Pen-type laser fluorescence device versus bitewing radiographs for caries detection on approximal surfaces

Bizhang, Mozhgan; Wollenweber, Nina Julia Vanessa; Singh-Hüsgen, Preeti; Danesh, Gholamreza; Zimmer, Stefan

doi:10.1186/s13005-016-0126-9

Cited by 15 publications

(10 citation statements)

References 40 publications

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“…18,19 More recent research suggests complementing this method with photosensitizers and thus increasing the sensitivity and specificity of the The FC device showed good performance with Considering ethical concerns, some studies including in vivo samples used BW (bitewing) as a gold standard 3,9,12,30-32 and others used ICDAS. 10,33 Based on their results Melo et al, 9 Menem et al, 30 Bizhang et al 31 affirms that DIAGNOpen is an alternative to avoid ionizing radiation for the patients, but despite having similar findings, Schwendicke et al 12 and Anauate-Neto et al 32 indicates it only as a complement.…”

Section: Methodsmentioning

confidence: 95%

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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Section: Methodsmentioning

confidence: 95%

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

et al. 2020

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“…Recently, some laser or fluorescence devices used to evaluate carious lesions have been developed. Although in vitro and in vivo studies have reported the reliability of these devices [6] [7] [8], they have not yet been introduced for use in school dental checkups. In this study, with the goal of introducing quantitative light-induced fluorescence-digital (QLF-D) into school dental checkups, the abilities to detect early carious lesions and evaluate plaque distribution on the tooth surface between traditional methods and QLF-D were compared in available surroundings as school dental checkups.…”

Section: Introductionmentioning

confidence: 99%

Advantage of Introducing Quantitative Light-Induced Fluorescence in School Dental Checkups

Watanabe¹,

Sasabe²,

Eda³

et al. 2018

Health

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Background: Caries detection in school oral examinations insufficient accuracy. Objective: To evaluate advantages of introducing quantitative lightinduced fluorescence-digital (QLF-D) in school oral examinations. Methods: Experiment No. 1. Early demineralized lesions in the upper and lower incisors and canines were visually inspected by three dentists and by QLF-D. The numbers of tooth planes with early demineralized lesions were compared between the methods. Experiment No. 2. Approximal demineralized lesions in molars were assessed by visual inspection, x-ray imaging, and QLF-D. The numbers of tooth planes with demineralized lesions were compared among the methods. Experiment No. 3. Plaque distribution was evaluated by QLF-D and a traditional staining method. The ratio of the diameter of plaque to tooth crown in the tooth axis direction in each method was calculated. The results were evaluated by Pearson's correlation coefficient analysis and Bland-Altman plot. Results: Experiment No. 1. The three dentists found 0.67 tooth planes on average. QLF-D found 22 tooth planes with early demineralized lesions in the same samples. Experiment No. 2. Fourteen approximal tooth planes of molars were found to have demineralized lesions by x-ray imaging. QLF-D detected 71.4% of the tooth planes out of the 14, whereas visual inspection found 7.1%. Experiment No. 3. The Pearson's correlation coefficient for the evaluations of plaque distribution between the QLF-D and traditional staining methods was 0.77 (P < 0.001). No statistically significant systematic error was found through the Bland-Altman Plot analysis. Conclusion: The results support introduction of QLF-D for use in school dental examinations.

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“…레이저 형광원리를 이용한 우식 진단 기기인 DIAGNOdent ® (DD, KaVo Biberach, Germany)는 우식의 양적평가가 가능한 기 기로, 655nm 파장의 붉은 빛을 치면에 적용하였을 때 박테리 아로 인해 증가하는 형광 현상을 측정한다 [5,9]. 같은 원리를 이 용하여 일체형으로 개발된 DIAGNOdent ® pen(DDpen, KaVo Biberach, Germany)는 DD와 달리 인접면 우식을 측정하기 위한 probe가 있다 [10].…”

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Comparison of Diagnostic Validity between Laser Fluorescence Devices in Proximal Caries

Lee¹,

Lee²,

Kim³

et al. 2018

THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY

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The aim of this study was to evaluate the proximal caries detecting ability and identify the optimal cutoff values of two types of laser fluorescence (LF) devices; classic type (DD) and pen type (DDpen). The number of proximal surfaces participated in this study were 164 surfaces in primary dentition and 438 surfaces in permanent dentition. Each tooth surface was sequentially assessed by two types of LF devices, and bitewing radiograph. The radiographs were classified into 3 groups in primary dentition (pR 0, pR 1 , pR 2), and 4 groups in permanent dentition (PR 0 , PR 1 , PR 2 , PR 3) according to the depth of caries, and used as gold standard. In primary dentition, the area under the curve (AUC) values of DD were 0.851 and 0.890, and those of DDpen were 0.883 and 0.917, respectively in enamel caries and dentin caries. In permanent dentition, the AUC values of DD were 0.762 and 0.886, and those of DDpen were 0.828 and 0.958, respectively in enamel caries and dentin caries. When detecting proximal caries in posterior teeth with LF devices, DDpen is more useful than DD in both primary and permanent dentition. However, in primary dentition, DD can also be useful to detect proximal caries.

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Pen-type laser fluorescence device versus bitewing radiographs for caries detection on approximal surfaces

Cited by 15 publications

References 40 publications

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

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

Advantage of Introducing Quantitative Light-Induced Fluorescence in School Dental Checkups

Comparison of Diagnostic Validity between Laser Fluorescence Devices in Proximal Caries

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