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Clinical effectiveness of high definition fluorescence camera in detection of initial occlusal caries

BACKGROUND: Although visual inspection is the preferred route in everyday clinical practise for detecting early caries lesions, novel technologies like light fluorescence-based devices (Vista Proof iX HD smart) have been developed to enhance early caries detection. MATERIAL AND METHODS: Occlusal sur...

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Autores principales: Salama, Mohamed, Hassanein, Olfat, Shaalan, Omar, Yassen, Asmaa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medicina Oral S.L. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8842291/
https://www.ncbi.nlm.nih.gov/pubmed/35173901
http://dx.doi.org/10.4317/jced.59185
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author Salama, Mohamed
Hassanein, Olfat
Shaalan, Omar
Yassen, Asmaa
author_facet Salama, Mohamed
Hassanein, Olfat
Shaalan, Omar
Yassen, Asmaa
author_sort Salama, Mohamed
collection PubMed
description BACKGROUND: Although visual inspection is the preferred route in everyday clinical practise for detecting early caries lesions, novel technologies like light fluorescence-based devices (Vista Proof iX HD smart) have been developed to enhance early caries detection. MATERIAL AND METHODS: Occlusal surface of 45 molar and 49 premolar teeth from 34 adult participants who fulfilled the eligibility criteria were examined by two observers using three diagnostic methods. Examination was performed visually using the International Caries Detection and Assessment System (ICDAS-II) followed by Vista Proof. Fissurotomy was applied for histological validation. Intra- and inter-observer agreement were measured for ICDAS-II and light-induced fluorescence camera using Kappa test. The overall diagnostic accuracy parameters, area under the receiver operating characteristic curve (AUC-ROC) and 95% confidence interval (95% CI) of the (AUC) for caries detection by Vista Poof were evaluated. RESULTS: For ICDAS-II and Vista Proof methods, there was almost perfect intra- and inter-observer agreement. Based on ICDAS-II as a reference standard 1, Vista Proof showed a low level of agreement in enamel carious lesion detection with low sensitivity value of 48%, high specificity of 100%, and AUC was 0.112, while a high level of agreement in dentin carious lesion detection with high sensitivity value of 100%, low specificity of 48% and AUC was 0.888. Based on fissurotomy as reference standard 2, Vista Proof showed a high level of agreement in dentin carious lesion detection with high sensitivity value of 95% and 0% specificity and AUC was 0.814. CONCLUSIONS: Quantitative light-induced fluorescence camera with reference to ICDAS-II is considered as an accurate diagnostic modality for detection of early occlusal caries. Histological findings validate the diagnostic accuracy of the camera in dentin. Key words:Histological validation, Initial caries, ICDAS, Light induced fluorescence, Vista Cam.
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spelling pubmed-88422912022-02-15 Clinical effectiveness of high definition fluorescence camera in detection of initial occlusal caries Salama, Mohamed Hassanein, Olfat Shaalan, Omar Yassen, Asmaa J Clin Exp Dent Research BACKGROUND: Although visual inspection is the preferred route in everyday clinical practise for detecting early caries lesions, novel technologies like light fluorescence-based devices (Vista Proof iX HD smart) have been developed to enhance early caries detection. MATERIAL AND METHODS: Occlusal surface of 45 molar and 49 premolar teeth from 34 adult participants who fulfilled the eligibility criteria were examined by two observers using three diagnostic methods. Examination was performed visually using the International Caries Detection and Assessment System (ICDAS-II) followed by Vista Proof. Fissurotomy was applied for histological validation. Intra- and inter-observer agreement were measured for ICDAS-II and light-induced fluorescence camera using Kappa test. The overall diagnostic accuracy parameters, area under the receiver operating characteristic curve (AUC-ROC) and 95% confidence interval (95% CI) of the (AUC) for caries detection by Vista Poof were evaluated. RESULTS: For ICDAS-II and Vista Proof methods, there was almost perfect intra- and inter-observer agreement. Based on ICDAS-II as a reference standard 1, Vista Proof showed a low level of agreement in enamel carious lesion detection with low sensitivity value of 48%, high specificity of 100%, and AUC was 0.112, while a high level of agreement in dentin carious lesion detection with high sensitivity value of 100%, low specificity of 48% and AUC was 0.888. Based on fissurotomy as reference standard 2, Vista Proof showed a high level of agreement in dentin carious lesion detection with high sensitivity value of 95% and 0% specificity and AUC was 0.814. CONCLUSIONS: Quantitative light-induced fluorescence camera with reference to ICDAS-II is considered as an accurate diagnostic modality for detection of early occlusal caries. Histological findings validate the diagnostic accuracy of the camera in dentin. Key words:Histological validation, Initial caries, ICDAS, Light induced fluorescence, Vista Cam. Medicina Oral S.L. 2022-02-01 /pmc/articles/PMC8842291/ /pubmed/35173901 http://dx.doi.org/10.4317/jced.59185 Text en Copyright: © 2022 Medicina Oral S.L. https://creativecommons.org/licenses/by/2.5/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Salama, Mohamed
Hassanein, Olfat
Shaalan, Omar
Yassen, Asmaa
Clinical effectiveness of high definition fluorescence camera in detection of initial occlusal caries
title Clinical effectiveness of high definition fluorescence camera in detection of initial occlusal caries
title_full Clinical effectiveness of high definition fluorescence camera in detection of initial occlusal caries
title_fullStr Clinical effectiveness of high definition fluorescence camera in detection of initial occlusal caries
title_full_unstemmed Clinical effectiveness of high definition fluorescence camera in detection of initial occlusal caries
title_short Clinical effectiveness of high definition fluorescence camera in detection of initial occlusal caries
title_sort clinical effectiveness of high definition fluorescence camera in detection of initial occlusal caries
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8842291/
https://www.ncbi.nlm.nih.gov/pubmed/35173901
http://dx.doi.org/10.4317/jced.59185
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