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In Vitro Detection of Caries Around Amalgam Restorations Using Four Different Modalities
Tamara E Abrams1, Stephen H Abrams1,2, Koneswaran S Sivagurunathan1
1Quantum Dental Technologies Inc, Toronto, Ontario, Canada.
The Open Dentistry Journal
|January 2, 2018
Summary
The Canary System (CS) shows potential for accurately detecting secondary caries around amalgam restorations, outperforming laser fluorescence (DIAGNOdent, DD), LED fluorescence (Spectra), and visual inspection (ICDAS II) in vitro.
Area of Science:
- Dental materials science
- Diagnostic imaging in dentistry
- Caries detection methods
Background:
- Secondary caries is a common cause of restoration failure.
- Accurate detection of secondary caries is crucial for timely intervention.
- Existing diagnostic methods have limitations in detecting caries around restorations.
Purpose of the Study:
- To compare the efficacy of The Canary System (CS), DIAGNOdent (DD), Spectra, and ICDAS II in detecting natural caries around bonded amalgam restorations.
- To evaluate the sensitivity and specificity of these diagnostic modalities.
Main Methods:
- Extracted human teeth with and without amalgam restorations were used.
- Caries detection was performed using CS, DD, Spectra, and ICDAS II at varying distances from the restoration margin.
- Data analysis focused on sensitivity and specificity for each method.
Main Results:
- CS demonstrated high sensitivity and specificity in detecting caries around amalgam restorations.
- DIAGNOdent (DD) showed moderate sensitivity and specificity, with greater variability.
- Spectra and ICDAS II yielded inconclusive or poor results, respectively, in this context.
Conclusions:
- The Canary System (CS) shows significant potential for accurate secondary caries detection around amalgam restorations.
- CS appears more reliable and accurate than DD, Spectra, and ICDAS II for this specific application.
- Further in vivo studies are warranted to confirm these findings.
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