A comparison of diagnosis of early stage interproximal caries with bitewing radiographs and periapical images using consensus reference

Dento Maxillo Facial Radiology
Noriaki TakahashiMitsuru Izumisawa

Abstract

The purpose of this study was to assess the diagnostic property of intraoral bitewing radiographs (BTW) for early stage interproximal caries, and to compare them with periapical radiographs (PA) at different levels of caries progression. A total of 241 interproximal surfaces of BTW and corresponding PAs were used. Seven teaching faculty consisting of three oral and maxillofacial radiologists, two operative faculty, and two prosthodontists evaluated the images. The observers graded images as either "intact", "enamel caries <1/2 width", "enamel caries >1/2 width", or "caries into dentin". The gold-standard was established by consensus of two experienced faculty with 35 years and 27 years of experience. Specificity, sensitivity, positive-predictive value, and negative-predictive value were calculated for the different level of caries progression. Furthermore, receiver operating curves) of BTW and PAs of each evaluator were made and the area under the curve of BTW and PAs were compared. There was no significant difference in the specificity of BTW and PAs. BTW showed significantly higher sensitivity than PAs in all levels of caries progression (p<0.01). Positive-predictive value and negative-predictive value of BTWs were also signi...Continue Reading

References

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Feb 20, 2016·Dento Maxillo Facial Radiology·Walaa Hussein Abu El-ElaMostafa Saad El-Din Mostafa
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Feb 14, 2017·Dento Maxillo Facial Radiology·Cynthia Lara-CapiGuglielmo Campus

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Citations

Nov 4, 2020·Dento Maxillo Facial Radiology·Beatriz de Carvalho RochaMaria Augusta Visconti
Aug 24, 2021·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Vignesh KailasamM S Muthu
Sep 1, 2021·Dento Maxillo Facial Radiology·Deivi Cascante-SequeiraFrancisco Haiter-Neto
Nov 23, 2021·Oral Radiology·Ibrahim Sevki BayrakdarAlper Odabaş

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