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Okluzal çürük teşhisinde DIAGNOdent ve Caries ID çürük teşhis cihazlarının karşılaştırılması

Year 2011, Volume: 14 Issue: 3, 175 - 182, 15.02.2011

Abstract

ÖZET

Amaç: Bu çalışmada daimi molar dişlerdeki okluzal çürüklerin teşhisinde DIAGNOdent ve Caries ID çürük teşhis cihazlarının in vitro ortamda performanslarının karşılaştırılması amaçlanmıştır.

Gereç ve Yöntem: Bu çalışmada oklüzal yüzlerinde kavitasyon bulunmayan 36 adet çekilmiş daimi molar diş kullanıldı. Her bir dişin santral fossasındaki fissürler DIAGNOdent ve Caries ID çürük teşhis cihazları ile bir deneyimli gözlemci tarafından skorlandı. Gold Standart amacıyla dişler histolojik kesitlere ayrıldı. Spearman’ın korelasyon katsayısı testi, histolojik muayene bulgularını diğer bulgularla ilişkilendirmek için kullanıldı. Çürük teşhis cihazlarının duyarlılık, özgüllük ve doğruluk değerleri de ölçüldü.

Bulgular: Spearman’ın korelasyon katsayısı testine göre, histolojik muayene ile iki çürük teşhis cihazı arasında istatistiksel olarak önemli bir farklılık ortaya çıkmamıştır (p>0.05). DIAGNOdent’in duyarlılık değeri 0.97, özgüllük değeri 1.00, ve doğruluk değeri 0.91 olarak bulunmuştur. Caries ID’in duyarlılık değeri 0.94, özgüllük değeri 1.00, ve doğruluk değeri 0.88 olarak bulunmuştur.

Sonuçlar: Çalışmadaki limitasyonlar göz önünde bulundurularak, DIAGNOdent ve Caries ID çürük teşhis cihazları için histolojik gözlem değerlendirildiğinde çürük teşhisi için benzer değerler ortaya çıkmıştır. DIAGNOdent ve Caries ID klinikte kullanım için uygundur.

Anahtar Kelimeler: Çürük teşhisi, DIAGNOdent, Caries ID.

ABSTRACT

Objectives: The aim of this study was to compare the in-vitro performance of the DIAGNOdent with the Caries ID for occlusal caries detection in permanent molars.

Materials and Methods: The study consisted of 36 extracted permanent human molar teeth with visually intact occlusal surfaces. Pits on the central fossa of each tooth were examined and scored for caries by one trained examiner using Caries ID and DIAGNOdent devices. The teeth were then sectioned at the specified test sites for histological examination as a gold standard. A Spearman's correlation coefficient was used to correlate findings of the present study. Sensitivity, specificity, and accuracy of the devices were also measured.

Results: A Spearman's correlation test revealed there were no statistically significantly differences among the Caries ID, the DIAGNOdent, and histological examination (p>0.05). Sensitivity for caries detection using the DIAGNOdent was 0.97, the specificity was 1.00, and the accuracy was 0.91. Sensitivity of the Caries ID for caries detection was 0.94, the specificity was 1.00, and the accuracy was 0.88.

Conclusions: Taking the limitations of the current study into consideration, it can be concluded that the DIAGNOdent and the Caries ID are equally valid for caries detection compared to histological examination. The Caries ID and the DIAGNOdent can be used in clinical settings.

Key Words: Caries Detection, DIAGNOdent, Caries ID.

References

  • Anttonen V, Seppa L, Hausen H. Clinical study of the use of the lazer fluorescence device DIAGNOdent for detection of occlusal caries in children. Caries Res 2003;37:17-23.
  • Bader JD, Shugars DA. A systematic review of the performance of a lazer luorescence device for detecting caries. 2004;135:1413-1426. Dent Assoc
  • Costa AM, de Paula LM, Bezerra ACB. Use of Diagnodent for diagnosis of non-cavited occlusal dentin caries. J Appl Oral Sci 2008;16:18-23. 4. Ekstrand K, Qvist V, Thylstrup A. Light microscope study of the effect of probing in occlusal surfaces. Caries Res 1987;21:368-374.
  • Lussi A. Comparison of different methods for the diagnosis of fissure aries without cavitation. Caries Res 1993;27:409-416.
  • Lussi A. Validity of diagnostic and treatment decisions of fissure caries. Caries Res 1991;25: 296-303.
  • de Benedetto MS, Moris CC, Novaes TF, de Almeida Rodriques J, Braga MM, Mendes FM. Comparing the reliabiilty of a new floresans camera with convetional lazer floresans devices in detecting caries lesions in occlusal and smooth surfaces of primary teeth. Lazer Med Sci 2011;26:157-162.
  • Rodrigues JA, Hug I, Diniz MB, Lussi A. Performance of floresans methods, radiographic examination and ICDAS II on occlusal surfaces in vitro. Caries Res 2008;42:297-304.
  • Mansson BA, Bosch JJ. Quantitative light-induce floresans (QLF): a method for assessment of incipient caries lesions. Dentomaxilofac Radiol 2001;30:298-307.
  • Costa AM, Yamaguti PM, De Paula
  • LM, Bezerra AC. In vitro study of lazer diode 655 nm diagnosis of occlusal caries. ASDC J Dent Child 2002;69:249-253.
  • Rodrigues JA, de Vita TM, Cordeiro RCL. In vitro evaluation of the influence of air abrasion on detection of occlusal caries lesions in primary teeth. Pediatr Dent 2008;30:15-18.
  • Weerheijm KL, Kidd E, Groen HL. The effect of fluoridation on the occurrence of hidden caries in clinically sound occlusal surfaces. Caries Res 1997;31:30-34.
  • Chong MJ, Seow WK, Purdie DM,
  • Cheng E, Wan V. Visual-tactile examination conventional radiography, and DIAGNOdent in the diagnosis of occlusal occult caries in extracted premolars. Pediatr Dent 2003;25:341-349. with digital
  • Ricketts DNJ, Watson TF, Liepins PJ, Kidd EA. A comparison of two histological validating techniques for occlusal caries. Int Dent J 1998;26:89- 96.
  • Shi XQ, Welander U, Angmar- Mansson B. Occlusal caries detection with radiography: an in vitro comparison. Caries Res 2000;34:151-158. and
  • Huysmans MCDNJM, Longbottom C, Hintze H, Verdonschot EH. Surface- specific electrical occlusal caries diagnosis: reproducibility correlation with histological lesion depth and tooth type dependence. Caries Res 1998;32:330-336.
  • Verdonschot EH, Angmar-Mansson B,
  • ten Bosch JJ, Deery CH, Huysmans MC, Developments in caries diagnosis and their decisions and quality of care. Caries Res 1999;33:32-40. Waller E. relationship to treatment
  • Jablonski-Momeni A, Ricketts DN, Rolfsen Gutenbrunner M, Stachniss V, Pieper K. Performance of lazer floresans at tooth surface and histological section. Lazers Med Sci 2011; 26:171-178.
  • Baelum V, Machiulskiene V, Nyvad B, Richards A, Vaeth M. Application of survival analysis to carious lesion transitions in intervention trials. Community Dent Oral Epidemiol 2003;31:252-260.
  • Bader JD, Shugars DA, Bonito AJ.
  • Systematic reviews of selected dental caries diagnostic and management methods. J Dent Educ 2001;65:960- 968.
  • de Paula AB, Campos JA, Diniz MB, Hebling J, Rodrigues JA. In situ and in vitro comparison of laser fluorescence with visual inspection in detecting occlusal caries lesions. Lasers Med Sci 2011; 26:1-5.
  • Rodrigues JA, Diniz MB, Josgrilberg EB, Cordeiro RC. In vitro comparison of lazer floresans performance with visual examination for detection of occlusal caries in permanent and primary molars. Lazer s Med Sci 2009;24:501-506.
  • Lussi A, Hibst R, Paulus R. DIAGNOdent: An optical method for caries 2004;83:C80-C83. J Dent Res
  • Nyvad B. Diagnosis versus detection of caries. Caries Res 2004;38:192-198.
  • Ricketts DN, Kidd EA, Wilson RF. A re-evaluation of electrical resistance measurements for the diagnosis of occlusal 1995;178:11-7. Br Dent J for assessment of
  • Chu CH, Lo EC, You DS. Clinical diagnosis of fissure caries with conventional and lazer -induced floresans techniques. Lazer s Med Sci; 2010;25:355-362.
  • Reis A, Mendes FM, Angnes V, Angnes G, Grande RH, Loguercio AD. Performance of methods of occlusal caries detection in permanent teeth under clinical and laboratory conditions. J Dent 2006;34:89-96.

Okluzal çürük teşhisinde DIAGNOdent ve Caries ID çürük teşhis cihazlarının karşılaştırılması

Year 2011, Volume: 14 Issue: 3, 175 - 182, 15.02.2011

Abstract

Amaç: Bu çalışmada daimi molar dişlerdeki okluzal çürüklerin teşhisinde DIAGNOdent ve Caries ID çürük teşhis cihazlarının in vitro ortamda amaçlanmıştır. performanslarının karşılaştırılması Gereç ve Yöntem: Bu çalışmada oklüzal yüzlerinde kavitasyon bulunmayan 36 adet çekilmiş daimi molar diş kullanıldı. Her bir dişin santral fossasındaki fissürler DIAGNOdent ve Caries ID çürük teşhis cihazları ile bir deneyimli gözlemci tarafından skorlandı. Gold Standart amacıyla dişler histolojik kesitlere ayrıldı. Spearman’ın korelasyon katsayısı testi, histolojik muayene ilişkilendirmek için kullanıldı. Çürük teşhis cihazlarının duyarlılık, özgüllük ve doğruluk değerleri de ölçüldü. Bulgular: Spearman’ın korelasyon katsayısı testine göre, histolojik muayene ile iki çürük teşhis cihazı arasında istatistiksel olarak önemli bir farklılık ortaya çıkmamıştır (p>0.05). DIAGNOdent’in duyarlılık değeri 0.97, özgüllük değeri 1.00, ve doğruluk değeri 0.91 olarak bulunmuştur. Caries ID’in duyarlılık değeri 0.94, özgüllük değeri 1.00, ve doğruluk değeri 0.88 olarak bulunmuştur. Sonuçlar: Çalışmadaki limitasyonlar göz önünde bulundurularak, DIAGNOdent ve Caries ID çürük teşhis cihazları için histolojik gözlem değerlendirildiğinde çürük teşhisi için benzer değerler ortaya çıkmıştır. DIAGNOdent ve Caries ID klinikte kullanım için uygundur

References

  • Anttonen V, Seppa L, Hausen H. Clinical study of the use of the lazer fluorescence device DIAGNOdent for detection of occlusal caries in children. Caries Res 2003;37:17-23.
  • Bader JD, Shugars DA. A systematic review of the performance of a lazer luorescence device for detecting caries. 2004;135:1413-1426. Dent Assoc
  • Costa AM, de Paula LM, Bezerra ACB. Use of Diagnodent for diagnosis of non-cavited occlusal dentin caries. J Appl Oral Sci 2008;16:18-23. 4. Ekstrand K, Qvist V, Thylstrup A. Light microscope study of the effect of probing in occlusal surfaces. Caries Res 1987;21:368-374.
  • Lussi A. Comparison of different methods for the diagnosis of fissure aries without cavitation. Caries Res 1993;27:409-416.
  • Lussi A. Validity of diagnostic and treatment decisions of fissure caries. Caries Res 1991;25: 296-303.
  • de Benedetto MS, Moris CC, Novaes TF, de Almeida Rodriques J, Braga MM, Mendes FM. Comparing the reliabiilty of a new floresans camera with convetional lazer floresans devices in detecting caries lesions in occlusal and smooth surfaces of primary teeth. Lazer Med Sci 2011;26:157-162.
  • Rodrigues JA, Hug I, Diniz MB, Lussi A. Performance of floresans methods, radiographic examination and ICDAS II on occlusal surfaces in vitro. Caries Res 2008;42:297-304.
  • Mansson BA, Bosch JJ. Quantitative light-induce floresans (QLF): a method for assessment of incipient caries lesions. Dentomaxilofac Radiol 2001;30:298-307.
  • Costa AM, Yamaguti PM, De Paula
  • LM, Bezerra AC. In vitro study of lazer diode 655 nm diagnosis of occlusal caries. ASDC J Dent Child 2002;69:249-253.
  • Rodrigues JA, de Vita TM, Cordeiro RCL. In vitro evaluation of the influence of air abrasion on detection of occlusal caries lesions in primary teeth. Pediatr Dent 2008;30:15-18.
  • Weerheijm KL, Kidd E, Groen HL. The effect of fluoridation on the occurrence of hidden caries in clinically sound occlusal surfaces. Caries Res 1997;31:30-34.
  • Chong MJ, Seow WK, Purdie DM,
  • Cheng E, Wan V. Visual-tactile examination conventional radiography, and DIAGNOdent in the diagnosis of occlusal occult caries in extracted premolars. Pediatr Dent 2003;25:341-349. with digital
  • Ricketts DNJ, Watson TF, Liepins PJ, Kidd EA. A comparison of two histological validating techniques for occlusal caries. Int Dent J 1998;26:89- 96.
  • Shi XQ, Welander U, Angmar- Mansson B. Occlusal caries detection with radiography: an in vitro comparison. Caries Res 2000;34:151-158. and
  • Huysmans MCDNJM, Longbottom C, Hintze H, Verdonschot EH. Surface- specific electrical occlusal caries diagnosis: reproducibility correlation with histological lesion depth and tooth type dependence. Caries Res 1998;32:330-336.
  • Verdonschot EH, Angmar-Mansson B,
  • ten Bosch JJ, Deery CH, Huysmans MC, Developments in caries diagnosis and their decisions and quality of care. Caries Res 1999;33:32-40. Waller E. relationship to treatment
  • Jablonski-Momeni A, Ricketts DN, Rolfsen Gutenbrunner M, Stachniss V, Pieper K. Performance of lazer floresans at tooth surface and histological section. Lazers Med Sci 2011; 26:171-178.
  • Baelum V, Machiulskiene V, Nyvad B, Richards A, Vaeth M. Application of survival analysis to carious lesion transitions in intervention trials. Community Dent Oral Epidemiol 2003;31:252-260.
  • Bader JD, Shugars DA, Bonito AJ.
  • Systematic reviews of selected dental caries diagnostic and management methods. J Dent Educ 2001;65:960- 968.
  • de Paula AB, Campos JA, Diniz MB, Hebling J, Rodrigues JA. In situ and in vitro comparison of laser fluorescence with visual inspection in detecting occlusal caries lesions. Lasers Med Sci 2011; 26:1-5.
  • Rodrigues JA, Diniz MB, Josgrilberg EB, Cordeiro RC. In vitro comparison of lazer floresans performance with visual examination for detection of occlusal caries in permanent and primary molars. Lazer s Med Sci 2009;24:501-506.
  • Lussi A, Hibst R, Paulus R. DIAGNOdent: An optical method for caries 2004;83:C80-C83. J Dent Res
  • Nyvad B. Diagnosis versus detection of caries. Caries Res 2004;38:192-198.
  • Ricketts DN, Kidd EA, Wilson RF. A re-evaluation of electrical resistance measurements for the diagnosis of occlusal 1995;178:11-7. Br Dent J for assessment of
  • Chu CH, Lo EC, You DS. Clinical diagnosis of fissure caries with conventional and lazer -induced floresans techniques. Lazer s Med Sci; 2010;25:355-362.
  • Reis A, Mendes FM, Angnes V, Angnes G, Grande RH, Loguercio AD. Performance of methods of occlusal caries detection in permanent teeth under clinical and laboratory conditions. J Dent 2006;34:89-96.
There are 30 citations in total.

Details

Primary Language Turkish
Journal Section Original Research Articles
Authors

Ali Aktan

Emine Sirin Karaarslan

Mehmet Cebe

Publication Date February 15, 2011
Submission Date February 15, 2011
Published in Issue Year 2011Volume: 14 Issue: 3

Cite

EndNote Aktan A, Sirin Karaarslan E, Cebe M (September 1, 2011) Okluzal çürük teşhisinde DIAGNOdent ve Caries ID çürük teşhis cihazlarının karşılaştırılması. Cumhuriyet Dental Journal 14 3 175–182.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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