OBJECTIVES: This article aimed to evaluate: (a) the agreement between a near-infrared light transillumination device and clinical and radiographic examinations in caries lesion detection and (b) the reliability of images captured by the transillumination device. METHODS: Two calibrated examiners evaluated the caries status in premolars and molars on 52 randomly selected subjects by comparing the transillumination device with a clinical examination for the occlusal surfaces and by comparing the transillumination device with a radiographic examination (bitewing radiographs) for the approximal surfaces. Forty-eight trained dental hygienists evaluated and reevaluated 30 randomly selected images 1-month later. RESULTS: A high concordance between transillumination method and clinical examination (kappa = 0.99) was detected for occlusal caries lesions, while for approximal surfaces, the transillumination device identified a higher number of lesions with respect to bitewing (kappa = 0.91). At the dentinal level, the two methods identified the same number of caries lesions (kappa = 1), whereas more approximal lesions were recorded using the transillumination device in the enamel (kappa = 0.24). The intraexaminer reliability was substantial/almost perfect in 59.4% of the participants. CONCLUSIONS: The transillumination method showed a high concordance compared with traditional methods (clinical examination and bitewing radiographs). Caries detection reliability using the transillumination device images showed a high intraexaminer agreement. Transillumination showed to be a reliable method and as effective as traditional methods in caries detection.

Digital transillumination in caries detection versus radiographic and clinical methods: an in-vivo study / LARA CAPI, Cynthia; Cagetti, Mg; Lingström, P; Lai, Gianfranco; Cocco, Fabio; Simark Mattsson, C; Campus, Guglielmo Giuseppe. - In: DENTOMAXILLOFACIAL RADIOLOGY. - ISSN 0250-832X. - (2017). [doi: 10.1259/dmfr.20160417]

Digital transillumination in caries detection versus radiographic and clinical methods: an in-vivo study.

LARA CAPI, Cynthia;LAI, GIANFRANCO;COCCO, Fabio;CAMPUS, Guglielmo Giuseppe
2017-01-01

Abstract

OBJECTIVES: This article aimed to evaluate: (a) the agreement between a near-infrared light transillumination device and clinical and radiographic examinations in caries lesion detection and (b) the reliability of images captured by the transillumination device. METHODS: Two calibrated examiners evaluated the caries status in premolars and molars on 52 randomly selected subjects by comparing the transillumination device with a clinical examination for the occlusal surfaces and by comparing the transillumination device with a radiographic examination (bitewing radiographs) for the approximal surfaces. Forty-eight trained dental hygienists evaluated and reevaluated 30 randomly selected images 1-month later. RESULTS: A high concordance between transillumination method and clinical examination (kappa = 0.99) was detected for occlusal caries lesions, while for approximal surfaces, the transillumination device identified a higher number of lesions with respect to bitewing (kappa = 0.91). At the dentinal level, the two methods identified the same number of caries lesions (kappa = 1), whereas more approximal lesions were recorded using the transillumination device in the enamel (kappa = 0.24). The intraexaminer reliability was substantial/almost perfect in 59.4% of the participants. CONCLUSIONS: The transillumination method showed a high concordance compared with traditional methods (clinical examination and bitewing radiographs). Caries detection reliability using the transillumination device images showed a high intraexaminer agreement. Transillumination showed to be a reliable method and as effective as traditional methods in caries detection.
2017
Digital transillumination in caries detection versus radiographic and clinical methods: an in-vivo study / LARA CAPI, Cynthia; Cagetti, Mg; Lingström, P; Lai, Gianfranco; Cocco, Fabio; Simark Mattsson, C; Campus, Guglielmo Giuseppe. - In: DENTOMAXILLOFACIAL RADIOLOGY. - ISSN 0250-832X. - (2017). [doi: 10.1259/dmfr.20160417]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11388/175088
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