Diagnostic Drama. Use of ICDAS II and Fluorescence-Based Intraoral Camera in Early Occlusal Caries Detection: A Clinical Study

Marta Mazur, Maciej Jedliński, Artnora Ndokaj, Denise Corridore, Antonello Maruotti, Livia Ottolenghi and Fabrizio Guerra
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Marta Mazur: Department of Oral and Maxillofacial Surgery, Sapienza University of Rome, 00185 Rome, Italy
Maciej Jedliński: Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, 70-204 Szczecin, Poland
Artnora Ndokaj: Department of Oral and Maxillofacial Surgery, Sapienza University of Rome, 00185 Rome, Italy
Denise Corridore: Department of Oral and Maxillofacial Surgery, Sapienza University of Rome, 00185 Rome, Italy
Antonello Maruotti: Department of Mathematics, University of Bergen, 5020 Bergen, Norway
Livia Ottolenghi: Department of Oral and Maxillofacial Surgery, Sapienza University of Rome, 00185 Rome, Italy
Fabrizio Guerra: Department of Oral and Maxillofacial Surgery, Sapienza University of Rome, 00185 Rome, Italy

IJERPH, 2020, vol. 17, issue 8, 1-7

Abstract: Background: Early diagnosis of occlusal caries is of paramount importance for a minimally invasive approach in dentistry. The aim of the present in vivo clinical prospective study was to compare the diagnostic outcomes of visual subjective evaluation between the International Caries Detection and Assessment System (ICDAS-II) and an intraoral fluorescence-based camera (VistaCam iX Proof, Dürr Dental, Bietigheim-Bissingen, Germany) for the detection of pits and fissures in early caries lesions of posterior teeth. Methods: The study included 1011 posterior teeth in 255 patients aged 13–20 years (mean age 16 ± 2.2 years). Two blinded operators evaluated all the occlusal surfaces and the first assigned an ICDAS-II code, while the second assessed the VistaCam score: sound enamel (score 0–1.2); initial enamel decay (score 1.2–1.5); dentine caries (score 1.5–3). Results: Some 283 (28%) of the assessed teeth were ICDAS-II code 0; 334 (33%) code 1; 189 (18.7%) code 2; 176 (17.4%) code 3; and 29 (2.9%) code 4. The level of agreement between the two procedures was expressed by using Cohen’s and Fleiss’ kappa statistics and performing McNemar’s test. VistaCam assessed in 513 (50.7%) sound enamel; in 292 (28.9%) initial enamel decay; and in 206 (20.4%) dentine caries. Conclusions: This comparative study showed a poor agreement between the two diagnostic methods, especially between ICDAS-II 0, 1 and 2 codes and fluorescence assessments.

Keywords: occlusal caries; dentine caries; caries detection; caries diagnostics; fluorescence camera; VistaCam; ICDAS-II (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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