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Assessment of the Depth of Clinically Detected Approximal Caries Lesions Using Digital Imaging Fiber-Optic Transillumination in Comparison to Periapical Radiographs J Oral Maxillofac Res 2020;11(1):e3 doi:10.5037/jomr.2020.11103 Abstract | HTML | PDF | XML |
Assessment of the Depth of Clinically Detected Approximal Caries Lesions Using Digital Imaging Fiber-Optic Transillumination in Comparison to Periapical Radiographs
1Department of Dental and Oral Pathology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
2Private practice.
3Department of Preventive and Paediatric Dentistry, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Corresponding Author:
Vaizganto 54, Kaunas
Lithuania
Phone: +370 65060506
E-mail: auste.antipoviene@gmail.com
ABSTRACT
Objectives: The aim of present prospective clinical trial was to assess the depth of clinically detected approximal caries lesions using digital imaging fiber-optic transillumination in comparison to periapical radiographs.
Material and Methods: One calibrated examiner diagnosed 31 approximal carious lesions in 10 patients with a mean age of 21.8 (SD 1.1) years. The lesions were assessed using digital imaging fiber-optic transillumination (DIFOTI) and digital periapical radiographs (PA). Depending on the depth of the lesions, scores for demineralisation in PA (R) and DIFOTI (F) images were given by two examiners: R0/F0 - no demineralisation, R1/F1 - demineralisation confined to the outer half of the enamel, R2/F2 - into the inner half of the enamel, 3/3 - along the amelodentinal junction, R3/F3 - into the outer half of dentine, R4/F4 - into the inner part of the dentine. Spearman’s rank correlation coefficient and kappa were calculated.
Results: Spearman’s rank correlation coefficient between DIFOTI and PA was 0.031 (P > 0.05), kappa was 0.077. In 26% of the cases, DIFOTI showed higher scores of demineralisation, relative to PA. In 36% of the cases, PA showed higher scores of demineralisation than DIFOTI. PA showed demineralisation into the outer and inner half of the dentine in 89% of the cases with underlying shadow and in 70% of the cases with opacities.
Conclusions: Digital imaging fibre optic transillumination and periapical radiographs produce evaluations of the depth of approximal caries lesions that do not match.
J Oral Maxillofac Res 2020;11(1):e3
doi: 10.5037/jomr.2020.11103
Accepted for publication: 17 January 2020
Keywords: dental caries; dental digital radiography; diagnostic imaging; dental radiography; transillumination.
To cite this article: Assessment of the Depth of Clinically Detected Approximal Caries Lesions Using Digital Imaging Fiber-Optic Transillumination in Comparison to Periapical Radiographs J Oral Maxillofac Res 2020;11(1):e3 URL: http://www.ejomr.org/JOMR/archives/2020/1/e3/v11n1e3ht.htm |
Received: 8 August 2019 | Accepted: 17 January 2020 | Published: 31 March 2020
Copyright: © The Author(s). Published by JOMR under CC BY-NC-ND 3.0 licence, 2020.