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Anne-Marie Agius, Juliana No Cortes, Arthur R G Cortes

Caries research

|December 4, 2025

概括

使用光技术 (IOSFT) 的口腔内扫描仪在检测中度至重度病时具有中度的准确性,但对初始病变的有效性较低. 目前的IOSFT不能取代传统的视觉和X光牙科检查来检测.

科学领域:

牙科牙科是指牙科的专业.
医疗成像医学成像
诊断技术诊断技术的使用

背景情况:

使用光技术 (IOSFT) 的口腔内扫描仪提供先进的虫检测功能.
IOSFT的虫检测功能的诊断性能需要对已建立的方法进行彻底的评估.

研究的目的:

评估 IOSFT Trios 4® 虫检测工具的诊断性能.
将IOSFT的性能与永久牙的视觉和放射性国际虫检测和评估系统 (ICDAS) 标准进行比较.

主要方法:

71名参与者 (年龄为6-88岁) 接受了视觉ICDAS检查,咬翼放射和IOSFT扫描.
IOSFT自动化虫检测 (ACD) 输出与ICDAS分数进行了比较,用于闭塞,光滑和近端表面.
对于每个牙表面类型,计算了灵敏度,特异性和精度.

主要成果:

IOSFT在中度/严重的闭口损伤与初始病变 (37.7%) 之间显示出中度相关性 (r=0.4) 和更高的准确性 (81%).
对于光滑的表面,准确度为中度/严重的93.5%,初始病变的77.1%.
对于近端表面,准确度为中度/严重的83.5%,初始病变的40.4%,相关性较弱 (r=0.07).

结论:

IOSFT显示出潜力,但目前还不足以取代视觉和放射检查来检测.
与初始病变相比,IOSFT的诊断准确性在中度至晚期虫病中显著更好.
为了使IOSFT可靠地检测早期牙损伤,需要进一步的进展.

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