Near infrared transillumination compared with radiography to detect and monitor proximal caries: A clinical retrospective study
Near infrared transillumination compared with radiography to detect and monitor proximal caries: A clinical retrospective study
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DOI：
10.1016/j.jdent.2017.12.008
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发表时间：
2018-03-01
影响因子：
4.4
通讯作者：
Vazquez, Lydia
中科院分区：
文献类型：
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作者：
Abdelaziz, Marwa;Krejci, Ivo;Vazquez, Lydia
目的：比较近红外透照装置、DIAGNOcam (DC) 和咬翼射线照相 (BW) 检测近端龋齿的效果。 材料和方法：对 18 名同意匿名使用其牙科记录的牙科医学学生的 DC 和 BW 图像进行回顾性分析。数据包括 2013 年检查时执行的 BW 和 DC 图像，以及 2015 年执行的相应后续图像。两名观察者在 4 级牙本质病变量表上对 376 个近端表面进行评级，并对每个表面达成一致评级。随着时间的推移计算出的每种评估方法的一致性度量提供了每种方法获得的信息的可重复性。结果：2013 年至 2015 年每种方法内的一致性非常好（组内相关系数，BW：0.86，DC：0.90）。对于牙本质病变检测，DC 和 BW 之间的一致性相似，但对于牙釉质龋齿检测，一致性较低； DC 比 BW 检测到更多的牙釉质龋齿。 DC 和 BW 之间的一致性不大（2013 年为 0.33，2015 年为 0.36），主要是因为 DC 发现了更多的牙釉质龋齿。结论：这项研究表明，DC 在检测近端牙本质病变方面与 BW 一样可靠。 DC 比 BW 更早发现近端牙釉质病变。 DC 使临床医生能够区分仅限于牙釉质的病变和已到达牙釉质牙本质交界处的病变。 DC 的定期监测应有助于提供个性化的预防措施和早期非侵入性龋齿管理。临床意义：利用近红外透照技术早期发现牙釉质病变，可以帮助临床医生进行早期无创治疗，以预防或减缓初始近端病变的进展。
Objective: To compare near infrared transillumination device, DIAGNOcam (DC) and bitewing radiography (BW) for the detection of proximal caries.Materials and methods: This retrospective analysis of DC and BW images of 18 students in dental medicine who had consented to the anonymous use of their dental record. The data included BW and DC images performed for a check-up in 2013, and corresponding follow-up images performed in 2015. Two observers rated 376 proximal surfaces on a 4-level dentin lesion scale and reached a unanimous rating for each surface. Calculated measures of agreement for each assessment method over time provided the reproducibility of the information obtained by each method.Results: Agreement between 2013 and 2015 within each method was excellent (intraclass correlation coefficient, BW: 0.86, DC: 0.90). Agreement between DC and BW was similar for dentin lesion detection, but was low for enamel caries detection; DC detected more enamel caries than BW. Agreement between DC and BW was modest (0.33 in 2013 and 0.36 in 2015), chiefly because DC identified more enamel caries.Conclusion: This study shows that DC is as reliable as BW to detect proximal dentin lesions. DC detects proximal enamel lesions at an earlier stage than BW. DC enables clinicians to differentiate lesions limited to the enamel from lesions that have reached the enamel dentin junction. Regular monitoring with DC should help provide individualized preventive measures and early non-invasive caries management. Clinical significance: The early detection of enamel lesions with near infrared transillumination can help clinicians undertake early non invasive treatments to prevent or slow down the progression of initial proximal lesions.