Detecting of Proximal Caries in Primary Molars using Pen-type QLF Device
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The purpose of this in vivo study was to assess the clinical screening performance of a quantitative light-induced fluorescence (QLF) device in detecting proximal caries in primary molars. Fluorescence loss, red autofluorescence and a simplified QLF score for proximal caries (QS-proximal) were evaluated for their validity in detecting proximal caries in primary molars compared to bitewing radiography. Three hundred and forty-four primary molar surfaces were included in the study. Carious lesions were scored according to lesion severity assessed by visual-tactile and radiographic examinations. The QLF images were analyzed for two quantitative parameters, fluorescence loss and red autofluorescence, as well as for QS-proximal. For both quantitative parameters and QS-proximal, the sensitivity, specificity and area under receiver operating curve (AUROC) were calculated as a function of the radiographic scoring index at enamel and dentin caries levels. Both quantitative parameters showed fair AUROC values for detecting dentine level caries (△F = 0.794, △R = 0.750). QS-proximal showed higher AUROC values (0.757 - 0.769) than that of visual-tactile scores (0.653) in detecting dentine level caries. The QLF device showed fair screening performance in detecting proximal caries in primary molars compared to bitewing radiography.
Abstract
The purpose of this in vivo study was to assess the clinical screening performance of a quantitative light-induced fluorescence (QLF) device in detecting proximal caries in primary molars. Fluorescence loss, red autofluorescence and a simplified QLF score for proximal caries (QS-proximal) were evaluated for their validity in detecting proximal caries in primary molars compared to bitewing radiography. Three hundred and forty-four primary molar surfaces were included in the study. Carious lesions were scored according to lesion severity assessed by visual-tactile and radiographic examinations. The QLF images were analyzed for two quantitative parameters, fluorescence loss and red autofluorescence, as well as for QS-proximal. For both quantitative parameters and QS-proximal, the sensitivity, specificity and area under receiver operating curve (AUROC) were calculated as a function of the radiographic scoring index at enamel and dentin caries levels. Both quantitative parameters showed fair AUROC values for detecting dentine level caries (△F = 0.794, △R = 0.750). QS-proximal showed higher AUROC values (0.757 - 0.769) than that of visual-tactile scores (0.653) in detecting dentine level caries. The QLF device showed fair screening performance in detecting proximal caries in primary molars compared to bitewing radiography.
참고문헌 (27)
- Gomez J, "In vitro performance of different methods in detecting occlusal caries lesions", J Dent, 41, pp.180~186 (2013)
- Arnold W, "Three-dimensional reconstruction of approximal subsurface caries lesions in deciduous molars", Clin Oral Investig, 2, pp.174~179 (1998)
- Mortimer K, "The relationship of deciduous enamel structure to dental disease", Caries Res, 4, pp.206~223 (1970)
- Wilson P, "Mineralization differences between human deciduous and permanent enamel measured by quantitative microradiography", Arch Oral Biol, 34, pp.85~88 (1989)
- Rayner J, "Pulp changes in deciduous teeth associated with deep carious dentine", J Dent, 7, pp.39~42 (1979)
- Tickotsky N, "Caries Progression Rate in Primary Teeth : A Retrospective Study", J Clin Pediatr Dent, 41, pp.358~361 (2017)
- Gimenez T, "Visual Inspection for Caries Detection : A Systematic Review and Metaanalysis", J Dent Res, 94, pp.895~904 (2015)
- Newman B, "Clinical detection of caries in the primary dentition with and without bitewing radiography", Aust Dent J, 54, pp.23~30 (2009)
- Affairs ADACoS, "The use of dental radiographs : update and recommendations", J Am Dent Assoc, 137, pp.1304~1312 (2006)
- de Josselin de Jong E, "Quantified light-induced fluorescence, review of a diagnostic tool in prevention of oral disease", J Appl Phys, 105 (2009)
- Park SW, "Comparison of fluorescence parameters between three generations of QLF devices for detecting enamel caries in vitro and on smooth surfaces", Photodiagnosis Photodyn Ther, 25, pp.142~147 (2019)
- Kim ES, "A new screening method to detect proximal dental caries using fluorescence imaging", Photodiagnosis Photodyn Ther, 20, pp.257~262 (2017)
- Gomez J, "Non-cavitated carious lesions detection methods : a systematic review", Community Dent Oral Epidemiol, 41, pp.54~66 (2013)
- Ando M, "Comparative study to quantify demineralized enamel in deciduous and permanent teeth using laser-and lightinduced fluorescence techniques", Caries Res, 35, pp.464~470 (2001)
- Bader JD, "A systematic review of the performance of methods for identifying carious lesions", J Public Health Dent, 62, pp.201~213 (2002)
- Novaes TF, "Influence of the discomfort reported by children on the performance of approximal caries detection methods", Caries Res, 44, pp.465~471 (2010)
- Jung EH, "Development of a fluorescence-image scoring system for assessing noncavitated occlusal caries", Photodiagnosis Photodyn Ther, 21, pp.36~42 (2018)
- Gomez GF, "Orange", red fluorescence of active caries by retrospective quantitative lightinduced fluorescence image analysis, 2016, pp.50, 295~302
- Kim HE, "Analysis of orange", red fluorescence for bacterial activity in initial carious lesions may provide accurate lesion activity assessment for caries progression, 2017, pp.17, 125~128
- Tan P, "Caries, bitewings, and treatment decisions", Aust Den J, 47, pp.138~141 (2002)
- Bussaneli DG, "Proximal caries lesion detection in primary teeth: does this justify the association of diagnostic methods?", Lasers Med Sci, 30, pp.2239~2244 (2015)
- Wenzel A, "Radiographic display of carious lesions and cavitation in approximal surfaces: advantages and drawbacks of conventional and advanced modalities", Acta Odontol Scand, 72, pp.251~264 (2014)
- Souza LA, "Accuracy of pen-type laser fluorescence device and radiographic methods in detecting approximal carious lesions in primary teeth-an in vivo study", Int J Paediatr Dent, 28, pp.472~480 (2018)
- Chen J, "A clinical study of a laser fluorescence device for the detection of approximal caries in primary molars", Int J Paediatr Dent, 22, pp.132~138 (2012)
- Buchalla W, "Optimal camera and illumination angulations for detection of interproximal caries using quantitative light-induced fluorescence", Caries Res, 36, pp.320~326 (2002)
- Ko HY, "Validation of quantitative light-induced fluorescence-digital(QLF-D)for the detection of approximal caries in vitro", J Dent, 43, pp.568~575 (2015)
- Ando M, "Influence of enamel thickness on quantification of mineral loss in enamel using laser-induced fluorescence", Caries Res, 37, pp.24~28 (2003)