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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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Autores principales: Blumer, Sigalit, Zidani, Siwar, Peretz, Benjamin, Kats, Lazar, Azem, Hanaa, Naishlos, Sarit, Kharouba, Johnny
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297463/
https://www.ncbi.nlm.nih.gov/pubmed/37371281
http://dx.doi.org/10.3390/children10061050
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author Blumer, Sigalit
Zidani, Siwar
Peretz, Benjamin
Kats, Lazar
Azem, Hanaa
Naishlos, Sarit
Kharouba, Johnny
author_facet Blumer, Sigalit
Zidani, Siwar
Peretz, Benjamin
Kats, Lazar
Azem, Hanaa
Naishlos, Sarit
Kharouba, Johnny
author_sort Blumer, Sigalit
collection PubMed
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 (p = 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 pubmed-102974632023-06-28 Dental Loupe’s Role in Detection of Caries of Molars in Children by Student and Dentists Blumer, Sigalit Zidani, Siwar Peretz, Benjamin Kats, Lazar Azem, Hanaa Naishlos, Sarit Kharouba, Johnny Children (Basel) Article 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 (p = 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. MDPI 2023-06-12 /pmc/articles/PMC10297463/ /pubmed/37371281 http://dx.doi.org/10.3390/children10061050 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Blumer, Sigalit
Zidani, Siwar
Peretz, Benjamin
Kats, Lazar
Azem, Hanaa
Naishlos, Sarit
Kharouba, Johnny
Dental Loupe’s Role in Detection of Caries of Molars in Children by Student and Dentists
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 Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297463/
https://www.ncbi.nlm.nih.gov/pubmed/37371281
http://dx.doi.org/10.3390/children10061050
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