Performance of methods for detecting occlusal caries lesions: ICDAS X radiological image

Authors

DOI:

https://doi.org/10.33448/rsd-v9i10.8490

Keywords:

Dental Caries; Efficiency; X-Rays; Diagnosis.

Abstract

Objective: We investigated the precision and accuracy of methods to detect caries lesions on the occlusal surface in vitro using ICDAS and radiological image. Methodology: Human third molars (n=14) were placed in an acrylic resin base and maintained wet during the study. The occlusal surfaces were visually inspected by three examiners using the International Caries Detection and Assessment System (ICDAS) method. The condition of each tooth was registered by images obtained with Digital Radiography (DR), Microcomputed Tomography (µ-CT) and Histologic Specimen (HS). For each tooth and method utilized in the study, an image was selected based on the largest extension of caries found, wherein the three examiners attributed a score to the lesion in accordance with the visual description of each method. The Kappa index, Fisher’s exact test and the Spearman´s correlation coefficient were used for evaluating reliability and accuracy, with a significance level of 5%. Results: Considerable interobserver reliability values were found for ICDAS (k = 0.701), almost perfect for µ-CT (k = 0.855) and HS (k = 0.920), and reasonable for DR (k = 0.221). Significant statistical difference was observed for ICDAS (p < 0.05), and for DR and µ-CT methods (p < 0.01). The correlation was moderate for ICDAS (r = 0.597), high for DR (r = 0.764) and perfect for µ-CT (1.000). Conclusions: the most reliability method for detecting caries lesions on occlusal surfaces in vitro was µ-CT, followed by ICDAS and DR. The most accurate method was µ-CT, followed by DR and ICDAS.

References

Al-Khatrash, A. A., Badran, Y. M., & Alomari, Q. D. (2011). Factors affecting the detection and treatment of occlusal caries using the International Caries Detection and Assessment System. Operative Dentistry, 36(6), 597-607.

Banting, D., Deery, C., Eggertsson, H., Ekstrand, K. R., Zandoná, A. F., Ismail, A. I., Longbottom, C., Martignon, S., Pitts, N. B., Reich, E., Ricketts, D., Selwitz, R., Sohn, W., Douglas, G. V. A., & Zero, D. T. (2012). Rationale and evidence for the international caries detection and assessment system (ICDAS II). Retrieved from https://www.iccms-web.com/uploads/asset/592848be55d87564970232.pdf.

Braga, M. M., Oliveira, L. B., Bonini, G. V. C., Bönecker, M., & Mendes, F. M. (2009). Feasibility of the International Caries Detection and Assessment System (ICDAS-II) in epidemiological surveys and comparability with standard World Health Organization criteria. Caries Research, 43(4), 245-9.

Brocklehurst, P., Ashley, J., Walsh, T., & Tickle, M. (2012). Relative performance of different dental professional groups in screening for occlusal caries. Community Dentistry and Oral Epidemiology, 40(3), 239-246.

Davis, G. R., Evershed, A. N. Z., & Mills, D. (2013). Quantitative high contrast X-ray microtomography for dental research. Journal of Dentistry, 41(5), 475-82.

Ekstrand, K. R., Martignon, S., Ricketts, D. J., & Qvist, V. (2007). Detection and activity assessment of primary coronal caries lesions: a methodologic study. Operative Dentistry, 32(3), 225-35.

Ekstrand, K. R., Gimenez, T., Ferreira, F. R., Mendes, F. M., & Braga, M M. (2018). The International Caries Detection and Assessment System–ICDAS: A Systematic Review. Caries Research, 52(5), 406-419.

Elfrink, M. E. C., Ten Cate, J. M., Van Ruijven, L. J., & Veerkamp, J. S. J. (2013). Mineral content in teeth with deciduous molar hypomineralisation (DMH). Journal of Dentistry, 41(11), 974-8.

Hintze, H., & Wenzel, A. (2003). Diagnostic outcome of methods frequently used for caries validation: A comparison of clinical examination, radiography and histology following hemisectioning and serial tooth sectioning. Caries Research, 37(2), 115-24.

Ismail, A. I. (2004). Visual and visuo-tactile detection of dental caries. Journal of Dental Research, 83(Spec No C), 56-66.

Jablonski-Momeni, A., Stachniss, V., Ricketts, D. N., Heinzel-Gutenbrunner, M., & Pieper, K. (2008). Reproducibility and accuracy of the ICDAS-II for detection of oclusal caries in vitro. Caries Research, 42(2), 79-87.

Ko, H. Y., Kang, S. M., Kim, H. E., Kwon, H. K., & Kim, B. I. (2015). Validation of quantitative light-induced fluorescence-digital (QLF-D) for the detection of approximal caries in vitro. Journal of Dentistry, 43(5), 568-575.

Marques, L. C., & Appoloni, C. R. (2015). Quantification of fluids injection in a glass-bead matrix using X-ray microtomography. Micron, 74, 35-43.

Mitropoulos, P., Rahiotis, C., Kakaboura, A., & Vougiouklakis, G. (2012). The impact of magnification on occlusal caries diagnosis with implementation of the ICDAS II criteria. Caries Research, 46(1), 82-86.

Neuhaus, K. W., Rodrigues, J. A., Hug, I., Stich, H., & Lussi, A. (2011). Performance of laser fluorescence devices, visual and radiographic examination for the detection of occlusal caries in primary molars. Clinical Oral Investigations, 15(5), 635-641.

Özkan, G., Kanli, A., Başeren, N. M., Arslan, U., & Tatar, I. (2015). Validation of micro-computed tomography for occlusal caries detection: an in vitro study. Brazilian Oral Research, 29(1), 1-7.

Park, Y. S., Ahn, J S., Kwon, H. B., & Lee, S. P. (2011). Current status of dental caries diagnosis using cone beam computed tomography. Imaging Science in Dentistry, 41(2), 43-51.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica.[e-book]. Santa Maria. Ed. UAB/NTE/UFSM. Retrieved from https://repositorio. ufsm. br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica. pdf. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1

Pitts, N. B., & Ekstrand, K. R. (2013). International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS) – methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol, 41, e41–e52.

Rechmann, P., Charland. D., Rechmann, B. M. T., & Featherstone J. D B. (2012). Performance of laser fluorescence devices and visual examination for the detection of occlusal caries in permanent molars. Journal of Biomedical Optics, 17 (3), 0360061-5.

Rodrigues, J A., De Oliveira, R. S., Hug, I., Neuhaus, K., & Lussi, A. (2013). Performance of Experienced Dentists in Switzerland After an E‐Learning Program on ICDAS Occlusal Caries Detection. Journal of Dental Education, 77, 1086-1091.

Soviero, V. M., Leal, S C., Silva, R. C., & Azevedo, R. B. (2012). Validity of MicroCT for in vitro detection of proximal carious lesions in primary molars. Journal of Dentistry, 40 (1), 35-40.

Topping, G. A., Hally J. D., Bonner B., & Pitts N. B. (2008). International Caries Detection and Assessment System (ICDAS) E-Learning Program. Package: interactive CD-ROM and Web-based software. Smile-On, London.

Young, D. A., Nový, B. B., Zeller, G. G., & Hale, R. (2015). The American Dental Association Caries Classification System for Clinical Practice: A report of the American Dental Association Council on Scientific Affairs. The Journal of the American Dental Association, 146 (2), 79-86.

Zandoná, A. F., & Zero, D. T. (2006). Diagnostic tools for early caries detection. The Journal of the American Dental Association, 137 (12), 1675-84.

Zou, W., Hunter, N., & Swain, M. V. (2011). Application of polychromatic µCT for mineral density determination. Journal of Dental Research, 90 (1), 18-30.

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Published

22/09/2020

How to Cite

SIMÕES, T. C. .; MARQUES, L. C.; SÁ, A. T. G. de; MACIEL , S. M. .; POLETI, M. L.; PRADO, F. S. .; GONZÁLEZ, A. H. M. .; RUBIRA-BULLEN, I. R. F. .; BUSSADORI, S. K. .; MOURA, S. K. . Performance of methods for detecting occlusal caries lesions: ICDAS X radiological image. Research, Society and Development, [S. l.], v. 9, n. 10, p. e1859108490, 2020. DOI: 10.33448/rsd-v9i10.8490. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/8490. Acesso em: 22 nov. 2024.

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Section

Health Sciences