Dental Loupe’s Role in Detection of Caries of Molars in Children by Student and Dentists

Purpose: The objectives of this study were to examine the effectiveness of diagnosing occlusal caries in molar teeth in children under the use of loupes and, secondarily, to examine whether there is a difference in the diagnosis between permanent and primary teeth using dental loupes. In addition, t...

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Main Authors: Sigalit Blumer, Siwar Zidani, Benjamin Peretz, Lazar Kats, Hanaa Azem, Sarit Naishlos, Johnny Kharouba
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/6/1050
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author Sigalit Blumer
Siwar Zidani
Benjamin Peretz
Lazar Kats
Hanaa Azem
Sarit Naishlos
Johnny Kharouba
author_facet Sigalit Blumer
Siwar Zidani
Benjamin Peretz
Lazar Kats
Hanaa Azem
Sarit Naishlos
Johnny Kharouba
author_sort Sigalit Blumer
collection DOAJ
description Purpose: The objectives of this study were to examine the effectiveness of diagnosing occlusal caries in molar teeth in children under the use of loupes and, secondarily, to examine whether there is a difference in the diagnosis between permanent and primary teeth using dental loupes. In addition, to check whether the student’s diagnosis using loupes improves caries diagnosis compared to dentists’ diagnosis in both methods. Methods: The data were collected from 163 patients aged 6–14 who sought treatment in the Pedodontic Department of the Faculty of Dentistry at Tel-Aviv University during 2020–2021. The first and second permanent molars and second primary molars with deep groves were examined. A student and dentists made the diagnosis with and without loupes while using the ICDAS criteria. Results: The student’s examinations without the loupes detected no caries in 60% of the cases compared to 76.9% in the examinations with the loupes and found initial caries without cavitation (ICDAS1) in only 17.6% of teeth without loupes examination compared to 33% using loupes. The dentist correctly diagnosed no caries (ICDAS0) in 82.1% of cases without loupes and initial caries without cavitation (ICDAS1) in 62.5% of cases. The dentist correctly diagnosed distinct caries without cavitation (ICDAS2) in 90.8% of cases. No differences were observed in caries diagnosis between primary and permanent teeth when the examiner was a specialist/intern using loupes; however, there was a statistically significant difference (<i>p</i> = 0.047) when the diagnosis was made by a student using loupes. Clinical significance: The use of dental loupes is an effective method for the correct and early diagnosis of occlusal caries lesions in children’s molar teeth by both dentists and students, and this is in accordance with the principle of minimally invasive dentistry. There is a justification for the use of dental loupes for the diagnosis of initial occlusal caries in primary and permanent molars in children in a precise way. Using loupes especially improves the correct diagnosis of initial caries in primary teeth by students.
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spelling doaj.art-be5825207e524c8cb4f5b129c8774ee42023-11-18T09:50:53ZengMDPI AGChildren2227-90672023-06-01106105010.3390/children10061050Dental Loupe’s Role in Detection of Caries of Molars in Children by Student and DentistsSigalit Blumer0Siwar Zidani1Benjamin Peretz2Lazar Kats3Hanaa Azem4Sarit Naishlos5Johnny Kharouba6Department of Paediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, IsraelDepartment of Paediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, IsraelDepartment of Paediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, IsraelDepartment of Oral Pathology, Oral Medicine and Maxillofacial Imaging, The Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, IsraelDepartment of Paediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, IsraelDepartment of Paediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, IsraelDepartment of Paediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, IsraelPurpose: The objectives of this study were to examine the effectiveness of diagnosing occlusal caries in molar teeth in children under the use of loupes and, secondarily, to examine whether there is a difference in the diagnosis between permanent and primary teeth using dental loupes. In addition, to check whether the student’s diagnosis using loupes improves caries diagnosis compared to dentists’ diagnosis in both methods. Methods: The data were collected from 163 patients aged 6–14 who sought treatment in the Pedodontic Department of the Faculty of Dentistry at Tel-Aviv University during 2020–2021. The first and second permanent molars and second primary molars with deep groves were examined. A student and dentists made the diagnosis with and without loupes while using the ICDAS criteria. Results: The student’s examinations without the loupes detected no caries in 60% of the cases compared to 76.9% in the examinations with the loupes and found initial caries without cavitation (ICDAS1) in only 17.6% of teeth without loupes examination compared to 33% using loupes. The dentist correctly diagnosed no caries (ICDAS0) in 82.1% of cases without loupes and initial caries without cavitation (ICDAS1) in 62.5% of cases. The dentist correctly diagnosed distinct caries without cavitation (ICDAS2) in 90.8% of cases. No differences were observed in caries diagnosis between primary and permanent teeth when the examiner was a specialist/intern using loupes; however, there was a statistically significant difference (<i>p</i> = 0.047) when the diagnosis was made by a student using loupes. Clinical significance: The use of dental loupes is an effective method for the correct and early diagnosis of occlusal caries lesions in children’s molar teeth by both dentists and students, and this is in accordance with the principle of minimally invasive dentistry. There is a justification for the use of dental loupes for the diagnosis of initial occlusal caries in primary and permanent molars in children in a precise way. Using loupes especially improves the correct diagnosis of initial caries in primary teeth by students.https://www.mdpi.com/2227-9067/10/6/1050dental loupesstudent caries diagnosiscaries diagnosis primary teethvisual examinationcaries detection
spellingShingle Sigalit Blumer
Siwar Zidani
Benjamin Peretz
Lazar Kats
Hanaa Azem
Sarit Naishlos
Johnny Kharouba
Dental Loupe’s Role in Detection of Caries of Molars in Children by Student and Dentists
Children
dental loupes
student caries diagnosis
caries diagnosis primary teeth
visual examination
caries detection
title Dental Loupe’s Role in Detection of Caries of Molars in Children by Student and Dentists
title_full Dental Loupe’s Role in Detection of Caries of Molars in Children by Student and Dentists
title_fullStr Dental Loupe’s Role in Detection of Caries of Molars in Children by Student and Dentists
title_full_unstemmed Dental Loupe’s Role in Detection of Caries of Molars in Children by Student and Dentists
title_short Dental Loupe’s Role in Detection of Caries of Molars in Children by Student and Dentists
title_sort dental loupe s role in detection of caries of molars in children by student and dentists
topic dental loupes
student caries diagnosis
caries diagnosis primary teeth
visual examination
caries detection
url https://www.mdpi.com/2227-9067/10/6/1050
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