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ELASTOMERIC IMPRESSION AS A DIAGNOSTIC METHOD OF CAVITATION IN PROXIMAL DENTIN CARIES IN PRIMARY MOLARS

The purpose of this study was to validate the elastomeric impression after temporary tooth separation as a method of cavitation detection in proximal caries lesions in primary molars with outer half dentin radiolucency. Fifty-one children (4-10 years old), presenting radiolucency in the outer half o...

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Autores principales: Mariath, Adriela Azevedo Souza, Bressani, Ana Eliza Lemes, de Araujo, Fernando Borba
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Odontologia de Bauru da Universidade de São Paulo 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4327504/
https://www.ncbi.nlm.nih.gov/pubmed/19089193
http://dx.doi.org/10.1590/S1678-77572007000600014
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author Mariath, Adriela Azevedo Souza
Bressani, Ana Eliza Lemes
de Araujo, Fernando Borba
author_facet Mariath, Adriela Azevedo Souza
Bressani, Ana Eliza Lemes
de Araujo, Fernando Borba
author_sort Mariath, Adriela Azevedo Souza
collection PubMed
description The purpose of this study was to validate the elastomeric impression after temporary tooth separation as a method of cavitation detection in proximal caries lesions in primary molars with outer half dentin radiolucency. Fifty-one children (4-10 years old), presenting radiolucency in the outer half of the dentin at the proximal surfaces of primary molars and proximal anatomic contact with the adjacent tooth (without restoration/cavitated caries lesion) were enrolled in the study. Temporary tooth separation was performed with an orthodontic rubber ring placed around the contact point during 2-3 days. Thereafter, impression of the proximal surfaces was made. The elastomeric impressions were classified as "non-cavitated" or "cavitated" surfaces. Visual inspection after tooth separation was considered as the gold standard. Examiner reliability of visual inspection after tooth separation was determined (kappa 0.92). Impression examination was repeated every 5 participants to evaluate the reproducibility of the method. The frequency of cavitated lesions was 65%, and 67% of those were inactive. Sensitivity, specificity, positive and negative predictive values were 0.88% (95%CI 0.73-0.95), 0.89% (95%CI 0.67-0.97), 0.94% (95%CI 0.79-0.98) and 0.80% (95%CI 0.58-0.92), respectively. Impression examination showed total agreement regarding cavitation. The evaluation of elastomeric impression after tooth separation is a useful clinical resource in cavitation detection for clinicians and researchers when visual inspection is doubtful.
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spelling pubmed-43275042015-03-01 ELASTOMERIC IMPRESSION AS A DIAGNOSTIC METHOD OF CAVITATION IN PROXIMAL DENTIN CARIES IN PRIMARY MOLARS Mariath, Adriela Azevedo Souza Bressani, Ana Eliza Lemes de Araujo, Fernando Borba J Appl Oral Sci Original Article The purpose of this study was to validate the elastomeric impression after temporary tooth separation as a method of cavitation detection in proximal caries lesions in primary molars with outer half dentin radiolucency. Fifty-one children (4-10 years old), presenting radiolucency in the outer half of the dentin at the proximal surfaces of primary molars and proximal anatomic contact with the adjacent tooth (without restoration/cavitated caries lesion) were enrolled in the study. Temporary tooth separation was performed with an orthodontic rubber ring placed around the contact point during 2-3 days. Thereafter, impression of the proximal surfaces was made. The elastomeric impressions were classified as "non-cavitated" or "cavitated" surfaces. Visual inspection after tooth separation was considered as the gold standard. Examiner reliability of visual inspection after tooth separation was determined (kappa 0.92). Impression examination was repeated every 5 participants to evaluate the reproducibility of the method. The frequency of cavitated lesions was 65%, and 67% of those were inactive. Sensitivity, specificity, positive and negative predictive values were 0.88% (95%CI 0.73-0.95), 0.89% (95%CI 0.67-0.97), 0.94% (95%CI 0.79-0.98) and 0.80% (95%CI 0.58-0.92), respectively. Impression examination showed total agreement regarding cavitation. The evaluation of elastomeric impression after tooth separation is a useful clinical resource in cavitation detection for clinicians and researchers when visual inspection is doubtful. Faculdade de Odontologia de Bauru da Universidade de São Paulo 2007-12 /pmc/articles/PMC4327504/ /pubmed/19089193 http://dx.doi.org/10.1590/S1678-77572007000600014 Text en http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Mariath, Adriela Azevedo Souza
Bressani, Ana Eliza Lemes
de Araujo, Fernando Borba
ELASTOMERIC IMPRESSION AS A DIAGNOSTIC METHOD OF CAVITATION IN PROXIMAL DENTIN CARIES IN PRIMARY MOLARS
title ELASTOMERIC IMPRESSION AS A DIAGNOSTIC METHOD OF CAVITATION IN PROXIMAL DENTIN CARIES IN PRIMARY MOLARS
title_full ELASTOMERIC IMPRESSION AS A DIAGNOSTIC METHOD OF CAVITATION IN PROXIMAL DENTIN CARIES IN PRIMARY MOLARS
title_fullStr ELASTOMERIC IMPRESSION AS A DIAGNOSTIC METHOD OF CAVITATION IN PROXIMAL DENTIN CARIES IN PRIMARY MOLARS
title_full_unstemmed ELASTOMERIC IMPRESSION AS A DIAGNOSTIC METHOD OF CAVITATION IN PROXIMAL DENTIN CARIES IN PRIMARY MOLARS
title_short ELASTOMERIC IMPRESSION AS A DIAGNOSTIC METHOD OF CAVITATION IN PROXIMAL DENTIN CARIES IN PRIMARY MOLARS
title_sort elastomeric impression as a diagnostic method of cavitation in proximal dentin caries in primary molars
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4327504/
https://www.ncbi.nlm.nih.gov/pubmed/19089193
http://dx.doi.org/10.1590/S1678-77572007000600014
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