Diagnostic performance of different fluorescence systems on occlusal caries of permanent teeth correspondence

Alkan Elif^a, Mücahit Akça Arif^b, Şeker Merve^b, Meşeli Simge^a, Kargül Betül^c, Tağtekin Dilek^a, Yanikoğlu Funda^d, Çelik Zeynep Ceren^e

^aMarmara University Faculty of Dentistry, , Department of Restorative Dentistry,Istanbul, Turkey
^bPrivate Dental Clinic, Istanbul, Turkey
^cMarmara University, Faculty of Dentistry, Department of Pediatric Dentistry, Istanbul, Turkey
^dİstanbul Kent University, Faculty of Dentistry, Department of Restorative Dentistry, Istanbul, Turkey
^eBursa Uludag University, Faculty of Dentistry, Department of Restorative Dentistry, Bursa, Turkey

Abstract

Background/Aim: Evaluating the performance of two fluorescence-based methods on the detection of occlusal carious lesions in permanent teeth, compared with visual inspection and radiographic examination was the aim of this study. Material and Methods: Occlusal surfaces of 150 extracted human permanent molars were examined by two researchers using the International Caries Detection and Assessment System ll (ICDAS-II), FluoreCam (Daraza) and DIAGNOdent Pen® (KaVo). Standardized periapical radiographs were taken. The teeth were sectioned for histological validation and examined under 25x magnification under a stereomicroscope (Leica M27.5) using Downer criteria 0-4 as the gold standard. The correlation of diagnostic methods with histological analyses was evaluated using Spearman’s rank correlation coefficients (rho). Results: All teeth were scored from 0 to 6 for ICDAS-II. The highest correlation of the gold standard was found with ICDAS-II followed by FluoreCam and DIAGNOdent Pen®. The association strength of ICDAS-II, Radiography, FluoreCam and DIAGNOdent Pen® with the histological evaluation was quite strong (p<0.05). Both fluorescence-based methods performed similarly. Conclusions: Radiograph is not specific for early carious lesions but may be used as an adjunct method for dentin caries. ICDAS-II classification is an accurate method for clinical examination of occlusal caries however additionally using fluorescence as a quantitative and visual examination is quite supportive and reinforcing especially for detecting enamel caries lesions.

Keywords: dental caries; diagnosis; fluorescence; radiography

Reference

Roberson T, Heymann HO, Swift Jr EJ. Clinical significance of dental anatomy, histology, physiology and occlusion. Sturdevant’s art and science of operative dentistry. 4th Edition, Mosby Inc., Orlando, 476-483

Diniz MB, Lima LM, Eckert G, Zandona AF, Cordeiro RC, Pinto LS. In vitro evaluation of ICDAS and radiographic examination of occlusal surfaces and their association with treatment decisions. Oper Dent, 2011;36:133-142

Pitts NB. ” ICDAS”-an international system for caries detection and assessment being developed to facilitate caries epidemiology, research and appropriate clinical management. Community Dent Health, 2004:193-198

Jablonski-Momeni A, Stachniss V, Ricketts D, Heinzel-Gutenbrunner M, Pieper K. Reproducibility and accuracy of the ICDAS-II for detection of occlusal caries in vitro. Caries Res, 2008;42:79-87

Gomez J, Zakian C, Salsone S, Pinto SCS, Taylor A, Pretty IA,et al. In vitro performance of different methods in detecting occlusal caries lesions. J Dent, 2013;41:180-186

Mital P, Mehta N, Saini A, Raisingani D, Sharma M. Recent advances in detection and diagnosis of dental caries. J Evo Med Dent Sci, 2014;3:177-192

Fejerskov O, Nyvad B, Kidd E. Dental caries: the disease and its clinical management. John Wiley & Sons; 2015

Stabulas-Savage JJ. Frommer’s Radiology for the Dental Professional-E-Book. Elsevier Health Sciences; 2018

Hibst R, Paulus R, Lussi A. Detection of occlusal caries by laser fluorescence: basic and clinical investigations. Med Laser Appl, 2001;16:205-213

Jablonski-Momeni A, Liebegall F, Stoll R, Heinzel-Gutenbrunner M, Pieper K. Performance of a new fluorescence camera for detection of occlusal caries in vitro. Lasers Med Sci, 2013;28:101-109

Durmus B, Durhan A, Gökkaya B, Kıtıki B, Yanıkoğlu F, Kargül B. A novel quantitative light-induced fluorescence device for monitoring molar-incisor hypomineralization. Niger J Clin Pract, 2017;20:71-76

Mazur M, Jedliński M, Ndokaj A, Corridore D, Maruotti A, Ottolenghi L, et al. Diagnostic Drama. Use of ICDAS II and Fluorescence-Based Intraoral Camera in Early Occlusal Caries Detection: A Clinical Study. Int J Env Res Public Health, 2020;17:2937

Banting D, Eggertsson H, Ekstrand K, et al. Rationale and evidence for the international caries detection and assessment system (ICDAS II). Ann Arbor, 2005;1001:48109-1078

Rodrigues J, Hug I, Diniz M, Lussi A. Performance of fluorescence methods, radiographic examination and ICDAS II on occlusal surfaces in vitro. Caries Res, 2008;42:297-304

Downer MC. Concurrent validity of an epidemiological diagnostic system for caries with the histological appearance of extracted teeth as validating criterion. Caries Res, 1975;9:231-246

Lussi A, Hibst R, Paulus R. DIAGNOdent: an optical method for caries detection. J Dent Res, 2004;83:80-83

Jablonski-Momeni A, Ricketts DN, Rolfsen S, et al. Performance of laser fluorescence at tooth surface and histological section. Lasers Med Sci, 2011;26:171-178

Jablonski-Momeni A, Stucke J, Steinberg T, Heinzel-Gutenbrunner M. Use of ICDAS-II, fluorescence-based methods, and radiography in detection and treatment decision of occlusal caries lesions: an in vitro study. Int J Dent, 2012:2012:371595

Moreira LMYA, Amarante BC, Marotta BM, Iida CH, Nishimura DA, Schumiski S, et al. Laser fluorescence as an alternative for digital radiography in detecting caries lesions: a literature review. Clin Lab Res Dent, 2020:1-10

Diniz MB, Rodrigues JA, Hug I, De Cássia Loiola Cordeiro R, Lussi A. Reproducibility and accuracy of the ICDAS-II for occlusal caries detection. Community Dent Oral Epidemiol, 2009;37:399-404

Ekstrand K, Ricketts D, Kidd E. Reproducibility and accuracy of three methods for assessment of demineralization depth on the occlusal surface: an in vitro examination. Caries Res, 1997;31:224-231

Wolwacz VF, Chapper A, Busato ALS, Barbosa AN. Correlation between visual and radiographic examinations of non-cavitated occlusal caries lesions: an in vivo study. Braz Oral Res,2004;18:145-149

Wenzel A. Bitewing and digital bitewing radiography for detection of caries lesions. J Dent Res, 2004;83:72-75

Ricketts D, Kidd E, Weerheijm K, de Soet H. Hidden caries: what is it? Does it exist? Does it matter? Int Dent J, 1997;47:259-265

Bhumireddy JR, Challa R, Mallineni SK, Nuvvula S. Comparison of International Caries Detection and Assessment System and digital radiographs for detecting occlusal dental caries: An In vivo Study. Eur J Gen Dent, 2018;7:61-65

Verdonschot E, Wenzel A, Truin G, König K. Performance of electrical resistance measurements adjunct to visual inspection in the early diagnosis of occlusal caries. J Dent, 1993;21:332-337

Espelid I. Radiographic diagnoses and treatment decisions on approximal caries. Community Dent Oral Epidemiol, 1986;14:265-270

Mileman P, Van Der Weele L. Accuracy in radiographic diagnosis: Dutch practitioners and dental caries. J Dent, 1990;18:130-136

Castilho LS, Cotta FV, Bueno AC, Moreira AN, Ferreira EF, Magalhães CS. Validation of DIAGNO dent laser fluorescence and the International Caries Detection and Assessment System (ICDAS) in diagnosis of occlusal caries in permanent teeth: an in vivo study. Eur J Oral Sci, 2016;124:188-194

Yanikoglu F, Avci H, Celik ZC, Tagtekin D. Diagnostic performance of ICDAS II, FluoreCam and ultrasound for flat surface caries with different depths. Ultrasound Med Biol, 2020;46:1755-1760

Souza-Zaroni W, Ciccone J, Souza-Gabriel A, Ramos R, Corona S, Palma-Dibb R. Validity and reproducibility of different combinations of methods for occlusal caries detection: an in vitro comparison. Caries Res, 2006;40:194-201

Foros P, Oikonomou E, Koletsi D, Rahiotis C. Detection Methods for Early Caries Diagnosis: A Systematic Review and Meta-Analysis. Caries Res, 2021:1-13

Marczuk-Kolada G, Luczaj-Cepowicz E, Obidzinska M, Rozycki J. Performance of ICDAS II and fluorescence methods on detection of occlusal caries-An ex vivo study. Photodiagnosis Photodyn Ther, 2020;29:101609

Kockanat A, Unal M. In vivo and in vitro comparison of ICDAS II, DIAGNOdent pen, CarieScan PRO and SoproLife camera for occlusal caries detection in primary molar teeth. Eur J Paediatr Dent, 2017;18:99-104

Ünal M, Koçkanat A, Güler S, Gültürk E. Diagnostic performance of different methods in detecting incipient non-cavitated occlusal caries lesions in permanent teeth. J Clin Pediatr Dent, 2019;43:173-179

Balkan Journal of Dental Medicine, 2023, vol. 27, br. 3, str. 154-161

Alkan Elifa, Mücahit Akça Arifb, Şeker Merveb, Meşeli Simgea, Kargül Betülc, Tağtekin Dileka, Yanikoğlu Fundad, Çelik Zeynep Cerene

Abstract

Reference

Alkan Elif^a, Mücahit Akça Arif^b, Şeker Merve^b, Meşeli Simge^a, Kargül Betül^c, Tağtekin Dilek^a, Yanikoğlu Funda^d, Çelik Zeynep Ceren^e