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01-06-2021 | Caries | Original Article

What diagnostic strategy performs better for caries lesion detection on proximal surfaces of adolescents?

Authors: Caroline M. Moriyama, Tatiane F. Novaes, Fernanda R. Ferreira, Bruna Lorena P. Moro, José Carlos P. Imparato, Michele B. Diniz, Mariana M. Braga, Fausto M. Mendes

Published in: Clinical Oral Investigations | Issue 6/2021

Abstract

Objective

To evaluate the performance of visual inspection alone and associated to radiographic and laser fluorescence (LF) methods in detecting non-evident caries lesions at adolescents’ proximal surfaces.

Materials and methods

Adolescents (12 to 17 years old) were assessed for the presence of caries lesions through visual inspection, radiographic examination, and LF method (DIAGNOdent pen), at non-cavitated (NC) and cavitated lesion (CAV) thresholds. Temporary separation with orthodontic rubbers followed by direct visual inspection was the reference standard method. Two examiners conducted the examinations, and the first examiner reassessed around 20% of the sample, to evaluate inter- and intra-examiner reproducibility, respectively. Sensitivity, specificity, accuracy, and utility values were calculated for the methods alone and combined with visual inspection using two different strategies: simultaneous and sequential combination.

Results

A total of 834 proximal surfaces (51 adolescents) were included. Visual inspection presented higher reproducibility values (higher than 0.98). Moreover, visual inspection presented higher sensitivity (around 0.51) than those obtained with other diagnostic strategies (varying from 0.09 to 0.20) at the NC threshold. For CAV, visual inspection presented higher specificity (0.996) than the sequential association with adjunct methods (around 0.97), but with lower sensitivity. Accuracy and utility values for combined strategies were similar or lower than those achieved with the visual inspection performed alone.

Conclusion

Visual inspection alone performs better for detecting caries lesions in premolars and molars of adolescents than other diagnostic strategies.

Clinical relevance

The best diagnostic strategy for caries detection of proximal caries lesions in adolescents is the visual inspection alone.

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Title: What diagnostic strategy performs better for caries lesion detection on proximal surfaces of adolescents?
Authors: Caroline M. Moriyama
Tatiane F. Novaes
Fernanda R. Ferreira
Bruna Lorena P. Moro
José Carlos P. Imparato
Michele B. Diniz
Mariana M. Braga
Fausto M. Mendes
Publication date: 01-06-2021
Publisher: Springer Berlin Heidelberg
Keyword: Caries
Published in: Clinical Oral Investigations / Issue 6/2021
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-020-03728-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

What diagnostic strategy performs better for caries lesion detection on proximal surfaces of adolescents?

Abstract

Objective

Materials and methods

Results

Conclusion

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Materials and methods

Results

Conclusion

Clinical relevance

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