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 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.

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agreement) average caries accuracy measurements values detection sensitivity respectively dentinal variations device (excellent dentin residual carious excavated cavities specificity appeared conclusion tested methods greatest were reliable for caries method available currently improvement concluded practice clinical
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Detaylı Görünüm
Eser Adı
(dc.title)
An In Vitro Comparison of Different Diagnostic Methods in Detection of Residual Dentinal Caries
Eser Sahibi
(dc.contributor.author)
EBRU KÜÇÜKYILMAZ
Yayın Tarihi
(dc.date.issued)
2010
Diğer Yazarlar
(dc.contributor.authors)
NİMET ÜNLÜ
Diğer Yazarlar
(dc.contributor.authors)
RABİA BANU ERMİŞ
Diğer Yazarlar
(dc.contributor.authors)
SEVGİ ŞENER
Diğer Yazarlar
(dc.contributor.authors)
ALİ RIZA ÇETİN
Yayıncı
(dc.publisher)
Hindawi Publishing Corporation
Tür
(dc.type)
Makale
Özet
(dc.description.abstract)
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.
Kayıt Giriş Tarihi
(dc.date.accessioned)
20.06.2014
Açık Erişim Tarihi
(dc.date.available)
2014-06-20
Yayın Dili
(dc.language.iso)
eng
Konu Başlıkları
(dc.subject)
Residual dentinal caries
Atıf için Künye
(dc.identifier.citation)
Unlu, N., Ermis, R.B., Sener, S., Kucukyilmaz, E., Cetin, A.R. (2010). An In Vitro Comparison of Different Diagnostic Methods in Detection of Residual Dentinal Caries. International Journal of Dentistry. Article ID 864935, 8 p. doi:10.1155/2010/864935
ISSN
(dc.identifier.issn)
1687-8736
Haklar
(dc.rights)
Open access
Tek Biçim Adres
(dc.identifier.uri)
Http://hdl.handle.net/11469/231
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