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10.1016-j.jdent.2018.03.002 |
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220706s2018 CNT 000 0 und d |
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|a 03005712 (ISSN)
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|a In vitro performance of the DIAGNOcam for detecting proximal carious lesions adjacent to composite restorations
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|b Elsevier Ltd
|c 2018
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|z View Fulltext in Publisher
|u https://doi.org/10.1016/j.jdent.2018.03.002
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|a Objectives: To assess the accuracy of near-infrared-light transillumination (DIAGNO) compared to visual-tactile (VT) and radiographic (RA) evaluation of proximal carious lesions adjacent to composite restorations in vitro. Methods: Two hundred extracted posterior permanent human teeth with occluso-proximal composite restorations were allocated to 50 groups of four posterior teeth, and mounted in a pilot-tested diagnostic model in a dummy head. The teeth were independently assessed by two examiners. Transverse microradiography and visual assessment served as reference tests to detect any lesions (prevalence 24%) and cavitated lesions (18%), respectively, adjacent to restorations. Sensitivity, specificity, positive and negative predictive values and the area under the receiver-operating-characteristics curve (AUC) were calculated. Results: To detect any proximal carious lesions adjacent to composite, the mean sensitivity/specificity were 0.63/0.95 for DIAGNO, 0.70/0.88 for RA when lesions radiographically extending into enamel and dentin were considered, 0.26/0.98 for RA when only lesions extending into dentin were considered, and 0.31/0.96 for VT. For cavitated lesions adjacent to proximal composite restorations, these values were RA (enamel and dentin) 0.84/0.88, RA (dentin) 0.34/0.99, DIAGNO 0.69/0.94 and VT 0.40/0.97. AUC did not differ significantly between RA and DIAGNO, while VT showed significantly lower values (p < 0.05). Conclusion: Within the limitations of this study, DIAGNO seems useful for detecting proximal carious lesions adjacent to restorations. Clinical relevance: Near-infrared-light transillumination could be used as a radiation-free adjunct or alternative to RA for detecting carious lesions adjacent to composite restorations. © 2018 Elsevier Ltd
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|a Caries adjacent to restorations
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|a dental caries
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|a Dental Caries
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|a Dental Enamel
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|a dental restoration
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|a Dental Restoration, Permanent
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|a dentin
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|a Dentin
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|a Dentition, Permanent
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|a Detection
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|a devices
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|a DIAGNOcam
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|a Diagnostic accuracy
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|a diagnostic imaging
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|a enamel
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|a human
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|a Humans
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|a infrared radiation
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|a Infrared Rays
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|a microradiography
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|a Microradiography
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|a NILT
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|a pathology
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|a procedures
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|a Radiography, Dental, Digital
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|a receiver operating characteristic
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|a reproducibility
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|a Reproducibility of Results
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|a ROC Curve
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|a secondary dentition
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|a Sensitivity
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|a sensitivity and specificity
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|a Sensitivity and Specificity
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|a tooth radiography
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|a transillumination
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|a Transillumination
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|a Al-Abdi, A.
|e author
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|a Askar, H.
|e author
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|a Elhennawy, K.
|e author
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|a Jost-Brinkmann, P.-G.
|e author
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|a Paris, S.
|e author
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|a Reda, S.
|e author
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|a Schwendicke, F.
|e author
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|t Journal of Dentistry
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