Comparison of Proximal Caries Detection in Primary Teeth between Laser Fluorescence and Bitewing Radiography: An in vivo Study

M Sunil,Sherryl Mathew,Sundeep K Hegde,Sham S Bhat,Ratheesh Mepparambath,G Anjana

doi:10.5005/jp-journals-10005-1257

M Sunil, Sherryl Mathew + Show 4 more

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https://doi.org/10.5005/jp-journals-10005-1257

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Abstract

ABSTRACT%Background and objective: Proximal caries detection is of great importance because of the rapid rate of caries progression and the difficulty in determining the absence or presence of a lesion in primary dentition. Although, various methods for caries diagnosis offer good diagnostic performances, they provide varying sensitivities for detecting proximal carious lesions. The objective of this study was to compare, in vivo, the accuracy of DIAGNOdent and bitewing radiography at detecting proximal caries in primary teeth.Materials and methods: One Hundred and one primary maxillary and mandibular molars without obvious cavities of children between the age group of 3 and 10 years were included. The teeth were first subjected to DIAGNOdent examination followed by bitewing radiography. The specificity and sensitivity of the systems were calculated.Results: At the dentin caries (D3) level, the sensitivity of DIAGNOdent and bitewing radiography was 78.5%; at the enamel caries (D1 and D2) level it was 39.12% and for the sound teeth (D0) it was found to be 76.52%. A strong association was observed between the DIAGNOdent and the bitewing radiograph (p < 0.001).Conclusion: The DIAGNOdent can be used as an alternative diagnostic method in detection of proximal caries in primary teeth. But when seen at the each caries level, the DIAGNOdent is more accurate at the D0 and D3 threshold.How to cite this article: Mepparambath R, Bhat SS, Hegde SK, Anjana G, Sunil M, Mathew S. Comparison of Proximal Caries Detection in Primary Teeth between Laser Fluorescence and Bitewing Radiography: An in vivo Study. Int J Clin Pediatr Dent 2014;7(3):163-167.

Highlights

Among the different types of carious lesions, proximal caries is notorious for its rapid rate of progression and the difficulty in determining the presence of the lesion.[1,2,3] It has been established by various authors that the radiographic techniques are superior over clinical examination in the detection of interproximal carious lesions.[4,5,6,7,8]But, bitewing radiographs, which is the most common method used to diagnose proximal caries, exposes the patient to a relatively high dose of ionizing radiation.[9]
A strong association was observed between the DIAGNOdent and the bitewing radiograph (p < 0.001)
The DIAGNOdent can be used as an alternative diagnostic method in detection of proximal caries in primary teeth

Summary

Introduction

Among the different types of carious lesions, proximal caries is notorious for its rapid rate of progression and the difficulty in determining the presence of the lesion.[1,2,3] It has been established by various authors that the radiographic techniques are superior over clinical examination in the detection of interproximal carious lesions.[4,5,6,7,8]But, bitewing radiographs, which is the most common method used to diagnose proximal caries, exposes the patient to a relatively high dose of ionizing radiation.[9]. Among the different types of carious lesions, proximal caries is notorious for its rapid rate of progression and the difficulty in determining the presence of the lesion.[1,2,3] It has been established by various authors that the radiographic techniques are superior over clinical examination in the detection of interproximal carious lesions.[4,5,6,7,8]. Proximal caries detection is of great importance because of the rapid rate of caries progression and the difficulty in determining the absence or presence of a lesion in primary dentition. The objective of this study was to compare, in vivo, the accuracy of DIAGNOdent and bitewing radiography at detecting proximal caries in primary teeth

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