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Objective: To evaluate the performance of an impedance spectroscopy technology for detecting non-cavitated occlusal caries lesions in permanent teeth in vitro. The method was compared with a commonly used laser fluorescence device and validated against histology.
Material And Methodology: A non-cavitated sample of 100 extracted posterior teeth was randomly selected and assessed for caries on enamel and dentin level with aid of CarioScan PRO (ACIS) and DIAGNOdent pen (LF pen) by three examiners. After the measurements, the extension of the lesion was histologically determined as gold standard. Sensitivity, specificity, accuracy and receiver-operating curves were calculated. Intra- and inter-examiner reproducibility was expressed by intra class correlation coefficients.
Results: The histological caries prevalence was 99% and 41% exhibited dentin caries. The ACIS technique displayed high specificities but almost negligible sensitivities at readings >50. A similar pattern was noted for the LF pen at readings >30. The intra- and inter-examiner reproducibility varied between 0.47 and 0.98 and the values were generally lower for the ACIS technique than for the LF pen. The inter-examiner agreement reached excellent levels with both methods.
Conclusions: In vitro,the ACIS technique showed a low ability to disclose occlusal caries lesions in the enamel and/or dentin of non-cavitated permanent molars. However, further in vivo studies of permanent occlusal surfaces are needed to mirror the clinical situation.
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http://dx.doi.org/10.2174/1874210601408010028 | DOI Listing |
Eur Arch Paediatr Dent
December 2024
Department of Pediatric Dentistry, Faculty of Dentistry, Mahidol University, 6 Yothee Street, Ratchathewi, Bangkok, 10400, Thailand.
Aims: To quantitatively detect S. mutans, Bifidobacterium, and S. wiggsiae in occlusal biofilm from permanent first molars based on the Visible Occlusal Plaque Index (VOPI), and to analyse the association between their levels and the occlusal enamel caries occurrence following the diagnosis of the International Caries Detection and Assessment System (ICDAS).
View Article and Find Full Text PDFFront Oral Health
December 2024
Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand.
Introduction: Chemo-mechanical caries removal (CMCR) offers an alternative to conventional drilling for carious dentin removal, but limited evidence exists on its long-term effects on treating caries in primary teeth. The primary aims of this study were to compare CMCR to drilling in terms of restoration status and the presence of secondary caries after 24 months.
Methods: A randomized, parallel-group, single-blinded, controlled trial was conducted in Thailand.
Heliyon
December 2024
Department of Mechanical Engineering, Centre for Mechanical Engineering, Materials and Processes (CEMMPRE), University of Coimbra, 3030-788 Coimbra, Portugal.
Restorative treatment is the most common approach to treating dental caries. However, after cavity preparation, some microorganisms may still persist in the substrate, suggesting the use of cavity disinfectants. Nevertheless, their effect on adhesion to composite resins is not yet fully understood, especially in primary teeth.
View Article and Find Full Text PDFInt J Clin Pediatr Dent
September 2024
Department of Pedodontics and Dental Public Health, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.
Objectives: This clinical trial investigated the effectiveness of three minimal intervention dentistry protocols in arresting dentin caries in primary molars of preschool children. Treatment time, anxiety in children, adverse events, and parents' esthetic perception were all assessed.
Materials And Methods: One hundred thirty-five 3-5-year-old children with active dentin caries lesions on the occlusal surface of primary molars were randomly allocated to the control group receiving atraumatic restorative treatment (ART) and two test groups receiving 38% silver diamine fluoride (SDF) or ultraconservative treatment (UCT).
Int J Clin Pediatr Dent
September 2024
Department of Dentistry, Jorhat Medical College and Hospital, Jorhat, Assam, India.
Background: and play an important role in the etiopathogenesis and progression of dental caries (DC). Their quantification and identification may be helpful for epidemiological and early intervention measures.
Objectives: We conducted the study to evaluate the colony counts of and with the location of DC and correlate their prevalence with the age of the patient.
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