An In Vitro Comparison of Different Diagnostic Methods in Detection of Residual Dentinal Caries
The aim of this study was to investigate the efficiency of different diagnostic methods in detection of residual dentinal caries in excavated cavities. Fifty extracted molar with deep dentinal carious lesions were excavated using a slow-speed handpiece. All cavities were assessed by laser fluorescen...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Hindawi Limited
2010-01-01
|
Series: | International Journal of Dentistry |
Online Access: | http://dx.doi.org/10.1155/2010/864935 |
id |
doaj-85391b96de2941438526186aacd0ec12 |
---|---|
record_format |
Article |
spelling |
doaj-85391b96de2941438526186aacd0ec122020-11-24T20:45:13ZengHindawi LimitedInternational Journal of Dentistry1687-87281687-87362010-01-01201010.1155/2010/864935864935An In Vitro Comparison of Different Diagnostic Methods in Detection of Residual Dentinal CariesNimet Unlu0Rabia Banu Ermis1Sevgi Sener2Ebru Kucukyilmaz3Ali Riza Cetin4Department of Conservative Dentistry, Faculty of Dentistry, Selcuk University, Konya 42075, TurkeyDepartment of Conservative Dentistry, Faculty of Dentistry, Suleyman Demirel University, Isparta 32060, TurkeyDepartment of Radiology and Oral Diagnosis, Faculty of Dentistry, Selcuk University, Konya 42075, TurkeyDepartment of Pedodontics, Faculty of Dentistry, Selcuk University, Konya 42075, TurkeyDepartment of Conservative Dentistry, Faculty of Dentistry, Selcuk University, Konya 42075, TurkeyThe aim of this study was to investigate the efficiency of different diagnostic methods in detection of residual dentinal caries in excavated cavities. Fifty extracted molar with deep dentinal carious lesions were excavated using a slow-speed handpiece. All cavities were assessed by laser fluorescence(LF) device, electronic caries monitor(ECM), and caries detector dye(CDD) by three independent observers blindly. The measurements were repeated after two weeks. Specimens containing dentin slices 150 μm in thickness were prepared for histological analyses. The existence and absence of carious dentin was determined using a lightmicroscope. The average intraobserver accuracy was 1.00 (perfect agreement) for CDD, 0.86 (excellent agreement) for ECM, and 0.50 (good agreement) for LF. The average interobserver accuracy values were 0.92 (excellent agreement), (0.36 marginal agreement) and 0.48 (good agreement), for CDD, ECM, and LF, respectively. The average specificity was 0.60 for CDD, 73% for ECM, and 0.50 for LF. The average sensitivity was 0.55 for CDD, 0.85 for LF, and 0.47 for ECM. The average accuracy values were 0.53, 0.51, and 0.81 for CDD, ECM, and LF, respectively. LF had the greatest sensitivity and accuracy values of any of the methods tested. As a conclusion, LF device is appeared to most reliable method in detection of remain caries in cavity. However, because of its technical sensitivity it may susceptible to variations in measurements. To pay attention to the rule of usage and repeated measurements can minimize such variations in clinical practice. It was concluded that LF is an improvement on the currently available aids for residual caries detection.http://dx.doi.org/10.1155/2010/864935 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nimet Unlu Rabia Banu Ermis Sevgi Sener Ebru Kucukyilmaz Ali Riza Cetin |
spellingShingle |
Nimet Unlu Rabia Banu Ermis Sevgi Sener Ebru Kucukyilmaz Ali Riza Cetin An In Vitro Comparison of Different Diagnostic Methods in Detection of Residual Dentinal Caries International Journal of Dentistry |
author_facet |
Nimet Unlu Rabia Banu Ermis Sevgi Sener Ebru Kucukyilmaz Ali Riza Cetin |
author_sort |
Nimet Unlu |
title |
An In Vitro Comparison of Different Diagnostic Methods in Detection of Residual Dentinal Caries |
title_short |
An In Vitro Comparison of Different Diagnostic Methods in Detection of Residual Dentinal Caries |
title_full |
An In Vitro Comparison of Different Diagnostic Methods in Detection of Residual Dentinal Caries |
title_fullStr |
An In Vitro Comparison of Different Diagnostic Methods in Detection of Residual Dentinal Caries |
title_full_unstemmed |
An In Vitro Comparison of Different Diagnostic Methods in Detection of Residual Dentinal Caries |
title_sort |
in vitro comparison of different diagnostic methods in detection of residual dentinal caries |
publisher |
Hindawi Limited |
series |
International Journal of Dentistry |
issn |
1687-8728 1687-8736 |
publishDate |
2010-01-01 |
description |
The aim of this study was to investigate the efficiency of different diagnostic methods in detection of residual dentinal caries in excavated cavities. Fifty extracted molar with deep dentinal carious lesions were excavated using a slow-speed handpiece. All cavities were assessed by laser fluorescence(LF) device, electronic caries monitor(ECM), and caries detector dye(CDD) by three independent observers blindly. The measurements were repeated after two weeks. Specimens containing dentin slices 150 μm in thickness were prepared for histological analyses. The existence and absence of carious dentin was determined using a lightmicroscope. The average intraobserver accuracy was 1.00 (perfect agreement) for CDD, 0.86 (excellent agreement) for ECM, and 0.50 (good agreement) for LF. The average interobserver accuracy values were 0.92 (excellent agreement), (0.36 marginal agreement) and 0.48 (good agreement), for CDD, ECM, and LF, respectively. The average specificity was 0.60 for CDD, 73% for ECM, and 0.50 for LF. The average sensitivity was 0.55 for CDD, 0.85 for LF, and 0.47 for ECM. The average accuracy values were 0.53, 0.51, and 0.81 for CDD, ECM, and LF, respectively. LF had the greatest sensitivity and accuracy values of any of the methods tested. As a conclusion, LF device is appeared to most reliable method in detection of remain caries in cavity. However, because of its technical sensitivity it may susceptible to variations in measurements. To pay attention to the rule of usage and repeated measurements can minimize such variations in clinical practice. It was concluded that LF is an improvement on the currently available aids for residual caries detection. |
url |
http://dx.doi.org/10.1155/2010/864935 |
work_keys_str_mv |
AT nimetunlu aninvitrocomparisonofdifferentdiagnosticmethodsindetectionofresidualdentinalcaries AT rabiabanuermis aninvitrocomparisonofdifferentdiagnosticmethodsindetectionofresidualdentinalcaries AT sevgisener aninvitrocomparisonofdifferentdiagnosticmethodsindetectionofresidualdentinalcaries AT ebrukucukyilmaz aninvitrocomparisonofdifferentdiagnosticmethodsindetectionofresidualdentinalcaries AT alirizacetin aninvitrocomparisonofdifferentdiagnosticmethodsindetectionofresidualdentinalcaries AT nimetunlu invitrocomparisonofdifferentdiagnosticmethodsindetectionofresidualdentinalcaries AT rabiabanuermis invitrocomparisonofdifferentdiagnosticmethodsindetectionofresidualdentinalcaries AT sevgisener invitrocomparisonofdifferentdiagnosticmethodsindetectionofresidualdentinalcaries AT ebrukucukyilmaz invitrocomparisonofdifferentdiagnosticmethodsindetectionofresidualdentinalcaries AT alirizacetin invitrocomparisonofdifferentdiagnosticmethodsindetectionofresidualdentinalcaries |
_version_ |
1716815030840721408 |