In:
International Journal of Paediatric Dentistry, Wiley, Vol. 29, No. 2 ( 2019-03), p. 193-202
Kurzfassung:
This in vitro study aimed to histologically validate and compare the methods for detection of smooth surface early carious lesions ( ECL s) that is , International caries detection and assessment system for the smooth surface ( ICDAS ‐ II ‐ SSC ), Polarization sensitive optical coherence tomography ( PS ‐ OCT ), and radiography. Methodology PS ‐ OCT images for scores 0‐3 of ICDAS ‐ II ‐ SSC were standardized according to ECL s’ depth. Preliminary PS ‐ OCT images for ICDAS ‐ II ‐ SSC score‐2 of pigmented ECL s showed reduced lesion depth and therefore were dichotomized into scores 2 and 2p for white and pigmented lesions ( ICDAS ‐ II ‐ SSC m). ECL s on one hundred freshly extracted teeth were scored by three examiners for ICDAS ‐ II ‐ SSC m, PS ‐ OCT , radiography, and histology. Results Compared to histology, ICDAS ‐ II ‐ SSC m showed a strong positive correlation followed by PS ‐ OCT and radiographic evaluation. ICDAS ‐ II ‐ SSC m had a strong positive correlation with PS ‐ OCT , while both variables had a weak positive correlation with radiography. PS ‐ OCT detected the activity of ECL s by directly relating the image depth of ECL s to their mineral volume content. Conclusion The current scope of ICDAS ‐ II should be reviewed since the pigmentation can be misinterpreted as an active lesion. Till then, ICDAS ‐ II ‐ SSC is an effective visual method for early caries detection. PS ‐ OCT has the potential to become a probe with the proper algorithm for diagnostic purposes.
Materialart:
Online-Ressource
ISSN:
0960-7439
,
1365-263X
DOI:
10.1111/ipd.2019.29.issue-2
Sprache:
Englisch
Verlag:
Wiley
Publikationsdatum:
2019
ZDB Id:
2009034-1
