Histological validation of a laser fluorescence device for occlusal caries detection in primary molars
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- 作者：D. Apostolopoulou (1)
P. Lagouvardos (1)
Dr. K. Kavvadia (1)
L. Papagiannoulis (1) - 关键词：laser fluorescence ; primary molars
- 刊名：European Archives of Paediatric Dentistry
- 出版年：2009
- 出版时间：November 2009
- 年：2009
- 卷：10
- 期：1-supp
- 页码：11-15
- 全文大小：95 KB
- 参考文献：1. Alwas-Danowska H., Plasschaert J., Suliborski S., Verdonschot et al. Reliability and validity issues of laser fluorescence measurements in occlusal caries diagnosis. J Dent 2002;30:129-4. CrossRef
2. Antonnen V, Seppa L, Hausen H. Clinical study of the use of the laser fluorescence device Laser fluorescence (LF) for the detection of occlusal caries in children. Caries Res 2003;37(1): 17-3. CrossRef
3. Attrill DC, Ashley PF. Occlusal caries detection in primary teeth: a comparison of Laser fluorescence (LF) with conventional methods. Brit Dent J 2001;190(8): 440-.
4. Bader JD, Shugars DA. A systematic review of the performance of a laser fluorescence device for detecting caries. J Am Dent Assoc 2004;135(10): 1413-6.
5. Bengtson AL, Gomes AC, Mendes FM, et al. Influence of examiner’s clinical experience in detecting occlusal caries lesions in primary teeth. Pediatr Dent 2005;27(3): 238-3.
6. Bjelkhagen H, Sundstrom F, Angmar-Mansson B, Ryden H. Early detection of enamel caries by the luminescence excited by visible laser light. Swed Dent J 1982; 6:1-.
7. Braga M, Nicolau J, Rodrigues CR, Imparato JC, Mendes FM. Laser fluorescence device does not perform well in detection of early caries lesions in primary teeth: an in vitro study. Oral Health Prev Dent 2008;6(2): 165-.
8. Burin C, Burin C, Longuercio AD, Grande RH, Reis A. Occlusal caries detection: a comparison of a laser fluorescence system and conventional methods. Pediatr Dent 2005;27(4): 307-2.
9. Costa AM, Bezzera AC, Fuks AB. Assessment of the accuracy of visual examination, bite-wing radiographs and Laser fluorescence (LF) on the diagnosis of occlusal caries. Eur Arch Paediatr Dent 2007;8(2): 18-2. CrossRef
10. Francescut P, Lussi A. Correlation between fissure discoloration, Laser fluorescence (LF) measurements and caries depth: an in vitro study. Pediatr Dent 2003;25(6): 559-4.
11. KaVo (2002) Clinical Guidelines Biberach: KaVo, German Issue II
12. Kavvadia K, Lagouvardos P. Clinical performance of Laser fluorescence (LF) for the detection of occlusal caries in primary teeth. Int J Paediatr Dent 2008;18(3): 197-04. CrossRef
13. Lussi A, Francescut P. Performance of conventional and new methods for the detection of occlusal caries in deciduous teeth. Caries Res 2003;37(1): 2-. CrossRef
14. Lussi A, Hibst R, Paulus R. Laser fluorescence (LF): an optical method for caries detection. J Dent Res 2004; 83 (Spec Iss C) C80-3. CrossRef
15. Lussi A, Megert B, Longbottom C, Reich E, Francescut P. Clinical performance of a laser fluorescence device for detection of occlusal caries lesions. Eur J Oral Sci 2001;109(1): 14-. CrossRef
16. Mendes F.M, Ganzerla E, Nunes AF, Puig AV, Imparato JC. Use of high-powered magnification to detect occlusal caries in primary teeth. Am J Dent 2006;19(1): 19-2.
17. Nytun RB, Raadal M, Espelid I. Diagnosis of dentin involvement in occlusal caries based on visual and radiographic examination of the teeth. Scand J Dent Res 1992;100(3):144-.
18. Olmez A, Tuna D, Oznurban F. Clinical evaluation of Laser fluorescence (LF) in detection of occlusal caries in children. J Clin Pediatr Dent 2006;30(4): 287-1.
19. Reis A, Mendes FM., Angnes V, et al. Performance of methods of occlusal caries detection in permanent teeth under clinical and laboratory conditions. J Dent 2006;34(2): 89-6. CrossRef
20. Rocha RO, Ardenghi TM, Oliveira LB, Rodrigues CR, Ciamponi AL. In vivo effectiveness of laser fluorescence compared to visual inspection and radiography for the detection of occlusal caries in primary teeth. Caries Res 2003;37(6): 437-1. CrossRef
21. Rodrigues JA, Diniz MB, Josgrilberg EB, Cordeiro RC. In vitro comparison of laser fluorescence performance with visual exaination for detection of occlusal caries in permanent and primary molars. Lasers Med Sci. 2009;24(4):501- CrossRef - 作者单位：D. Apostolopoulou (1)
P. Lagouvardos (1)
Dr. K. Kavvadia (1)
L. Papagiannoulis (1)
1. Dept of Paediatric Dentistry, Dental School, University of Athens, 2 Thivon St., 115 27, Goudi, Athens, Greece
文摘
AIM: This was to validate in vitro a laser fluorescence device, DIAGNOdent?2095-DD, on the detection of occlusal caries in primary molars using the histological examination as the gold standard and to compare the laser fluorescence findings to the results of the conventionally used diagnostic methods. STUDY DESIGN AND METHODS: 111 occlusal pits in 24 extracted primary molars were examined for caries by one trained operator (Intra-examiner Reliability K>0.83), using direct visual (DV), indirect visual (IDV), radiographic (XR) and fluorescence (DD) examinations and then the extent of caries was determined histologically. Sensitivity, specificity, accuracy and the area under the ROC curve -AUC were calculated for all methods, using the histological evaluation as the gold standard. STATISTICS: Differences between examination methods were estimated by pair-wise comparison of their respective AUC. RESULTS: DD’s sensitivity for enamel and for dentine lesions respectively was 0.90 and 0.36, its specificity 0.36 and 0.91 and its accuracy 0.61 and 0.65. The DD device exhibited better sensitivity than specificity for enamel lesions and better specificity than sensitivity for lesions into dentine. The DD device was found to have the highest sensitivity for lesions into enamel, specificity and accuracy and as well as the largest AUC compared with all other methods. For lesions into dentine however, according to AUC values the DD was not statistically significant different from the other methods. CONCLUSION: Compared with the other methods, the DD had the highest validity for enamel caries while its validity for caries into dentine was not statistical different from the other methods.