tissue by acidic by-products from bacterial fermentation of dietary carbohydrates. The process is a dynamic interaction at the biofilm-tooth interface characterised by alternating cycles of demineralisation and remineralization. A caries/carious lesion are a detectable change in the tooth structure that results from this interaction. The changes may range from initial outer surface demineralization, at the molecular level, through subsurface demineralization producing enamel white-spot lesion formation, through macroscopic lesion cavitation, to dentine and pulpal infection, to ABSTRACT Background: Pit and fissure caries presents diagnostic challenges due to its anatomical complexity and fluoride exposure. ICDAS II is a coding system for caries detection using clinical visual inspection. It identifies carious lesions by the change in colour, texture and surface integrity. Magnification might facilitate better detection of the lesions by enhancing the visual acuity. Thus, the objective of this study is to compare the reliability and validity of ICDAS II in detection of occlusal caries, with and without magnification, by using histological standard. Methods: This single blinded, randomized study included 334 unrestored extracted human premolars and molars. Two examiners independently scored pit and fissure caries status using ICDAS II criteria without magnification and later under 6 x magnification using surgical microscope. The samples were sectioned and lesions were scored using the ERK histological criteria, under Stereo microscope. The scores of the examiners were correlated with the histological scoring. Kappa statistics and Spearman correlation coefficients were performed. Optimal sensitivity, specificity of visual and enhanced visual examination was calculated by Receiver Operating Characteristic Curve (ROC). Likelihood ratios (LR) were also calculated. Results:The kappa values for Inter examiner reproducibility of visual and enhanced visual examination under microscope were 0.638-0.694 and for histological examination it was 0.979. Intra examiner reproducibility for visual and enhanced visual examination was 0.665 -0.594. There was a strong relationship between visual, enhanced visual and histological examinations. Spearman's correlation coefficient of ICDAS-II visual and enhanced visual examination for each examiner, to ERK histological scores was 0.869-0.848. The sensitivity and LR+ for visual and enhanced visual examination was decreased as the ICDAS score was increased and specificity and LR-increased with increased ICDAS score. Conclusions: Reliability and validity of ICDAS scoring in detecting occlusal caries under magnification did not differ from clinical visual inspection.

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“…In addition, the non-magnified view enabled the visualization of the test sheet as a whole, which, in turn, allowed for more immediate identification of drilled holes and places where holes were to be drilled. However, the use of loupes limited the field of vision, despite the magnification of the orifices [ 27 ]. This factor may have caused the students to spend more time locating and focusing on the target for subsequent drilling.…”

Section: Discussionmentioning

confidence: 99%

Magnification effect on fine motor skills of dental students

et al. 2021

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Objectives This study observed the effect of different magnification systems on dental students’ real and perceived fine motor skills. Methods This was a laboratory-based experimental study. Students in the fifth year of an undergraduate dentistry program (N = 92) participated in this study. The dependent variables were real motor skills, perceived motor skills and time required to complete the fine motor skills test. The independent variable was the use of a magnification system under four conditions. For each condition, the Dental Manual Dexterity Assessment was performed, which consisted of inserting the #3195FF bur into targets positioned on a Styrofoam plate. The accuracy of each penetration of the targets was scored, using a point system with a maximum possible score of 246 points. Students’ perceived fine motor skills were assessed using a visual analog scale (VAS) that ranged from zero for no skills to ten for maximum skills. A descriptive statistical analysis and the repeated measures ANOVA were performed (α = 0.05). Results The Galilean and Keplerian loupes were found to positively affect students’ real fine motor skills (p<0.01); however, perceived fine motor skills and time were significantly better (p<0.01) under the naked eye. Conclusions Dental students’ real fine motor skills were better when Galilean and Keplerian loupes were used, but the perceived fine motor skills were not.

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Impact of Low Level Magnification on Incipient Occlusal Caries Diagnosis and Treatment Decision Making

Cited by 12 publications

References 12 publications

Application of Contemporary Magnifying Methods in the Diagnostics of Occlusal Carious Lesions on First Permanent Molars in Children

Application of Contemporary Magnifying Methods in the Diagnostics of Occlusal Carious Lesions on First Permanent Molars in Children

Reliability and validity of ICDAS II coding for occlusal caries using magnification: an in-vitro study

Magnification effect on fine motor skills of dental students

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