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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MDPI AG
2023-06-01
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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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