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Comparison of different caries detectors for approximal caries detection
Esin Bozdemir1, Ali Murat Aktan2, Abdulsemih Ozsevik3
1Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Suleyman Demirel University, Isparta, Turkey.
Journal of Dental Sciences
|March 22, 2019
Summary
Diagnosing approximal caries is challenging. Laser fluorescence (LF) devices offer the highest sensitivity for detecting caries, while bitewing radiography excels at identifying sound surfaces.
Area of Science:
- Dental diagnostics
- Caries detection technology
Background:
- Approximal caries detection is challenging with conventional visual inspection (VI) and radiography.
- Newer technologies like light-emitting diode (LED) and laser fluorescence (LF) offer potential improvements.
Purpose of the Study:
- To compare the diagnostic efficiency of LED, LF, radiography, and VI for approximal caries.
- Evaluate the accuracy, sensitivity, and specificity of these methods in vitro.
Main Methods:
- 156 approximal regions were evaluated using VI, radiography, LED, and LF devices.
- Histological analysis via stereomicroscopy served as the gold standard.
- Receiver operating characteristic (ROC) curves and diagnostic values were calculated.
Main Results:
- Bitewing radiography demonstrated high specificity (0.97-0.99).
- The LF device showed superior sensitivity (0.94 at T1, 0.79 at T2) compared to other methods.
- LF was more successful at T1 threshold, while VI was better at T2 threshold.
Conclusions:
- Bitewing radiography is effective for identifying sound tooth surfaces.
- The LF device is the most sensitive tool for detecting approximal caries, followed by the LED device.
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