Cargando…
New Caries Diagnostic Tools in Intraoral Scanners: A Comparative In Vitro Study to Established Methods in Permanent and Primary Teeth
The aim of this in vitro study was to systematically investigate new caries diagnostic tools, including three intraoral scanners, and compare them to established diagnostic methods. For a standardized analysis of occlusal and proximal caries lesions, human permanent and primary teeth (n = 64) were e...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950989/ https://www.ncbi.nlm.nih.gov/pubmed/35336328 http://dx.doi.org/10.3390/s22062156 |
_version_ | 1784675275646173184 |
---|---|
author | Schlenz, Maximiliane Amelie Schupp, Berenike Schmidt, Alexander Wöstmann, Bernd Baresel, Ingo Krämer, Norbert Schulz-Weidner, Nelly |
author_facet | Schlenz, Maximiliane Amelie Schupp, Berenike Schmidt, Alexander Wöstmann, Bernd Baresel, Ingo Krämer, Norbert Schulz-Weidner, Nelly |
author_sort | Schlenz, Maximiliane Amelie |
collection | PubMed |
description | The aim of this in vitro study was to systematically investigate new caries diagnostic tools, including three intraoral scanners, and compare them to established diagnostic methods. For a standardized analysis of occlusal and proximal caries lesions, human permanent and primary teeth (n = 64) were embedded in models and investigated in a phantom head using six different caries diagnostic methods: visual examination, bitewing radiography, Diagnocam (KaVo, Biberach, Germany), Trios 4 (3Shape, Copenhagen, Denmark), iTero Element 5D (Align Technology, San José, CA, USA), and Planmeca Emerald S (Planmeca, Helsinki, Finland). The diagnostic methods were investigated and compared to reference µ-CT for permanent and primary teeth separately. For occlusal caries diagnostics in permanent teeth, the best agreement to the reference (reliability) was obtained for Planmeca Emerald S (ĸ = 0.700), whereas in primary teeth, for visual examination (ĸ = 0.927), followed by Trios 4 (ĸ = 0.579). Regarding proximal caries diagnostics, bitewing radiography, as the gold standard, exhibited the highest agreement for permanent (ĸ = 0.643) and primary teeth (ĸ = 0.871). Concerning the analysis of the diagnostic quality (sensitivity and specificity) using receiver operating characteristic (ROC) curve analysis, comparable findings were obtained for area under curve (AUC) values as for reliability. No diagnostic method could be identified that is generally suitable for occlusal and proximal lesions in both dentitions. Overall, caries diagnostics with intraoral scanners seem to be interesting tools that should be further investigated in clinical studies. |
format | Online Article Text |
id | pubmed-8950989 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89509892022-03-26 New Caries Diagnostic Tools in Intraoral Scanners: A Comparative In Vitro Study to Established Methods in Permanent and Primary Teeth Schlenz, Maximiliane Amelie Schupp, Berenike Schmidt, Alexander Wöstmann, Bernd Baresel, Ingo Krämer, Norbert Schulz-Weidner, Nelly Sensors (Basel) Article The aim of this in vitro study was to systematically investigate new caries diagnostic tools, including three intraoral scanners, and compare them to established diagnostic methods. For a standardized analysis of occlusal and proximal caries lesions, human permanent and primary teeth (n = 64) were embedded in models and investigated in a phantom head using six different caries diagnostic methods: visual examination, bitewing radiography, Diagnocam (KaVo, Biberach, Germany), Trios 4 (3Shape, Copenhagen, Denmark), iTero Element 5D (Align Technology, San José, CA, USA), and Planmeca Emerald S (Planmeca, Helsinki, Finland). The diagnostic methods were investigated and compared to reference µ-CT for permanent and primary teeth separately. For occlusal caries diagnostics in permanent teeth, the best agreement to the reference (reliability) was obtained for Planmeca Emerald S (ĸ = 0.700), whereas in primary teeth, for visual examination (ĸ = 0.927), followed by Trios 4 (ĸ = 0.579). Regarding proximal caries diagnostics, bitewing radiography, as the gold standard, exhibited the highest agreement for permanent (ĸ = 0.643) and primary teeth (ĸ = 0.871). Concerning the analysis of the diagnostic quality (sensitivity and specificity) using receiver operating characteristic (ROC) curve analysis, comparable findings were obtained for area under curve (AUC) values as for reliability. No diagnostic method could be identified that is generally suitable for occlusal and proximal lesions in both dentitions. Overall, caries diagnostics with intraoral scanners seem to be interesting tools that should be further investigated in clinical studies. MDPI 2022-03-10 /pmc/articles/PMC8950989/ /pubmed/35336328 http://dx.doi.org/10.3390/s22062156 Text en © 2022 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 Schlenz, Maximiliane Amelie Schupp, Berenike Schmidt, Alexander Wöstmann, Bernd Baresel, Ingo Krämer, Norbert Schulz-Weidner, Nelly New Caries Diagnostic Tools in Intraoral Scanners: A Comparative In Vitro Study to Established Methods in Permanent and Primary Teeth |
title | New Caries Diagnostic Tools in Intraoral Scanners: A Comparative In Vitro Study to Established Methods in Permanent and Primary Teeth |
title_full | New Caries Diagnostic Tools in Intraoral Scanners: A Comparative In Vitro Study to Established Methods in Permanent and Primary Teeth |
title_fullStr | New Caries Diagnostic Tools in Intraoral Scanners: A Comparative In Vitro Study to Established Methods in Permanent and Primary Teeth |
title_full_unstemmed | New Caries Diagnostic Tools in Intraoral Scanners: A Comparative In Vitro Study to Established Methods in Permanent and Primary Teeth |
title_short | New Caries Diagnostic Tools in Intraoral Scanners: A Comparative In Vitro Study to Established Methods in Permanent and Primary Teeth |
title_sort | new caries diagnostic tools in intraoral scanners: a comparative in vitro study to established methods in permanent and primary teeth |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950989/ https://www.ncbi.nlm.nih.gov/pubmed/35336328 http://dx.doi.org/10.3390/s22062156 |
work_keys_str_mv | AT schlenzmaximilianeamelie newcariesdiagnostictoolsinintraoralscannersacomparativeinvitrostudytoestablishedmethodsinpermanentandprimaryteeth AT schuppberenike newcariesdiagnostictoolsinintraoralscannersacomparativeinvitrostudytoestablishedmethodsinpermanentandprimaryteeth AT schmidtalexander newcariesdiagnostictoolsinintraoralscannersacomparativeinvitrostudytoestablishedmethodsinpermanentandprimaryteeth AT wostmannbernd newcariesdiagnostictoolsinintraoralscannersacomparativeinvitrostudytoestablishedmethodsinpermanentandprimaryteeth AT bareselingo newcariesdiagnostictoolsinintraoralscannersacomparativeinvitrostudytoestablishedmethodsinpermanentandprimaryteeth AT kramernorbert newcariesdiagnostictoolsinintraoralscannersacomparativeinvitrostudytoestablishedmethodsinpermanentandprimaryteeth AT schulzweidnernelly newcariesdiagnostictoolsinintraoralscannersacomparativeinvitrostudytoestablishedmethodsinpermanentandprimaryteeth |