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.
Llamas, R.
中科院分区:
医学2区
文献类型:
--
作者:
Abalos, C.;Herrera, M.;Llamas, R.

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这项体内研究的目的是评估激光荧光装置在非空腔咬合表面检测牙本质龋的性能。样本包括102颗第一和第二恒磨牙,根据Ekstrand等人的标准选择[龋齿研究,1997;[31:24 -231]: 46人未怀疑有龋病(得分:0-2),56人怀疑有龋病(得分:3-4)。一旦用激光荧光测量,所有人都通过裂裂(金标准)验证。为了避免伦理问题,使用的46颗牙齿(得分:02)作为固定-固定桥的基牙。目视检查效果良好,敏感性为0.93,特异性为0.88。激光荧光在接收器工作特性曲线下的面积为A(z) = 0.85。敏感度和特异度最高的截断点为20,灵敏度和特异度分别为0.89和0.75。版权所有(C) 2009 S. Karger AG,巴塞尔
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