Impact of including or excluding cavitated lesions when evaluating methods for the diagnosis of occlusal caries

Caries Research
A Lussi

Abstract

The aim of this study was to assess different methods for the diagnosis of fissure caries when employed on 37 extracted teeth with cavitated occlusal surfaces. A further aim was to compare these results with a previous assessment of the same diagnostic methods on 63 non-cavitated teeth [Lussi, 1993]. The examinations were performed under standard conditions in a professional dental unit. The methods employed were: visual inspection (VI, 26 dentists), VI with magnification (VIM, x2, 26 dentists), bite-wing radiography (BW, 24 dentists), VI combined with BW (VI + BW, 10 dentists) and VI combined with light-pressure probing (VI + P, 23 dentists). For information about the reproducibility, the VI and the VI + BW were repeated. After the last inspection, the teeth were histologically prepared, serially sectioned perpendicular to the occlusal surface and diagnosed for the presence of caries. The agreement between histological and clinical diagnosis was assessed. Sensitivities were VI = 62%, VIM = 75%, BW = 79%, VI + BW = 90%, and VI + P = 82%. The sensitivities found by the same dentists diagnosing non-cavitated teeth were VI = 12%, VIM = 20%, BW = 45%, VI + BW = 49%, VI + P = 14%. The differences between these sensitivities have a d...Continue Reading

Citations

Mar 27, 2010·International Journal of Dentistry·Sachi UmemoriKouji Araki
May 2, 2001·European Journal of Oral Sciences·A LussiP Francescut
Dec 15, 2006·Caries Research·Jan KuhnischRoswitha Heinrich-Weltzien
Oct 30, 2004·Acta Odontologica Scandinavica·Alfheidur AstvaldsdóttirSofia Tranaeus
Jan 17, 2004·International Dental Journal·Andréa Videira AssafGláucia Maria Bovi Ambrosano
Sep 29, 2011·International Journal of Paediatric Dentistry·Jianghao ChenLihong Ge
Oct 18, 2011·International Journal of Paediatric Dentistry·Ichizo MoritaAdrian Lussi
Nov 23, 2011·Community Dentistry and Oral Epidemiology·Vibeke BaelumBente Nyvad
Feb 1, 2003·European Journal of Oral Sciences·Yukiteru IwamiShigeyuki Ebisu
Aug 3, 2004·Journal of Dental Research·M-C D N J M Huysmans, C Longbottom
Feb 24, 2006·Brazilian Oral Research·Gisele AngnesAlessandra Reis
Aug 21, 2012·Journal of Dental Research·J KühnischK Bücher
Nov 2, 2001·The Journal of Clinical Pediatric Dentistry·A A El-Housseiny, H Jamjoum

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