Comparison of diagnostic methods for early interproximal caries detection with near-infrared light transillumination: an in vivo study
Abstract Background Although numerous studies have used digital intraoral imaging, only a few studies have used photo-optical methods for the diagnosis of caries. Moreover, several limitations exist in terms of observers (experience and specialty) and the caries lesion itself. Hence, the aims of thi...
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| Format: | Article |
| Language: | English |
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BMC
2017-11-01
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| Series: | BMC Oral Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12903-017-0421-2 |
| _version_ | 1819065217264386048 |
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| author | Ismail Hakki Baltacioglu Kaan Orhan |
| author_facet | Ismail Hakki Baltacioglu Kaan Orhan |
| author_sort | Ismail Hakki Baltacioglu |
| collection | DOAJ |
| description | Abstract Background Although numerous studies have used digital intraoral imaging, only a few studies have used photo-optical methods for the diagnosis of caries. Moreover, several limitations exist in terms of observers (experience and specialty) and the caries lesion itself. Hence, the aims of this study were to evaluate the diagnostic capability of near-infrared light transillumination (NILT) and PSP-Bitewing radiographs and to compare the interobserver and intraobserver differences in addition to observers’ experience level to detect early interproximal caries lesions in vivo. Methods A total of 52 untreated posterior teeth with and without varying degrees of early interproximal carious lesions were included. Bitewing radiographs using digital phosphor plates (PSP-Bitewing) and NILT were used to clarify the diagnosis. An oral and maxillofacial radiologist and a restorative dentistry consultant evaluated the images twice. A separate appointment for clinical validation and restoration was made. Kappa coefficients were calculated to assess both intraobserver and interobserver agreements for each evaluation method. Scores obtained from PSP-Bitewing and NILT were compared with the clinical validation via receiver operating characteristic (ROC) analysis. Results No significant differences were found between PSP-Bitewing radiography and NILT for detecting early interproximal carious lesions with high average Az results. Both intraobserver and interobserver agreement values were relatively higher for NILT evaluation. The Az values increased at second evaluations for both caries detection methods. Conclusions NILT examination has an appropriate sensitivity and diagnostic accuracy for detecting early interproximal caries lesions and can be considered as a method of choice for detecting caries without the use of ionizing radiation. |
| first_indexed | 2024-12-21T15:42:57Z |
| format | Article |
| id | doaj.art-b31829a401c345df820a3f3c9d22bdf4 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-12-21T15:42:57Z |
| publishDate | 2017-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-b31829a401c345df820a3f3c9d22bdf42022-12-21T18:58:26ZengBMCBMC Oral Health1472-68312017-11-011711710.1186/s12903-017-0421-2Comparison of diagnostic methods for early interproximal caries detection with near-infrared light transillumination: an in vivo studyIsmail Hakki Baltacioglu0Kaan Orhan1Department of Restorative Dentistry, Ankara University, Faculty of DentistryDepartment of Dentomaxillofacial Radiology, Ankara University, Faculty of Dentistry, BesevlerAbstract Background Although numerous studies have used digital intraoral imaging, only a few studies have used photo-optical methods for the diagnosis of caries. Moreover, several limitations exist in terms of observers (experience and specialty) and the caries lesion itself. Hence, the aims of this study were to evaluate the diagnostic capability of near-infrared light transillumination (NILT) and PSP-Bitewing radiographs and to compare the interobserver and intraobserver differences in addition to observers’ experience level to detect early interproximal caries lesions in vivo. Methods A total of 52 untreated posterior teeth with and without varying degrees of early interproximal carious lesions were included. Bitewing radiographs using digital phosphor plates (PSP-Bitewing) and NILT were used to clarify the diagnosis. An oral and maxillofacial radiologist and a restorative dentistry consultant evaluated the images twice. A separate appointment for clinical validation and restoration was made. Kappa coefficients were calculated to assess both intraobserver and interobserver agreements for each evaluation method. Scores obtained from PSP-Bitewing and NILT were compared with the clinical validation via receiver operating characteristic (ROC) analysis. Results No significant differences were found between PSP-Bitewing radiography and NILT for detecting early interproximal carious lesions with high average Az results. Both intraobserver and interobserver agreement values were relatively higher for NILT evaluation. The Az values increased at second evaluations for both caries detection methods. Conclusions NILT examination has an appropriate sensitivity and diagnostic accuracy for detecting early interproximal caries lesions and can be considered as a method of choice for detecting caries without the use of ionizing radiation.http://link.springer.com/article/10.1186/s12903-017-0421-2NiltApproximal cariesPhotostimulating phosphorBitewing radiography |
| spellingShingle | Ismail Hakki Baltacioglu Kaan Orhan Comparison of diagnostic methods for early interproximal caries detection with near-infrared light transillumination: an in vivo study BMC Oral Health Nilt Approximal caries Photostimulating phosphor Bitewing radiography |
| title | Comparison of diagnostic methods for early interproximal caries detection with near-infrared light transillumination: an in vivo study |
| title_full | Comparison of diagnostic methods for early interproximal caries detection with near-infrared light transillumination: an in vivo study |
| title_fullStr | Comparison of diagnostic methods for early interproximal caries detection with near-infrared light transillumination: an in vivo study |
| title_full_unstemmed | Comparison of diagnostic methods for early interproximal caries detection with near-infrared light transillumination: an in vivo study |
| title_short | Comparison of diagnostic methods for early interproximal caries detection with near-infrared light transillumination: an in vivo study |
| title_sort | comparison of diagnostic methods for early interproximal caries detection with near infrared light transillumination an in vivo study |
| topic | Nilt Approximal caries Photostimulating phosphor Bitewing radiography |
| url | http://link.springer.com/article/10.1186/s12903-017-0421-2 |
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