Update on Clinical Detection Methods for Noncavitated Fissure Caries

Erum, Zain; Chew, Hooi Pin

doi:10.5005/jp-journals-10015-1687

Cited by 3 publications

(10 citation statements)

References 78 publications

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“…After this first assessment, the students were then randomized through an online randomization tool (http://www.random.org) into two experimental groups -ICDAS or Nyvad (experimental units: 6 students/group) criteria -and received the original article that described each criterion 8,9 . After reading the article, each group attended an expository lesson about the etiology, pathogenesis, and diagnosis of dental caries based on the assigned criteria (either ICDAS or Nyvad) and treatment decisions.…”

Section: Methodsmentioning

confidence: 99%

“…Visual inspection is a method commonly taught at dental schools for caries detection and allows having a good performance even if it is not associated with other methods 8,9 . In order to facilitate the detection of carious lesions, reduce subjective decision-making, and improve the standardization of studies and epidemiological surveys, different indices with well-defined criteria have been developed 10,11 .…”

Section: Introductionmentioning

confidence: 99%

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Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-making

et al. 2021

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Aim: The aim of this study was to evaluate caries diagnosis and treatment decisions made by undergraduate dental students based on ICDAS or Nyvad criteria. Methods: Twelve students analyzed 90 digital photographs of permanent teeth at different clinical stages of carious lesion development and chose among different treatments in three different assessments: when there was no knowledge of the criteria (described as “No knowledge (N)”; when there was theoretical knowledge of the criteria (described as “Theoretical knowledge (T)” and when there was theoretical knowledge, clinical experience about dental caries and the criteria (described as “Theoretical and clinical knowledge (TC)”. For “T” and “TC” the students were randomized into two experimental groups – ICDAS or Nyvad (experimental units: 6 students/group). The reference standard was established cooperatively by two experienced researchers. Criteria performance was evaluated by sensitivity, specificity, AUC, and Kappa statistics. Treatment decision was described in percentage by contingency tables and Spearman’s correlation with the reference standard. Results: The first assessment demonstrated a high percentage of operative treatment even for initial enamel lesions based on ICDAS criteria and treatment was proposed for both active and inactive lesions, according to the Nyvad criteria. In the second assessment, the students continued recommending treatments for initial or inactive lesions, but less frequently. In the third assessment, treatment decisions presented greater cohesion in relation to the assigned classification criterion. The criteria presented no differences between them in terms of diagnostic in the third assessment. Conclusion: Clinical experience may improve caries detection and treatment decisions with the use of ICDAS and Nyvad criteria.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-making

et al. 2021

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“…This technique was found to be quite sensitive in detecting carious lesions and cavities that are deeply advanced into dentin, however not too efficient in detecting non-cavitated fissure caries. Evidence suggested higher specificity (0.59-0.90) than sensitivity (0.14-0.38) for the detection of non-cavitated fissure caries, which means that a false-negative diagnosis is highly probably to occur [3,[30][31][32][33].…”

Section: Early Recognition Of Carious Lesionsmentioning

confidence: 99%

“…At the same time, numerous factors can impact the accuracy of radiography, such as exposure time, image processing, viewing conditions, training, and experience of the examiner. Another two major limitations are the high cost and durability (life expectancy) of the used chip [32,33].…”

Section: Early Recognition Of Carious Lesionsmentioning

confidence: 99%

“…On the other hand, it is a quite expensive method (especially DIFOTI), which implies a high cost of acquisition and maintenance, it cannot quantify, and the diagnostic decisions are based mostly on subjective outcomes determined visually. Therefore, this might result in low-reliability scores due to the subjective interpretation of the image by the operator [32,33].…”

Section: Early Recognition Of Carious Lesionsmentioning

confidence: 99%

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Overall Review on Recent Applications of Raman Spectroscopy Technique in Dentistry

Otel

2023

QuBS

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The present paper reviews the applications of Raman spectroscopy in dentistry in the past two decades. This technique is considered a highly promising optical modality, widely used for the chemical identification and characterization of molecular structures, providing detailed information on the structural arrangement, crystal orientations, phase, and polymorphism, molecular interactions and effects of bonding, chemical surrounding environment, and stress on samples. Raman spectroscopy has been appropriate to investigate both organic and inorganic components of dental tissues since it provides accurate and precise spectral information on present minerals through the observation of the characteristic energies of their vibrational modes. This method is becoming progressively important in biomedical research, especially for non-invasiveness, non-destructiveness, high biochemical specificity, low water sensitivity, simplicity in analyzing spectral parameters, near-infrared region capability, and in vivo remote potential by means of fiber-optics. This paper will address the application of Raman spectroscopy in different fields of dentistry, found to be the most relevant and prevalent: early recognition of carious lesions; bleaching products performance; demineralizing effect from low-pH foods and acidic beverages; and efficiency of remineralization agents. Additionally, this review includes information on fiber-optic remote probe measurements. All described studies concern caries detection, enamel characterization, and assessment indicating how and to what extent Raman spectroscopy can be applied as a complementary diagnostic method.

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Identification of demineralization zones in early enamel decay based on image correlation between scanning electron microscope (SEM) and optical coherence tomography (OCT)

Abdelrehim

Salah

Sailer

et al. 2021

Optical Coherence Imaging Techniques and Imaging in Scattering Media IV

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Update on Clinical Detection Methods for Noncavitated Fissure Caries

Cited by 3 publications

References 78 publications

Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-making

Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-making

Overall Review on Recent Applications of Raman Spectroscopy Technique in Dentistry

Identification of demineralization zones in early enamel decay based on image correlation between scanning electron microscope (SEM) and optical coherence tomography (OCT)

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