Impact of measuring multiple or single occlusal lesions on estimates of diagnostic accuracy using fluorescence methods

Jablonski-Momeni, Anahita, Rosen, Simon M., Schipper, Helge M., Stoll, Richard, Roggendorf, Matthias J., Heinzel-Gutenbrunner, Monika, Stachniss, Vitus, and Pieper, Klaus (2012) Impact of measuring multiple or single occlusal lesions on estimates of diagnostic accuracy using fluorescence methods. Lasers in Medical Science, 27 (2). pp. 343-352.

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Abstract

Carious lesions can occur at different sites on the occlusal surfaces of teeth and may differ in appearance and severity. This study aimed to evaluate how scoring several lesions on occlusal surfaces, as opposed to only one representative lesion, affects estimates of reproducibility and accuracy of fluorescence-based devices. Thirty-six permanent teeth with 2-3 investigation sites (n = 82) were examined by two examiners using the laser fluorescence device DIAGNOdent pen (LF) and the fluorescence camera VistaProof (FC). Lesion depth was then assessed histologically in serial sections of the teeth. Intra-class-correlation coefficients (ICC) and areas under the ROC-curves were calculated for all investigation sites and for one randomly selected site per tooth. Comparing the reproducibility and the performance for the whole sample and the independent sites showed only a small effect or no effect. Measuring multiple sites on teeth with fluorescence devices only moderately influences performance compared to one site being investigated.

Item ID: 17696
Item Type: Article (Refereed Research - C1)
Keywords: dental caries; occlusal surface; ICDAS-II; laser fluorescence; fluorescence-based camera
Additional Information:

Epub ahead of print

ISSN: 1435-604X
Funders: Partly funded by a grant from Duerr Dental, Germany
Date Deposited: 14 Aug 2011 23:41
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1105 Dentistry > 110501 Dental Materials and Equipment @ 80%
11 MEDICAL AND HEALTH SCIENCES > 1105 Dentistry > 110599 Dentistry not elsewhere classified @ 20%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920113 Oro-Dental Disorders @ 100%
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