Development of a fluorescence-image scoring system for assessing noncavitated occlusal caries

Photodiagnosis and Photodynamic Therapy
Eun-Ha JungBaek-Il Kim

Abstract

This study aimed (1) to develop a scoring system based on a quantitative light-induced fluorescence (QLF) score for the occlusal caries (QS-Occlusal) that standardizes the fluorescence properties of noncavitated lesions from QLF images, (2) to confirm the validity and reliability of QS-Occlusal, and (3) to determine whether it is possible to replace existing clinical examinations by image evaluations based on the developed QS-Occlusal for assessing occlusal caries lesions. This clinical study investigated 791 teeth of 94 subjects. The teeth were assessed by visual and tactile examinations using ICDAS criteria and quantitative light-induced fluorescence-digital (QLF-D) image examinations. QS-Occlusal was divided into four stages (from 0 to 3) based on the progression level of the lesion and the fluorescence loss and red fluorescence on captured QLF-D images. Two trained examiners who were not involved in the visual examination evaluated occlusal fluorescence images using QS-Occlusal. The maximum loss of fluorescence (|ΔFmax|) and the maximum change in the ratio of red and green fluorescence (ΔRmax) were quantitatively analyzed by the QA2 software to detect differences between the QS-Occlusal groups. The modalities were compared ...Continue Reading

Citations

Aug 27, 2019·Journal of Oral Microbiology·Si-Mook KangBaek-Il Kim
May 10, 2020·Lasers in Medical Science·Florense Gabriela SilvaRenata Oliveira Guaré
Dec 16, 2020·The Cochrane Database of Systematic Reviews·Richard MaceyDavid Ricketts
Jul 9, 2021·Imaging Science in Dentistry·Evair Josino da SilvaAnderson Stevens Leônidas Gomes

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