In vitro Evaluation of Magnification and LED Illumination for Detection of Occlusal Caries in Primary and Permanent Molars Using ICDAS Criteria
Background: Early detection of occlusal caries in children is challenging for the dentists, because of the morphology of pit and fissures. Aim: The aim of the present study was to investigate the use of low-powered magnification (×2.5) and its association with LED headlight illumination for occlusal...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2013-09-01
|
| Series: | Dentistry Journal |
| Subjects: | |
| Online Access: | http://www.mdpi.com/2304-6767/1/3/19 |
| _version_ | 1811306487985733632 |
|---|---|
| author | Timucin Ari Sahza Hatibovic Kofman Nilgun Ari |
| author_facet | Timucin Ari Sahza Hatibovic Kofman Nilgun Ari |
| author_sort | Timucin Ari |
| collection | DOAJ |
| description | Background: Early detection of occlusal caries in children is challenging for the dentists, because of the morphology of pit and fissures. Aim: The aim of the present study was to investigate the use of low-powered magnification (×2.5) and its association with LED headlight illumination for occlusal caries detection in primary and permanent molars using International Caries Detection and Assessment System (ICDAS) criteria.Methods: The occlusal surfaces of 36 extracted teeth (n=18 primary molars, n=18 permanent molars) were examined using ICDAS criteria with unaided visual examination, low-powered magnification and low-powered magnification plus LED headlight illumination. Three examiners evaluated one occlusal site per tooth twice independently with one week interval, using all methods. The teeth (n = 36) were sectioned and examined under light microscopy using Downer’s histological criteria as the gold standard. Results: The weighted kappa values for inter- and intraexaminer reproducibility for the ICDAS examinations were almost perfect (Kappa values 0.72–0.96) in all three examination methods. The correlation with histology and overall AUC performance (0.96–0.98) of low-powered magnification plus LED headlight illumination was statistically significant in permanent molars. In primary molars, both low-powered magnification (0.82–0.90) and low-powered magnification plus LED headlight illumination (0.87–0.93) showed statistically significant correlation with histology and good to excellent AUC performance than unaided examination. Conclusion: Visual aids have the potential to improve the performance of early caries detection and clinical diagnostics in children. |
| first_indexed | 2024-04-13T08:46:28Z |
| format | Article |
| id | doaj.art-50b215b1086e42b6ad739c569e082c4f |
| institution | Directory Open Access Journal |
| issn | 2304-6767 |
| language | English |
| last_indexed | 2024-04-13T08:46:28Z |
| publishDate | 2013-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj.art-50b215b1086e42b6ad739c569e082c4f2022-12-22T02:53:39ZengMDPI AGDentistry Journal2304-67672013-09-0113193010.3390/dj1030019In vitro Evaluation of Magnification and LED Illumination for Detection of Occlusal Caries in Primary and Permanent Molars Using ICDAS CriteriaTimucin AriSahza Hatibovic KofmanNilgun AriBackground: Early detection of occlusal caries in children is challenging for the dentists, because of the morphology of pit and fissures. Aim: The aim of the present study was to investigate the use of low-powered magnification (×2.5) and its association with LED headlight illumination for occlusal caries detection in primary and permanent molars using International Caries Detection and Assessment System (ICDAS) criteria.Methods: The occlusal surfaces of 36 extracted teeth (n=18 primary molars, n=18 permanent molars) were examined using ICDAS criteria with unaided visual examination, low-powered magnification and low-powered magnification plus LED headlight illumination. Three examiners evaluated one occlusal site per tooth twice independently with one week interval, using all methods. The teeth (n = 36) were sectioned and examined under light microscopy using Downer’s histological criteria as the gold standard. Results: The weighted kappa values for inter- and intraexaminer reproducibility for the ICDAS examinations were almost perfect (Kappa values 0.72–0.96) in all three examination methods. The correlation with histology and overall AUC performance (0.96–0.98) of low-powered magnification plus LED headlight illumination was statistically significant in permanent molars. In primary molars, both low-powered magnification (0.82–0.90) and low-powered magnification plus LED headlight illumination (0.87–0.93) showed statistically significant correlation with histology and good to excellent AUC performance than unaided examination. Conclusion: Visual aids have the potential to improve the performance of early caries detection and clinical diagnostics in children.http://www.mdpi.com/2304-6767/1/3/19ICDAS, dental caries, magnification, headlight, primary molars, permanent molars, visual aids |
| spellingShingle | Timucin Ari Sahza Hatibovic Kofman Nilgun Ari In vitro Evaluation of Magnification and LED Illumination for Detection of Occlusal Caries in Primary and Permanent Molars Using ICDAS Criteria Dentistry Journal ICDAS, dental caries, magnification, headlight, primary molars, permanent molars, visual aids |
| title | In vitro Evaluation of Magnification and LED Illumination for Detection of Occlusal Caries in Primary and Permanent Molars Using ICDAS Criteria |
| title_full | In vitro Evaluation of Magnification and LED Illumination for Detection of Occlusal Caries in Primary and Permanent Molars Using ICDAS Criteria |
| title_fullStr | In vitro Evaluation of Magnification and LED Illumination for Detection of Occlusal Caries in Primary and Permanent Molars Using ICDAS Criteria |
| title_full_unstemmed | In vitro Evaluation of Magnification and LED Illumination for Detection of Occlusal Caries in Primary and Permanent Molars Using ICDAS Criteria |
| title_short | In vitro Evaluation of Magnification and LED Illumination for Detection of Occlusal Caries in Primary and Permanent Molars Using ICDAS Criteria |
| title_sort | in vitro evaluation of magnification and led illumination for detection of occlusal caries in primary and permanent molars using icdas criteria |
| topic | ICDAS, dental caries, magnification, headlight, primary molars, permanent molars, visual aids |
| url | http://www.mdpi.com/2304-6767/1/3/19 |
| work_keys_str_mv | AT timucinari invitroevaluationofmagnificationandledilluminationfordetectionofocclusalcariesinprimaryandpermanentmolarsusingicdascriteria AT sahzahatibovickofman invitroevaluationofmagnificationandledilluminationfordetectionofocclusalcariesinprimaryandpermanentmolarsusingicdascriteria AT nilgunari invitroevaluationofmagnificationandledilluminationfordetectionofocclusalcariesinprimaryandpermanentmolarsusingicdascriteria |