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Clinical Oral Investigations

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01-03-2019 | Original Article

In vitro visual and visible light transillumination methods for detection of natural non-cavitated approximal caries

Authors: N. Abogazalah, G. J. Eckert, Masatoshi Ando

Published in: Clinical Oral Investigations | Issue 3/2019

Abstract

Objectives

The objective was to evaluate a visible-light-transillumination (using Digital Imaging Fiber-Optic Transillumination machine: DIFOTI) method using occlusal view (DIFOTI-occl), axial view (buccal and lingual: DIFOTI-axial), and combination of all views (DIFOTI-all) for detecting non-cavitated approximal caries and to compare its performance to visual examination (International Caries Detection and Assessment System: ICDAS).

Materials and methods

Thirty extracted human premolars were selected (sound to lesions into the outer one-third of the dentine) based on micro-computed tomography (μ-CT). Teeth were mounted in a custom-made device to simulate approximal contact. DIFOTI (Electro-Optical Sciences Inc., Irvington, NY, USA) images were obtained from the occlusal, buccal, and lingual views. DIFOTI image and ICDAS examinations were performed and repeated by three trained/calibrated examiners. Sensitivity, specificity, area under receiver operating characteristics curve (A_z), inter- and intra-class correlation coefficients (ICCs), and correlation were determined.

Results

Sensitivity/specificity was for DIFOTI-occl: 0.42/0.75, DIFOTI-axial: 0.86/0.93, DIFOTI-all: 0.91/0.69, and for ICDAS: 0.89/0.83. A_z for DIFOTI-occl was significantly lower than that of DIFOTI-axial (p < 0.001), DIFOTI-all (p = 0.002), and ICDAS (p = 0.005). Spearman correlation coefficients with μ-CT for DIFOTI-occl (r = 0.39) showed weak association, while DIFOTI-axial (r = 0.80), DIFOTI-all (r = 0.91), and ICDAS (r = 0.90) showed moderate association. ICCs for intra-examiner repeatability/inter-examiner agreement were for DIFOTI-occl (0.64/0.58), DIFOTI-axial (0.92/0.89), DIFOTI-all (0.85/0.83), and ICDAS (0.79/0.72).

Conclusions

The results of the current in vitro study suggest that, for detection of non-cavitated approximal caries lesions, DIFOTI performs better using axial than occlusal view.

Clinical relevance

Approximal non-cavitated caries detection is challenging. DIFOTI can observe images from occlusal-, buccal-, and lingual views. DIFOTI and visual (ICDAS) examinations of buccal- and lingual- and all-views are more suitable than those of occlusal view for a detection of non-cavitated approximal caries.

Kassebaum NJ, Smith AGC, Bernabe E, Fleming TD, Reynolds AE, Vos T, Murray CJL, Marcenes W, Collaborators GBDOH (2017) Global, regional, and National Prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res 96(4):380–387. https://doi.org/10.1177/0022034517693566 CrossRefPubMedPubMedCentral

Pitts NB, Zero DT, Marsh PD, Ekstrand K, Weintraub JA, Ramos-Gomez F, Tagami J, Twetman S, Tsakos G, Ismail A (2017) Dental caries. Nat Rev Dis Primers 3:17030. https://doi.org/10.1038/nrdp.2017.30 CrossRefPubMed

Zero DT, Fontana M, Martinez-Mier EA, Ferreira-Zandona A, Ando M, Gonzalez-Cabezas C, Bayne S (2009) The biology, prevention, diagnosis and treatment of dental caries: scientific advances in the United States. J Am Dent Assoc 140(Suppl 1):25S–34SCrossRefPubMed

Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, Pitts NB (2007) The international caries detection and assessment system (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 35(3):170–178. https://doi.org/10.1111/j.1600-0528.2007.00347.x CrossRefPubMed

Ekstrand KR, Kuzmina I, Bjorndal L, Thylstrup A (1995) Relationship between external and histologic features of progressive stages of caries in the occlusal fossa. Caries Res 29(4):243–250CrossRefPubMed

Ismail A (2004) Diagnostic levels in dental public health planning. Caries Res 38(3):199–203. https://doi.org/10.1159/000077755 CrossRefPubMed

Bin-Shuwaish M, Yaman P, Dennison J, Neiva G (2008) The correlation of DIFOTI to clinical and radiographic images in class II carious lesions. J Am Dent Assoc 139(10):1374–1381CrossRefPubMed

Friedman J, Marcus MI (1970) Transillumination of the oral cavity with use of fiber optics. J Am Dent Assoc 80(4):801–809CrossRefPubMed

Schneiderman A, Elbaum M, Shultz T, Keem S, Greenebaum M, Driller J (1997) Assessment of dental caries with digital imaging Fiber-optic TransIllumination (DIFOTI): in vitro study. Caries Res 31(2):103–110CrossRefPubMed

10.

Kuhnisch J, Sochtig F, Pitchika V, Laubender R, Neuhaus KW, Lussi A, Hickel R (2016) In vivo validation of near-infrared light transillumination for interproximal dentin caries detection. Clin Oral Investig 20(4):821–829. https://doi.org/10.1007/s00784-015-1559-4 CrossRefPubMed

11.

Ekstrand KR, Ricketts DN, Kidd EA (1997) Reproducibility and accuracy of three methods for assessment of demineralization depth of the occlusal surface: an in vitro examination. Caries Res 31(3):224–231CrossRefPubMed

12.

Wenzel A, Borg E, Hintze H, Grondahl HG (1995) Accuracy of caries diagnosis in digital images from charge-coupled device and storage phosphor systems: an in vitro study. Dentomaxillofac Radiol 24(4):250–254. https://doi.org/10.1038/dmfr.24.4.9161170 CrossRefPubMed

13.

Ando M Perforance of digital imaging Fiber-optic Transilluminaton (DIFOTI) for detection of non-cavitated primary caries. Preliminary report. In: Stookey G, Kambara M (eds) 83rd International Association for Dental Research symposium : early detection of dental caries, Baltimore, Maryland, march, 11 2005. Therametric technologies Inc., Indianapolis, pp 41–52

14.

Astvaldsdottir A, Ahlund K, Holbrook WP, de Verdier B, Tranaeus S (2012) Approximal caries detection by DIFOTI: in vitro comparison of diagnostic accuracy/efficacy with film and digital radiography. Int J Dent 2012:326401. https://doi.org/10.1155/2012/326401 CrossRefPubMedPubMedCentral

15.

Darling CL, Fried D (2008) Real-time near IR (1310 nm) imaging of CO2 laser ablation of enamel. Opt Express 16(4):2685–2693CrossRefPubMed

16.

Takei HH (1980) The interdental space. Dent Clin N Am 24(2):169–176PubMed

17.

Fried D, Featherstone JD, Darling CL, Jones RS, Ngaotheppitak P, Buhler CM (2005) Early caries imaging and monitoring with near-infrared light. Dent Clin N Am 49(4):771–793, vi. https://doi.org/10.1016/j.cden.2005.05.008 CrossRefPubMed

18.

Lara-Capi C, Cagetti MG, Lingstrom P, Lai G, Cocco F, Simark-Mattsson C, Campus G (2017) Digital transillumination in caries detection versus radiographic and clinical methods: an in-vivo study. Dentomaxillofac Radiol 46(4):20160417. https://doi.org/10.1259/dmfr.20160417 CrossRefPubMedPubMedCentral

19.

Abogazalah N, Eckert GJ, Ando M (2017) In vitro performance of near infrared light transillumination at 780-nm and digital radiography for detection of non-cavitated approximal caries. J Dent 63:44–50. https://doi.org/10.1016/j.jdent.2017.05.018 CrossRefPubMed

20.

Staninec M, Lee C, Darling CL, Fried D (2010) In vivo near-IR imaging of approximal dental decay at 1,310 nm. Lasers Surg Med 42(4):292–298. https://doi.org/10.1002/lsm.20913 CrossRefPubMedPubMedCentral

21.

Braga MM, Morais CC, Nakama RC, Leamari VM, Siqueira WL, Mendes FM (2009) In vitro performance of methods of approximal caries detection in primary molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108(4):e35–e41. https://doi.org/10.1016/j.tripleo.2009.05.017 CrossRefPubMed

22.

Mitropoulos P, Rahiotis C, Stamatakis H, Kakaboura A (2010) Diagnostic performance of the visual caries classification system ICDAS II versus radiography and micro-computed tomography for proximal caries detection: an in vitro study. J Dent 38(11):859–867. https://doi.org/10.1016/j.jdent.2010.07.005 CrossRefPubMed

23.

Shoaib L, Deery C, Ricketts DN, Nugent ZJ (2009) Validity and reproducibility of ICDAS II in primary teeth. Caries Res 43(6):442–448. https://doi.org/10.1159/000258551 CrossRefPubMed

24.

Gimenez T, Piovesan C, Braga MM, Raggio DP, Deery C, Ricketts DN, Ekstrand KR, Mendes FM (2015) Visual inspection for caries detection: a systematic review and meta-analysis. J Dent Res 94(7):895–904. https://doi.org/10.1177/0022034515586763 CrossRefPubMed

25.

Novaes TF, Matos R, Raggio DP, Imparato JC, Braga MM, Mendes FM (2010) Influence of the discomfort reported by children on the performance of approximal caries detection methods. Caries Res 44(5):465–471. https://doi.org/10.1159/000320266 CrossRefPubMed

26.

Novaes TF, Matos R, Braga MM, Imparato JC, Raggio DP, Mendes FM (2009) Performance of a pen-type laser fluorescence device and conventional methods in detecting approximal caries lesions in primary teeth--in vivo study. Caries Res 43(1):36–42. https://doi.org/10.1159/000189705 CrossRefPubMed

27.

ten Bosch JJ (1996) Light scattering and related methods in caries diagnosis. In: Stookey GK (ed) The first annual Indiana Conference. Indiana University School of Dentistry, Indianapolis, pp 81–90

Title: In vitro visual and visible light transillumination methods for detection of natural non-cavitated approximal caries
Authors: N. Abogazalah
G. J. Eckert
Masatoshi Ando
Publication date: 01-03-2019
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 3/2019
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-018-2546-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

In vitro visual and visible light transillumination methods for detection of natural non-cavitated approximal caries

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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