Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Odontology
Published in: Odontology 3/2017

01-07-2017 | Original Article

Caries diagnosis using light fluorescence devices in comparison with traditional visual and tactile evaluation: a prospective study in 152 patients

Authors: María Melo, Agustín Pascual, Isabel Camps, Ángel del Campo, Javier Ata-Ali

Published in: Odontology | Issue 3/2017

Login to get access

Abstract

The objective of the study was to evaluate the in vivo effectiveness of two fluorescence techniques (DIAGNOdent and VistaProof) and of visual and tactile evaluation in the diagnosis of occlusal caries in permanent teeth. A total of 302 teeth (molars and premolars) from 152 patients were studied. The occlusal surfaces were cleaned using pumice mixed with water, followed by application of the diagnostic methods according to the instructions of the manufacturer, and of the visual and tactile methods according to the recommendations. The true extent of the lesions was determined by fissurotomy. The sensitivity and specificity of visual diagnosis were 79 and 72 %, respectively, versus 53 and 98 % in the case of tactile diagnosis. Teeth with caries lesions exhibited significantly higher DIAGNOdent and VistaProof scores than those without caries. Using the optimum cutoff point of 23.5 obtained in our study for DIAGNOdent, sensitivity and specificity were found to be 92.4 and 92.7 %, respectively, while values of 88.1 and 95.1 % were obtained with a cutoff point of 28.5. Sensitivity in the case of the VistaProof system varied between 92.9 % (cutoff point 1.05) and 85.3 % (cutoff point 1.3), with respective specificity values of 95.8 and 88.6 %. The areas under the curve were 0.756, 0.759, 0.954 and 0.965 for the visual and tactile methods and for DIAGNOdent and VistaProof, respectively. The fluorescence-based techniques showed greater internal and external validity than the visual and tactile methods in diagnosing occlusal caries in permanent teeth. VistaProof is the best method for diagnosing caries in its early stages.
Literature
1.
2.
Seremidi K, Lagouvardos P, Kavvadia K. Comparative in vitro validation of VistaProof and DIAGNOdent pen for occlusal caries detection in permanent teeth. Oper Dent. 2012;37:234–45.CrossRefPubMed
3.
Rossete Melo R, Rezende JS, Gomes VE, Ferreira EFE, Oliveira AC. Sociodemographic, biological and behavioural risk factors associated with incidence of dental caries in schoolchildren’s first permanent molars: a 3-year follow-up study. Eur J Paediatr Dent. 2013;14:8–12.PubMed
4.
Holmgren C, Gaucher C, Decerle N, Doméjean S. Minimal intervention dentistry II: part 3. Management of non-cavitated (initial) occlusal caries lesions—non-invasive approaches through remineralisation and therapeutic sealants. Br Dent J. 2014;216:237–43.CrossRefPubMed
5.
Attrill DC, Ashley PF. Occlusal caries detection in primary teeth: a comparison of DIAGNOdent with conventional methods. Br Dent J. 2001;190:440–3.PubMed
6.
Diniz MB, Boldieri T, Rodrigues JA, Santos-Pinto L, Lussi A, Cordeiro RC. The performance of conventional and fluorescence-based methods for occlusal caries detection: an in vivo study with histologic validation. J Am Dent Assoc. 2012;143:339–50.CrossRefPubMed
7.
Angnes V, Angnes G, Batisttella M, Grande RH, Loguercio AD, Reis A. Clinical effectiveness of laser fluorescence, visual inspection and radiography in the detection of occlusal caries. Caries Res. 2005;39:490–5.CrossRefPubMed
8.
Fung L, Smales R, Ngo H, Moun G. Diagnostic comparison of three groups of examiners using visual and laser fluorescence methods to detect occlusal caries in vitro. Aust Dent J. 2004;49:67–71 (quiz 101).CrossRefPubMed
9.
Achilleos EE, Rahiotis C, Kakaboura A, Vougiouklakis G. Evaluation of a new fluorescence-based device in the detection of incipient occlusal caries lesions. Lasers Med Sci. 2013;28:193–201.CrossRefPubMed
10.
König K, Flemming G, Hibst R. Laser-induced autofluorescence spectroscopy of dental caries. Cell Mol Biol (Noisy-le-grand). 1998;44:1293–300.
11.
Lussi A, Hibst R, Paulus R. DIAGNOdent: an optical method for caries detection. J Dent Res. 2004;83 Spec No C:C80-3.
12.
Rodrigues JA, Hug I, Diniz MB, Lussi A. Performance of fluorescence methods, radiographic examination and ICDAS II on occlusal surfaces in vitro. Caries Res. 2008;42:297–304.CrossRefPubMed
13.
Iwami Y, Shimizu A, Hayashi M, Takeshige F, Ebisu S. Relationship between colors of carious dentin and laser fluorescence evaluations in caries diagnosis. Dent Mater J. 2006;25:584–90.CrossRefPubMed
14.
Pourhashemi SJ, Jafari A, Motahhari P, Panjnoosh M, Kharrazi Fard MJ, Sanati I, Sahadfar M, Pariab M. An in vitro comparison of visual inspection, bite-wing radiography, and laser fluorescence methods for the diagnosis of occlusal caries. J Indian Soc Pedod Prev Dent. 2009;27:90–3.CrossRefPubMed
15.
Rodrigues JA, Hug I, Neuhaus KW, Lussi A. Light-emitting diode and laser fluorescence-based devices in detecting occlusal caries. J Biomed Opt. 2011;16:107003.CrossRefPubMed
16.
Jablonski-Momeni A, Rosen SM, Schipper HM, Stoll R, Roggendorf MJ, Heinzel-Gutenbrunner M, Stachniss V, Pieper K. Impact of measuring multiple or single occlusal lesions on estimates of diagnostic accuracy using fluorescence methods. Lasers Med Sci. 2012;27:343–52.CrossRefPubMed
17.
Novaes TF, Matos R, Gimenez T, Braga MM, De Benedetto MS, Mendes FM. Performance of fluorescence-based and conventional methods of occlusal caries detection in primary molars—an in vitro study. Int J Paediatr Dent. 2012;22:459–66.CrossRefPubMed
18.
19.
Bader JD, Shugars DA. A systematic review of the performance of a laser fluorescence device for detecting caries. J Am Dent Assoc. 2004;135:1413–26.CrossRefPubMed
20.
Apostolopoulou D, Lagouvardos P, Kavvadia K, Papagiannoulis L. Histological validation of a laser fluorescence device for occlusal caries detection in primary molars. Eur Arch Paediatr Dent. 2009;10:11–5.CrossRefPubMed
21.
Alwas-Danowska HM, Plasschaert AJ, Suliborski S, Verdonschot EH. Reliability and validity issues of laser fluorescence measurements in occlusal caries diagnosis. J Dent. 2002;30:129–34.CrossRefPubMed
22.
Goel A, Chawla HS, Gauba K, Goyal A. Comparison of validity of DIAGNOdent with conventional methods for detection of occlusal caries in primary molars using the histological gold standard: an in vivo study. J Indian Soc Pedod Prev Dent. 2009;27:227–34.CrossRefPubMed
23.
Souza JF, Boldieri T, Diniz MB, Rodrigues JA, Lussi A, Cordeiro RC. Traditional and novel methods for occlusal caries detection: performance on primary teeth. Lasers Med Sci. 2013;28:287–95.CrossRefPubMed
24.
Pereira AC, Eggertsson H, Martinez-Mier EA, Mialhe FL, Eckert GJ, Zero DT. Validity of caries detection on occlusal surfaces and treatment decisions based on results from multiple caries-detection methods. Eur J Oral Sci. 2009;117:51–7.CrossRefPubMed
25.
Diniz MB, Lima LM, Eckert G, Zandona AG, Cordeiro RC, Pinto LS. In vitro evaluation of ICDAS and radiographic examination of occlusal surfaces and their association with treatment decisions. Oper Dent. 2011;36:133–42.CrossRefPubMed
26.
Ekstrand KR, Ricketts DN, Kidd EA, Qvist V, Schou S. Detection, diagnosing, monitoring and logical treatment of occlusal caries in relation to lesion activity and severity: an in vivo examination with histological validation. Caries Res. 1998;32:247–54.CrossRefPubMed
27.
Abalos C, Herrera M, Jiménez-Planas A, Llamas R. Performance of laser fluorescence for detection of occlusal dentinal caries lesions in permanent molars: an in vivo study with total validation of the sample. Caries Res. 2009;43:137–41.CrossRefPubMed
28.
Anttonen V, Seppä L, Hausen H. Clinical study of the use of the laser fluorescence device DIAGNOdent for detection of occlusal caries in children. Caries Res. 2003;37:17–23.CrossRefPubMed
29.
Lussi A, Imwinkelried S, Pitts N, Longbottom C, Reich E. Performance and reproducibility of a laser fluorescence system for detection of occlusal caries in vitro. Caries Res. 1999;33:261–6.CrossRefPubMed
30.
Jablonski-Momeni A, Ricketts DN, Rolfsen S, Stoll R, Heinzel-Gutenbrunner M, Stachniss V, Pieper K. Performance of laser fluorescence at tooth surface and histological section. Lasers Med Sci. 2011;26:171–8.CrossRefPubMed
31.
ten Bosch JJ, Angmar-Månsson B. Characterization and validation of diagnostic methods. Monogr Oral Sci. 2000;17:174–89.CrossRefPubMed
32.
Ekstrand KR. Improving clinical visual detection–potential for caries clinical trials. J Dent Res. 2004;83:C67–71.CrossRefPubMed
33.
Jablonski-Momeni A, Stachniss V, Ricketts DN, Heinzel-Gutenbrunner M, Pieper K. Reproducibility and accuracy of the ICDAS-II for detection of occlusal caries in vitro. Caries Res. 2008;42:79–87.CrossRefPubMed
34.
Ekstrand KR, Martignon S, Ricketts DJ, Qvist V. Detection and activity assessment of primary coronal caries lesions: a methodologic study. Oper Dent. 2007;32:225–35.CrossRefPubMed
35.
Varma S, Banerjee A, Bartlett D. An in vivo investigation of associations between saliva properties, caries prevalence and potential lesion activity in an adult UK population. J Dent. 2008;36:294–9.CrossRefPubMed
36.
Lussi A, Megert B, Longbottom C, Reich E, Francescut P. Clinical performance of a laser fluorescence device for detection of occlusal caries lesions. Eur J Oral Sci. 2001;109:14–9.CrossRefPubMed
37.
Lussi A. Comparison of different methods for the diagnosis of fissure caries without cavitation. Caries Res. 1993;27:409–16.CrossRefPubMed
38.
Penning C, van Amerongen JP, Seef RE, ten Cate JM. Validity of probing for fissure caries diagnosis. Caries Res. 1992;26:445–9.CrossRefPubMed
39.
Neuhaus K, Ellwood R, Lussi A, Pitts NB. Traditional lesion detection aids. Monogr Oral Sci. 2009;21:42–51.CrossRefPubMed
40.
Kuhnisch J, Dietz W, Stosser L, Hickel R, Heinrich-Weltzien R. Effects of dental probing on occlusal surfaces—a scanning electron microscopy evaluation. Caries Res. 2007;41:43–8.CrossRefPubMed
41.
Astvaldsdóttir A, Tranæus S, Karlsson L. Peter Holbrook W. DIAGNOdent measurements of cultures of selected oral bacteria and demineralized enamel. Acta Odontol Scand. 2010;68:148–53.CrossRefPubMed
42.
Pinelli C. Loffredo Lde C, Serra MC. Effect of drying on the reproducibility of DIAGNOdent to detect caries-like lesions. Braz Dent J. 2010;21:405–10.CrossRefPubMed
43.
Rechmann P, Charland D, Rechmann BM, Featherstone JD. Performance of laser fluorescence devices and visual examination for the detection of occlusal caries in permanent molars. J Biomed Opt. 2012;17:036006.CrossRefPubMed
44.
Francescut P, Zimmerli B, Lussi A. Influence of different storage methods on laser fluorescence values: a two-year study. Caries Res. 2006;40:181–5.CrossRefPubMed
45.
Jablonski-Momeni A, Schipper HM, Rosen SM, Heinzel-Gutenbrunner M, Roggendorf MJ, Stoll R, Stachniss V, Pieper K. Performance of a fluorescence camera for detection of occlusal caries in vitro. Odontology. 2011;99:55–61.CrossRefPubMed
46.
Betrisey E, Rizcalla N, Krejci I, Ardu S. Caries diagnosis using light fluorescence devices: VistaProof and DIAGNOdent. Odontology. 2014;102:330–5.CrossRefPubMed
47.
Ferreira Zandoná A, Santiago E, Eckert G, Fontana M, Ando M, Zero DT. Use of ICDAS combined with quantitative lightinduced fluorescence as a caries detection method. Caries Res. 2010;44:317–22.CrossRefPubMedPubMedCentral
Metadata
Title
Caries diagnosis using light fluorescence devices in comparison with traditional visual and tactile evaluation: a prospective study in 152 patients
Authors
María Melo
Agustín Pascual
Isabel Camps
Ángel del Campo
Javier Ata-Ali
Publication date
01-07-2017
Publisher
Springer Japan
Published in
Odontology / Issue 3/2017
Print ISSN: 1618-1247
Electronic ISSN: 1618-1255
DOI
https://doi.org/10.1007/s10266-016-0272-3

Other articles of this Issue 3/2017

Odontology 3/2017 Go to the issue

Original Article

The utility of bone scintigraphy in the assessment of mandibular metabolism during long-term bisphosphonate administration

Original Article

Effect of Er,Cr:YSGG laser irradiation on bovine enamel surface during in-office tooth bleaching ex vivo

Original Article

Sex differences of dental pathology in early modern samurai and commoners at Kokura in Japan

Original Article

Use of a continual sweep motion to compare air polishing devices, powders and exposure time on unexposed root cementum

Original Article

Correlation between resonance frequency, insertion torque and bone-implant contact in self-cutting threaded implants

Original Article

Localization and expression pattern of amelotin, odontogenic ameloblast-associated protein and follicular dendritic cell-secreted protein in the junctional epithelium of inflamed gingiva