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首页> 外文期刊>Quintessence international >In-vivo performance of impedance spectroscopy, laser fluorescence, and bitewing radiographs for occlusal caries detection
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In-vivo performance of impedance spectroscopy, laser fluorescence, and bitewing radiographs for occlusal caries detection

机译：阻抗光谱，激光荧光和咬合盲肠射线照相的体内性能

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Objective: To evaluate the clinical performance of impedance spectroscopy, laser fluorescence, and bitewing radiographs in detecting occlusal caries and compare them with visual scores. Method and Materials: In 62 adults, one occlusal surface per person was selected and independently examined by two examiners using the visual ICDAS scoring system, CarieScan PRO (ACIS), DIAGNOdent pen (LF-pen), and bitewing radiographs. The procedures were repeated within 1 to 4 weeks. The diagnostic performance was expressed as sensitivity, specificity, predictive values, accuracy, and diagnostic odds ratio (DOR) using ICDAS as gold standard. Intra-and inter-examiner reproducibility was assessed with intra-class correlation coefficients (ICC) for numerical results and kappa values for categorical data. Five patients dropped out due to no-shows or restorative care. Results: In total, 54% of the teeth had early or no lesions (ICDAS 0 to 2) while 46% exhibited moderate to extensive lesions (ICDAS 3 to 5). The Spearman correlation coefficients were 0.65, 0.60, and 0.71 for ICDAS vs ACIS, LF-pen, and bitewing radiographs, respectively. ACIS demonstrated high specificity and positive predictive values but low sensitivity, whereas LF-pen had moderate sensitivity and high specificity. Accuracy and DOR was highest for bitewing radiographs. The ICC values ranged between 0.65 and 0.88 for ACIS and 0.89 and 0.94 for LF-pen. The weighted kappa values were 0.81 to 0.91 for ICDAS and 0.90 to 0.92 for bitewing radiographs. Conclusion: All three methods were useful for detecting occlusal caries but bitewing radiography exhibited the best performance when compared with visual scoring. ACIS displayed the highest specificity and positive predictive value but the sensitivity was low and the clinical handling was less convenient. Further clinical studies are needed to evaluate the long-term effects of early caries detection on dental health.
机译：目的：评价阻抗光谱，激光荧光和咬合射线照相检测咬合龋的临床表现，并将其与视觉评分进行比较。方法和材料：在62例成年人中，使用视觉ICDAS评分系统，Cariescan Pro（ACIS），诊断笔（LF-PEN）和BITEWING Xco.Noghss选择每人每人咬合表面，并独立检查。该程序在1至4周内重复。使用ICDA作为金标准，诊断性能表示为灵敏度，特异性，预测值，准确性和诊断赔率比（DOR）。使用类别相关系数（ICC）评估帧内和检查互相重现性，用于分类数据的数值结果和Kappa值。由于无节目或恢复性护理，五名患者辍学。结果：总共有54％的牙齿早期或没有病变（ICDA 0至2），而46％表现出中度至广泛的病变（ICDA 3至5）。 Spearman相关系数分别为ICDAS与ACIS，LF-PEN和BITEWING X线片分别为0.65,0.60和0.71。 ACIS展示了高特异性和阳性预测值，但敏感性低，而LF-PES具有中等的敏感性和高特异性。 BITEWING X型射线照相的精度和DOR最高。 ICC值范围为0.65和0.88的ACIS和0.89和0.94的LF-PEN。 ICDA的加权Kappa值为0.81至0.91，为Bitewing X线片的0.90至0.92。结论：所有三种方法都有用于检测咬合龋齿，但与视觉评分相比，Bitewing射线照相表现出最佳性能。 ACIS显示出最高的特异性和阳性预测值，但敏感性低，临床处理方便不太方便。需要进一步的临床研究来评估早期龋病检测对牙科健康的长期影响。

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