Validation of quantitative light-induced fluorescence-digital (QLF-D) for the detection of approximal caries in vitro

Ko, Hae Youn; Kang, Si Mook; Kim, Hee Eun; Kwon, Ho Keun; Kim, Baek Il

doi:10.1016/j.jdent.2015.02.010

Cited by 60 publications

(49 citation statements)

References 23 publications

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“…This was also the case for conceptual papers and other reviews (not primary studies). Neuhaus et al [2011] 0.73 (0.21, 1.25) Jallad et al [2015] 0.88 (0.80, 0.96) Ekstrand et al [2011] 0.96 (0.83, 1.09) Diniz et al [2011] 0.89 (0.86, 0.92) Souza et al [2013] 0.92 (0.72, 1.12) Gomez et al [2013] 0.85 (0.56, 1.14) Cotta et al [2015] Ekstrand et al [2011] 0.91 (0.78, 1.04) Castilho et al [2016] 0.60 (0.24, 0.96) Ozkan et al [2015] 0.76 (0.38, 1.14) Ko et al [2015] 0.96 (0.94, 0.96) Ekstrand et al [2007] 0. 85 (0.65 Forest plots for meta-analysis and heterogeneity analysis of intra-and inter-examiner reproducibility when ICDAS was used for assessing caries lesion severity.…”

Section: Systematic Review: the Accuracy Of The Icdas In Detectingmentioning

confidence: 99%

The International Caries Detection and Assessment System – ICDAS: A Systematic Review

et al. 2018

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The aims of this study were: (1) to evaluate the overall reproducibility and accuracy of the International Caries Detection and Assessment System (ICDAS) for assessing coronal caries lesions, and (2) to investigate the use of systems associated with the ICDAS for activity assessment of coronal caries lesions. Specific search strategies were adopted to identify studies published up to 2016. For the first objective, we selected studies that assessed primary coronal caries lesions using the ICDAS as a reference standard. A total of 54 studies were included. Meta-analyses summarized the results concerning reproducibility and accuracy (correlation with histology, summary ROC curves [SROC], and diagnostic odds ratio [DOR]). The latter 2 were expressed at D1/D3 levels. The heterogeneity of the studies was also assessed. Reproducibility values (pooled) were > 0.65. The ICDAS mostly presented a good overall performance as most areas under SROC were > 0.75 at D1 and > 0.90 at D3; DOR ≥6. For the second objective, we selected studies investigating activity assessment associated with the ICDAS. The meta-analyses pooled results based on the same methodology and parameters as above. Longitudinal findings regarding caries progression were described to estimate the validity of these systems. On average, the systems for activity assessment of caries lesions showed moderate values concerning reproducibility and overall performance. Active caries lesions were more prone to progress than inactive ones after 2 years. In conclusion, the ICDAS presented a substantial level of reproducibility and accuracy for assessing primary coronal caries lesions. Additional systems associated with the ICDAS that classify caries lesion activity can be useful as they are moderately reproducible and accurate.

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Section: Systematic Review: the Accuracy Of The Icdas In Detectingmentioning

confidence: 99%

The International Caries Detection and Assessment System – ICDAS: A Systematic Review

et al. 2018

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“…33 Thus, it could be presumed that the variations between the ΔF mean values were due to the differences in the software programs. 34 Visually, CW lesions detected with QLF-D seemed to be brighter than surrounding sound enamel under fluorescent light, and they likely had a ΔF lower than a threshold of 5%. However, these changes were demonstrated by the higher ΔL mean values quantified by the image analysis.…”

Section: Discussionmentioning

confidence: 92%

“…In contrast, using the Inspektor‐Pro, the mean Δ F values of CW lesions reached −8.0, which is apparently due to the higher sensibility of the Inspektor‐Pro to quantify variations in the surface than in the subsurface of enamel . Thus, it could be presumed that the variations between the Δ F mean values were due to the differences in the software programs . Visually, CW lesions detected with QLF‐D seemed to be brighter than surrounding sound enamel under fluorescent light, and they likely had a Δ F lower than a threshold of 5%.…”

Section: Discussionmentioning

confidence: 92%

Validation of quantitative light‐induced fluorescence‐digital in the quantification of demarcated hypomineralized lesions of enamel

Gambetta-Tessini

Mariño

Ghanim

et al. 2017

J of Invest & Clin Dent

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“…In clinical dental practice, proximal caries lesions have usually been diagnosed by clinical visual inspection combined with bitewing radiographs [6][7][8][9] . Nevertheless, the detection of proximal caries lesions in posterior teeth is jeopardized by the overlying tooth structures at the marginal ridge, especially in the early stages of the carious lesion 5,9,10 .…”

Section: Introductionmentioning

confidence: 99%

“…The laser fluorescence has been used as an alternative method for detecting proximal caries 7,21 . As regards the DIAGNOdent™, demonstrated that the device was better for dentin caries detection, and it did not show good performance in detecting enamel caries, particularly initial enamel caries lesions on the proximal surface of primary teeth 21 .…”

Section: Introductionmentioning

confidence: 99%

Case Report: a 5-Year Follow-up of Proximal Caries Lesion Diagnosis

et al. 2018

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This clinical case was aimed at reporting and discussing diagnostic methods for early detection and preventive treatment of proximal carious lesions. The patient presented to the dental clinic seeking treatment of a problem she reported as being “dental caries”. The patient’s orthodontist diagnosed dental caries, by means of radiographic exam. There was no evidence of any proximal carious lesion in the intraoral examination. The bitewing radiographs presented a radiolucent area limited to enamel in the mesial of maxillary left-second-bicuspid. For the purpose of confirming the intraoral diagnosis, an immediate tooth separation was performed. The immediate separation was unable to provide sufficient access; thus, the slow separation approach was performed. After 24-hours, tooth separation of 1mm was obtained, providing enough access for clinical examination. The proximal areas were evaluated by transillumination and impression taking. During the visual inspection, an area of enamel staining was observed, with no roughness due to tactile inspection and the evaluation by transillumination and impression showed no cavitation. The following preventive treatment plan was endorsed: oral hygiene instructions with emphasis to the importance of flossing the proximal areas, and healthy dietary habits. After a 5-years period of follow-up, the enhanced oral hygiene and heathy dietary habits were observed. A clinical examination with immediate tooth separation and bitewing radiographs was performed and showed no cavitation. Thecombination of methods for detecting carious lesions in proximal surfaces was effective in obtaining a diagnosis of cariesin the permanent dentition. The absence of cavitated lesions must be indicative of preventive treatment.Keywords: Dental Caries. Preventive Dentistry. Diagnosis, Oral.ResumoEste caso clínico objetivou relatar e discutir os métodos diagnósticos para detecção e tratamento preventivo de lesões cariosas proximais. A paciente procurou atendimento restaurador com queixa de cárie diagnosticada por exame radiográfico realizado após término de seu tratamento ortodôntico. Ao exame clínico não havia suspeita de lesão cariosa. A avaliação radiográfica revelou, na face mesialdo dente 25, presença de área radiolúcida limitada à metade externa do esmalte. Para confirmação do diagnóstico realizou-se a separação interdentária imediata, porém como a mesma não permitiu adequada visualização foi realizada a separação mediata e após 24 horas obteve-se adequada separação (1 mm) para o exame clínico. Em seguida, a superfície proximal foi avaliada por transiluminação e moldagem. Durante a inspeção visual foi constatada área de manchamento do esmalte, com ausência de rugosidade pela inspeção tátil e a avaliação tanto por transiluminação da superfície proximal, quanto por moldagem revelou ausência de cavitação. Devido o diagnóstico obtido o seguinte tratamento preventivo foi indicado: reforço de higiene oral com ênfase na importância do uso do fio dental e hábitos dietéticos saudáveis. Após 5 anos de acompanhamento melhoria da higiene oral e hábitos dietéticos foram constatados. O exame clínico com separação interdentária imediata e exame radiográfico revelaram ausência de cavitação. Conclui-se que a combinação de métodos de detecção de lesões cariosas proximais foi efetivo no diagnóstico da cárie dentária na dentição permanente. O resultado deste relato de caso mostrou que a ausência de lesões cariosas cavitadas deve ser um indicativo de tratamento preventivo.Palavras-chave: Cárie Dentária. Odontologia Preventiva. Diagnóstico Bucal.

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Validation of quantitative light-induced fluorescence-digital (QLF-D) for the detection of approximal caries in vitro

Cited by 60 publications

References 23 publications

The International Caries Detection and Assessment System – ICDAS: A Systematic Review

The International Caries Detection and Assessment System – ICDAS: A Systematic Review

Validation of quantitative light‐induced fluorescence‐digital in the quantification of demarcated hypomineralized lesions of enamel

Case Report: a 5-Year Follow-up of Proximal Caries Lesion Diagnosis

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