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Author Spotlight: Establishing an Accurate Microhardness Testing Protocol for Craniofacial Tissues

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Published on: April 26, 2024

Dental enamel defect diagnosis through different technology-based devices.

Tatiana Yuriko Kobayashi¹, Luciana Lourenço Ribeiro Vitor¹, Cleide Felício Carvalho Carrara^1,2

¹Department of Pediatric Dentistry, Orthodontics and Public Health, University of São Paulo, Bauru, SP, Brazil.

International Dental Journal

|November 24, 2017

Summary

The operating microscope is a superior diagnostic tool for detecting dental enamel defects (DEDs) compared to fluorescence-based devices. This technology-assisted method offers improved detection of enamel hypoplasia and hypomineralisation.

Keywords:

Tooth enamel dental operating microscope diagnosis fluorescence

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Area of Science:

Dentistry
Diagnostic Technologies
Oral Health

Background:

Dental enamel defects (DEDs) involve faulty enamel formation, leading to hypoplasia (quantitative) or hypomineralisation (qualitative).
Early and accurate detection of DEDs is crucial for timely intervention and management.
Patients with cleft lip/palate often exhibit higher incidences of DEDs.

Purpose of the Study:

To compare the efficacy of technology-based diagnostic methods for detecting DEDs.
Evaluate the diagnostic performance of an operating microscope and a fluorescence-based device.
Assess their utility in identifying enamel hypoplasia and hypomineralisation.

Main Methods:

A conventional clinical examination using the modified DDE Index was performed.
Dental surfaces were subsequently evaluated using an operating microscope and a fluorescence-based device.
Interexaminer reproducibility and statistical comparisons (McNemar's, Cramer's V tests) were conducted.

Main Results:

Statistically significant differences in index code distribution were observed across all methods (P < .0001).
The operating microscope demonstrated higher concordance with clinical examination (Cramer's V = 0.961).
Both methods showed significant sensitivity, but accuracy and specificity were comparable.

Conclusions:

The operating microscope showed superior performance in detecting DEDs compared to the fluorescence-based device.
The operating microscope can serve as a valuable auxiliary tool for diagnosing DEDs.
Technology-assisted diagnostics enhance the detection capabilities for enamel defects.