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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Marta Mazur & Maciej Jedliński & Artnora Ndokaj & Denise Corridore & Antonello Maruotti & Livia Ottolenghi & Fabrizio Guerra, 2020. "Diagnostic Drama. Use of ICDAS II and Fluorescence-Based Intraoral Camera in Early Occlusal Caries Detection: A Clinical Study," IJERPH, MDPI, vol. 17(8), pages 1-7, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2937-:d:349731
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    Cited by:

    1. Iole Vozza, 2021. "Oral Prevention and Management of Oral Healthcare," IJERPH, MDPI, vol. 18(4), pages 1-3, February.

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