Performance of Laser Fluorescence for Detection of Occlusal Dentinal Caries Lesions in Permanent Molars: An in vivo Study with Total Validation of the Sample
Performance of Laser Fluorescence for Detection of Occlusal Dentinal Caries Lesions in Permanent Molars: An in vivo Study with Total Validation of the Sample
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DOI:
10.1159/000209347
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发表时间:
2009-01-01
期刊:
影响因子:
4.2
通讯作者:
Llamas, R.
中科院分区:
文献类型:
--
作者:
Abalos, C.;Herrera, M.;Llamas, R.
The objective of this in vivo study was to evaluate the performance of a laser fluorescence device in detecting dentinal caries in noncavitated occlusal surfaces. The sample included 102 first and second permanent molars, selected according to the criteria of Ekstrand et al. [Caries Res 1997;31: 224-231]: 46 not suspected of having dentinal caries (score: 0-2) and 56 under suspicion (score: 3-4). Once measured by laser fluorescence, all were validated by fissurotomy (gold standard). To avoid ethical questions, the 46 teeth (score: 02) used were to serve as abutments for a fixed-fixed bridge. Visual inspection performed well, showing a sensitivity and specificity of 0.93 and 0.88, respectively. Laser fluorescence had an area under the receiver operating characteristic curve of A(z) = 0.85. The cutoff point with the highest sensitivity and specificity was 20, with a sensitivity and specificity of 0.89 and 0.75, respectively. Copyright (C) 2009 S. Karger AG, Basel