Diagnostic Comparison of Different Methods for Detection of Occlusal Caries Lesions In New Erupted Permanent Teeth

Year 2025, , 71 - 74, 20.01.2025

İrem İpek Fatih Öznurhan Cansu Derdiyok Büsra Keskuş Şengül

https://doi.org/10.17567/currresdentsci.1617451

Abstract

Objective: The aim of this study is to evaluate the effectiveness of the alternating current impedance spectroscopy device in the diagnosis of occlusal caries using visual and radiovisiography and determining the inter-researcher reliability of the device by repeating it with two different researchers. Materials and Methods: From thirty-five patients, a total of thirty-five new eruptive occlusal first molar teeth with intact or early decay were included. It was examined by visual, radiovisiography and CarieScan Pro (CP) device by two researchers with independent clinical experience.
Results: With regard to intra-observer agreement for examiner 1 and 2, while there was only statistically significant difference between CP and ICDAS-II (P<.005), no significant difference was found among other groups. A high inter observer agreement and moderately good kappa value were seen.
Conclusion: The ICDAS-II method alone appears to be sufficient for the diagnosis of occlusal caries. It was concluded that the CP technique showed a low ability to reveal occlusal carious lesions on enamel and/or dentin in newly erupted permanent molars.
Keywords: Caries Diagnosis, CarieScan Pro, ICDAS-II

Keywords

Caries Diagnosis, CarieScan Pro, ICDAS-II

References

• 1. Teo TK-Y, Ashley PF, Louca C. An in vivo and in vitro investigation of the use of ICDAS, DIAGNOdent pen and CarieScan PRO for the detection and assessment of occlusal caries in primary molar teeth. Clin Oral Investig. 2014;18(3):737-744.
• 2. Lussi A, Firestone A, Schoenberg V, Hotz P, Stich H. In vivo diagnosis of fissure caries using a new electrical resistance monitor. Caries Res. 1995;29(2):81-87.
• 3. Welbury R, Raadal M, Lygidakis N. EAPD guidelines for the use of pit and fissure sealants. Eur J Paediatr Dent. 2004;5:179-184.
• 4. Axelsson P. Diagnosis and risk prediction of dental caries. 2000;
• 5. Foros P, Oikonomou E, Koletsi D, Rahiotis C. Detection methods for early caries diagnosis: A systematic review and meta-analysis. Caries Res. 2021;55(4):247-259.
• 6. Loesche WJ, Svanberg ML, Pape HR. Intraoral transmission of Streptococcus mutans by a dental explorer. J Dent Res. 1979;58(8):1765-1770.
• 7. Ekstrand K, Qvist V, Thylstrup A. Light microscope study of the effect of probing in occlusal surfaces. Caries Res. 1987;21(4):368-374.
• 8. Fejerskov O. Concepts of dental caries and their consequences for understanding the disease. Community Dent Oral Epidemiol. 1997;25(1):5-12.
• 9. Souza J, Boldieri T, Diniz M, Rodrigues J, Lussi A, Cordeiro RdCL. Traditional and novel methods for occlusal caries detection: performance on primary teeth. Lasers Medical Sci. 2013;28:287-295.
• 10. Menem R, Barngkgei I, Beiruti N, Al Haffar I, Joury E. The diagnostic accuracy of a laser fluorescence device and digital radiography in detecting approximal caries lesions in posterior permanent teeth: an in vivo study. Lasers Med Sci. 2017;32:621-628.
• 11. Huysmans M-C, Longbottom C, Pitts N, Los P, Bruce P. Impedance spectroscopy of teeth with and without approximal caries lesions-an in vitro study. J Dent Res. 1996;75(11):1871-1878.
• 12. Kockanat A, Unal M. In vivo and in vitro comparison of ICDAS II, DIAGNOdent pen, CarieScan PRO and SoproLife camera for occlusal caries detection in primary molar teeth. Eur J Paediatr Dent 2017;18(2):99-104.
• 13. Ari T, Ari N. The performance of ICDAS-II using low-powered magnification with light-emitting diode headlight and alternating current impedance spectroscopy device for detection of occlusal caries on primary molars. ISRN dentistry. 2013;2013
• 14. Theocharopoulou A, Lagerweij M. Use of the ICDAS system and two fluorescence-based intraoral devices for examination of occlusal surfaces. Eur J Paediatr Dent. 2015;16(1):51-55.
• 15. Ferreira RI, Haiter-Neto F, Tabchoury CPM, Paiva GANd, Bóscolo FN. Assessment of enamel demineralization using conventional, digital, and digitized radiography. Braz Oral Res. 2006;20(2):114-119.
• 16. Tassery H, Levallois B, Terrer E, et al. Use of new minimum intervention dentistry technologies in caries management. AustrDent J. 2013;58:40-59.
• 17. Carvalho JC, Thylstrup A, Ekstrand KR. Results after 3 years of non‐operative occlusal caries treatment of erupting permanent first molars. Community Dent Oral Epidemiol. 1992;20(4):187-192.
• 18. Ünal M, Koçkanat A, Güler S, Gültürk E. Diagnostic performance of different methods in detecting incipient non-cavitated occlusal caries lesions in permanent teeth. J Clin Pediatr Dent. 2019;43(3):173-179.
• 19. Sürme K, Kara NB, Yilmaz Y. In vitro evaluation of occlusal caries detection methods in primary and permanent teeth: a comparison of CarieScan PRO, DIAGNOdent Pen, and DIAGNOcam methods. Photobiomodulation, Photom Laser Surg. 2020;38(2):105-111.
• 20. Shoaib L, Deery C, Ricketts D, Nugent Z. Validity and reproducibility of ICDAS II in primary teeth. Caries Res. 2009;43(6):442-448.
• 21. Jablonski-Momeni A, Stachniss V, Ricketts D, Heinzel-Gutenbrunner M, Pieper K. Reproducibility and accuracy of the ICDAS-II for detection of occlusal caries in vitro. Caries Res. 2008;42(2):79-87.
• 22. Ari T, Ari N. The performance of ICDAS-II using low-powered magnification with light-emitting diode headlight and alternating current impedance spectroscopy device for detection of occlusal caries on primary molars. Int Sch Res. 2013;2013
• 23. Popuri VD, Nirmala S, Mallineni SK, Nuvvula S. In Vivo Comparative Enactment of CarieScanPRO™ with Conventional Methods to Detect Occlusal Carious Lesions in the Mandibular Primary Molars. Int J Clin Pediatr Dent. 2019;12(4):325.
• 24. Eldarrat A, High A, Kale G. Age-related changes in ac-impedance spectroscopy studies of normal human dentine: further investigations. J MaterSci: Materials in Medicine. 2010;21(1):45-51.
• 25. Eldarrat AH, Wood DJ, Kale GM, High AS. Age-related changes in ac-impedance spectroscopy studies of normal human dentine. J Mater Sc: Materials in Medicine. 2007;18(6):1203-1210.
• 26. Ekstrand K, Ricketts D, Kidd E. Reproducibility and accuracy of three methods for assessment of demineralization depth on the occlusal surface: an in vitro examination. Caries Res. 1997;31(3):224-231.
• 27. Neuhaus KW, Ciucchi P, Rodrigues JA, Hug I, Emerich M, Lussi A. Diagnostic performance of a new red light LED device for approximal caries detection. Lasers Med Sci. 2015;30(5):1443-1447.
• 28. Rodrigues J, Hug I, Diniz M, Lussi A. Performance of fluorescence methods, radiographic examination and ICDAS II on occlusal surfaces in vitro. Caries Res. 2008;42(4):297-304.
• 29. Fung L, Smales R, Ngo H, Mount G. Diagnostic comparison of three groups of examiners using visual and laser fluorescence methods to detect occlusal caries in vitro. Austr Dent J. 2004;49(2):67-71.
• 30. Rodrigues JA, Diniz MB, Josgrilberg ÉB, Cordeiro RC. 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):501-506.
• 31. Ismaïl AI, Sohn W, Tellez M, et al. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007;35(3):170-178.
• 32. Chesters R, Pitts N, Matuliene G, et al. An abbreviated caries clinical trial design validated over 24 months. J Dent Res. 2002;81(9):637-640.