Assessment of the accuracy of the fluorescence devices and radiography for the diagnosis of caries in primary teeth

a systematic review and meta-analysis

Authors

DOI:

https://doi.org/10.35699/2178-1990.2022.35908

Keywords:

radiography, fluorescence, dental caries, systematic review

Abstract

Aim: This systematic review and meta-analysis aimed to evaluate the accuracy of the fluorescence induction devices and radiographic method for diagnosing dental caries in primary teeth.

Methods: Searches in PubMed, Web of Science, Scopus, Embase, Open Grey, and Google Scholar were conducted in August 2021. References that met the eligibility criteria were included. The risk of bias of the included articles was assessed with QUADAS-2. Meta-analyses were performed with MedCalc. Results were provided as area under the curve (AUC), confidence interval (CI), and standard error (SE).

Results: Titles/abstracts of 619 references were evaluated by two trained reviewers independently. Fifty-six articles were selected for full-text reading. Eleven articles were included in the systematic review and meta-analysis. The included articles showed a low risk of bias. The AUC for the diagnosis of caries on enamel with the DIAGNOdent laser was 75.8% (CI = 68.1% - 83.6% / SE = 3.9% / I2 = 67.95%), whereas for the diagnosis of caries on dentin, it was 80.6% (AUC = 80.6% / CI = 65.7% - 95.6% / SE = 7.6% / I2 = 89.24%). The AUC for the diagnosis of enamel caries with the interproximal radiograph was 61.7% (CI = 51.4% - 72.1% / SE = 5.3% / I2 = 44.51%) and the AUC for the diagnosis of dentin caries with the interproximal radiograph was 73.7% (CI = 45.1% - 100% / SE = 14.6% / I2 = 96.97%).

Conclusion: Radiography and fluorescence devices are useful tools for the diagnosis of caries in deciduous teeth. Both showed better results in dentin lesions. The methods using fluorescence had better results in enamel when compared to radiography.

Uniterms: radiography; fluorescence; dental caries; systematic review.

Downloads

Download data is not yet available.

References

Conrads G, About I. Pathophysiology of dental caries. Monogr Oral Sci. 2018;27:1-10.

Douglass JM, Douglass AB, Silk HJ. A practical guide to infant oral health. Am Fam Physician. 2004;70(11):2113-20.

Volschan BCG. Diagnóstico social da cárie de estabelecimento precoce em comunidade assistida pelo Programa Médico de Família, Niterói-RJ, 2001 [Tese de Doutorado]. Rio de Janeiro: Faculdade de Odontologia. Universidade Federal Fluminense; 2001.

Ardenghi TM, Piovesan C, Antunes JLF. Inequalities in untreated dental caries prevalence in preschool children in Brazil. Rev Saude Publica. 2013;47:129-37.

Narvai PC, Frazão P, Roncalli AG, Antunes JLF. Dental caries in Brazil: decline, polarization, inequality and social exclusion. Rev Panam Salud Publica. 2006;19:385-93.

Antunes LAA, Ornellas G, Fraga RS, Antunes LS. Oral health outcomes: the association of clinical and socio-dental indicators to evaluate dental caries in preschool children. Cien Saude Colet. 2018;23:491-500.

Filstrup SL, Briskie D, Fonseca M, Lawrence L, Wandera A, Inglehart MR. Early childhood caries and quality of life: child and parent perspectives. Pediatr Dent. 2003; 25:431–40

Baelum V, Nyvad B, Grondahl HG, Fejerskov O. The foundations of good diagnostic practice. In: Fejerskov O, Nyvad B, Kidd E. Dental caries. The disease and its clinical management. 3rd edition. Wiley; 2008. p. 173-90.

Lamont RJ, Egland PG. Dental caries. In: TANG Y, et al. Molecular medical microbiology. 2nd edition. Elsevier; 2004. p. 945-55.

Neuhaus KW, Ellwood E, Lussi A, Pitts NP. Traditional lesion detection aids. Monogr Oral Sci. 2009;21:42-51.

Braga MM, Mendes FM, Ekstrand KR. Detection activity assessment and diagnosis of dental caries lesions. Dent Clin North Am. 2010;54(3):479-93.

Novaes TF, Matos R, Raggio DP, Braga MM, Mendes FM. Children’s discomfort in assessments using different methods for approximal caries detection. Braz Oral Res. 2012;26(2):93-9.

Silva Neto JM, Santos RL, Sampaio MC, Sampaio FC, Passos IA. Radiographic diagnosis of incipient proximal caries: an ex-vivo study. Braz Dent J. 2008;19(2):97-102.

Slimani A, Terrer E, Manton DJ, Tassery H. Carious lesion detection technologies: factual clinical approaches. Br Dent J. 2020;229(7):432-42.

Karlsson L. Caries detection methods based on changes in optical properties between healthy and carious tissue. Int J Dent. 2010;2010:270729.

Figueiredo ACR. Fluorescência no diagnóstico de cárie [Dissertação]. São Carlos: Escola de Engenharia de São Carlos. Universidade de São Paulo; 2003.

Khalife MA, Boynton JR, Dennison JB, Yaman P, Hamilton JC. In vivo evaluation of DIAGNOdent for the quantification of occlusal dental caries. Oper Dent. 2009;34(2):136-41.

Lee YK. Fluorescence properties of human teeth and dental calculus for clinical applications. J Biomed Opt. 2015;20(4):040901.

König K, Flemming G, Hibst R. Laser-induced autofluorescence spectroscopy of dental caries. Cell Mol Biol. 1998;44(8):1293-300.

Lussi A, Hibst R, Paulus R. DIAGNOdent: an optical method for caries detection. Dent Res. 2004;83:80-3.

McDonald RE, Riley JW. Dental caries in the child and adolescent. In: Dean JA, Avery DR, McDonald RE. McDonald and Avery dentistry for the child and adolescent. Elsevier; 2011. p.177– 90.

Twetman S, Axelsson S, Dahlén G, Espelid I, Mejàre I, Norlund A, et al. Adjunct methods for caries detection: a systematic review of literature. Acta Odontol Scand. 2013;71(3-4):388-97.

Gomez J. Detection and diagnosis of the early caries lesion. BMC Oral Health. 2015;15(Suppl 1):S3.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. Updating guidance for reporting systematic reviews: development of the PRISMA 2020 statement. J Clin Epidemiol. 2021;134:103-12.

Haddaway NR, Collins AM, Coughlin D, Kirk S. The role of google scholar in evidence reviews and its applicability to grey literature searching. PLoS One. 2015;10(9):e0138237

Whiting PF, Rutjes AW, Westwood ME, Mallett S, Deeks JJ, Reitsma JB, et al. QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med. 2011;155(8),529-36.

Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al. (eds). Cochrane handbook for systematic reviews of interventions version 6.2 [monografia na Internet]. Cochrane; 2021 [acesso em 2021 Fev). Disponível em: www.training.cochrane.org/handbook.

Neuhaus KW, Rodrigues JA, Hug I, Stich H, Lussi A. Performance of laser fluorescence devices, visual and radiographic examination for the detection of occlusal caries in primary molars. Clin Oral Invest. 2011;15:635–41.

Braga MM, Morais CC, Nakama RCS, Leamari VM, Siqueira WL, Mendes FM. In vitro performance of methods of approximal caries detection in primary molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108(4):e35-41.

Novaes TF, Matos R, Gimenez T, Braga MM, Benedetto MS, Mendes FM. Performance of fluorescence-based and conventional methods of occlusal caries detection in primary molars - an in vitro study. Int J Paediatr Dent. 2012;22(6):459-66.

Kavvadia K, Lagouvardos P, Apostolopoulou D. Combined validity of DIAGNOdent™ and visual examination for in vitro detection of occlusal caries in primary molars. Lasers Med Sci. 2011;27(2):313-9.

Souza JF, Boldieri T, Diniz MB, Rodrigues JA, Lussi A, Cordeiro RCL. Traditional and novel methods for occlusal caries detection: performance on primary teeth. Lasers Med Sci. 2012;28:287–95.

Virajsilp V, Thearmontree A, Aryatawong S, Paiboonwarachat D. Comparison of proximal caries detection in primary teeth between laser fluorescence and bitewing radiography. Pediatr Dent. 2005;27(6):493-9.

Attrill DC, Ashley PF. Occlusal caries detection in primary teeth: a comparison of DIAGNOdent with conventional methods. Br Dent J. 2001;190(8):440-3.

Souza JF, Diniz MB, Boldieri T, Rodrigues JA, Lussi A, Cordeiro RCL. In vitro performance of a pen-type laser fluorescence device and bitewing radiographs for approximal caries detection in permanent and primary teeth. Indian J Dent Res. 2014;25(6):702-10.

Lussi A, Francescut P. Performance of conventional and new methods for the detection of occlusal caries in deciduous teeth. Caries Res. 2003;37:2–7.

Mendes FM, Ganzerla E, Nunes AF, Puig AVC, Imparato JCP. Use of high-powered magnification to detect occlusal caries in primary teeth. Am J Dent. 2006;19(1):19-22.

Bahramian H, Argani P, Baghalian A. Comparison of different diagnostic techniques in detecting smooth surface caries in primary molars using the histological gold standard: an in vitro study. Photodiagnosis Photodyn Ther. 2020;31:101867.

Fejerskov O, Kidd E. Cárie dentária: a doença e seu tratamento clínico. São Paulo: Santos; 2005.

Obuchowski NA. Receiver operating characteristic curves and their use in radiology. Radiology. 2003;229:3–8

Downer MC. Validation of methods used in dental caries diagnosis. Int Dent J. 1989;39(4):241-6.

Ekstrand KR, Kuzmina I, Bjørndal L, Thylstrup A. Relationship between external and histologic features of progressive stages of caries in the occlusal fossa. Caries Res. 1995;29(4):243-50.

Bozdemir E, Aktan AM, Ozsevik A, Kararslan ES, Ciftci ME, Cebe MA, et al. Comparison of different caries detectors for approximal caries detection. J Dent Sci. 2016;11(3):293-8.

Novaes TF, Matos R, Braga MM, Imparato JCP, Raggio DP, Mendes FM. Performance of a pen-type laser fluorescence device and conventional methods in detecting approximal caries lesions in primary teeth –in vivo study. Caries Res. 2008;43(1):36-42.

Wezel A. Bitewing and digital bitewing radiography for detection of caries lesions. J Dent Res. 2004;83:72-5.

Shi XQ, Walander U, Angmar-Mansson B. Occlusal caries detection with KaVo DIAGNOdent and radiographic examination: an in vitro comparison. Caries Res. 2000;34(2):151–8.

Benedetto MS, Morais CC, Novaes TF, Almeida Rodrigues J, Braga MM, Mendes FM. Comparing the reliability of a new fluorescence camera with conventional laser fluorescence devices in detecting caries lesions in occlusal and smooth surfaces of primary teeth. Lasers Med Sci. 2011;26(2):157-62.

Rodrigues JA, Diniz MB, Josgrilberg KB, Cordeiro RCL. In vitro comparison of laser fluorescence performance with visual examination for detection of occlusal caries in permanent and primary molars. Lasers Med Sci. 2009;24(4):501-6.

Diniz MB, Cordeiro RCL, Ferreira-Zandona AG. Detection of caries around amalgam restorations on approximal surfaces. Oper Dent. 2016;41(1):34-43.

Published

2022-07-18

How to Cite

Gondim, R. S., & Abreu, L. G. (2022). Assessment of the accuracy of the fluorescence devices and radiography for the diagnosis of caries in primary teeth: a systematic review and meta-analysis. Arquivos Em Odontologia, 58, 63–86. https://doi.org/10.35699/2178-1990.2022.35908

Issue

Section

Artigos

Most read articles by the same author(s)

1 2 > >>