A clinical study of caries diagnosis with a laser fluorescence system.
Identifieur interne : 000396 ( Main/Exploration ); précédent : 000395; suivant : 000397A clinical study of caries diagnosis with a laser fluorescence system.
Auteurs : Elena Barbería [Espagne] ; Myriam Maroto ; Marcela Arenas ; Cristina Cardoso SilvaSource :
- Journal of the American Dental Association (1939) [ 0002-8177 ] ; 2008.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Aire sous la courbe (MeSH), Caries dentaires (diagnostic), Dent de lait (anatomopathologie), Denture permanente (MeSH), Enfant (MeSH), Femelle (MeSH), Fluorescence (MeSH), Humains (MeSH), Lasers (MeSH), Molaire (anatomopathologie), Mâle (MeSH), Odds ratio (MeSH), Reproductibilité des résultats (MeSH), Sensibilité et spécificité (MeSH), Tests d'évaluation de l'activité carieuse (méthodes).
- MESH :
- anatomopathologie : Dent de lait, Molaire.
- diagnostic : Caries dentaires.
- méthodes : Tests d'évaluation de l'activité carieuse.
- Adolescent, Aire sous la courbe, Denture permanente, Enfant, Femelle, Fluorescence, Humains, Lasers, Mâle, Odds ratio, Reproductibilité des résultats, Sensibilité et spécificité.
English descriptors
- KwdEn :
- Adolescent (MeSH), Area Under Curve (MeSH), Child (MeSH), Dental Caries (diagnosis), Dental Caries Activity Tests (methods), Dentition, Permanent (MeSH), Female (MeSH), Fluorescence (MeSH), Humans (MeSH), Lasers (MeSH), Male (MeSH), Molar (pathology), Odds Ratio (MeSH), Reproducibility of Results (MeSH), Sensitivity and Specificity (MeSH), Tooth, Deciduous (pathology).
- MESH :
- diagnosis : Dental Caries.
- methods : Dental Caries Activity Tests.
- pathology : Molar, Tooth, Deciduous.
- Adolescent, Area Under Curve, Child, Dentition, Permanent, Female, Fluorescence, Humans, Lasers, Male, Odds Ratio, Reproducibility of Results, Sensitivity and Specificity.
Abstract
BACKGROUND
The authors conducted an in vivo study to compare a laser fluorescence system with a visual system for occlusal caries diagnosis in children's primary and permanent molars.
METHODS
The authors selected for evaluation 320 untreated, cavity-free primary and permanent molars in healthy children aged 6 through 14 years. Two of the authors conducted the laser fluorescence evaluation. Another of the authors completed the clinical evaluation. The kappa value was 0.68. The authors compared sensitivity, specificity, predictive values, odds ratio and receiver operating characteristic (ROC) curves for the laser fluorescence system.
RESULTS
For the whole sample, the sensitivity and specificity of the laser fluorescence system were 0.79 and 0.87, respectively. The positive and negative odds ratios for the whole sample were 6.33 and 0.23. The positive and negative predictive values for the whole sample were 33.9 percent and 98.1 percent. The value of the area beneath the ROC curve (AUC) was 0.92 for the whole sample.
CONCLUSIONS
The laser fluorescence system was more precise than visual evaluation in identifying lesions without cavities and healthy surfaces in primary and permanent molars.
CLINICAL IMPLICATIONS
In daily practice, dentists can consider the laser fluorescence system a complementary tool in the visual exploration of occlusal surfaces of primary molars and permanent first molars.
DOI: 10.14219/jada.archive.2008.0217
PubMed: 18451373
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<author><name sortKey="Barberia, Elena" sort="Barberia, Elena" uniqKey="Barberia E" first="Elena" last="Barbería">Elena Barbería</name>
<affiliation wicri:level="3"><nlm:affiliation>Dental Care Program for Children, Department of Prevention, Pediatric Dentistry and Orthodontics, Complutense University of Madrid, Madrid, Spain. barberia@odon.ucm.es</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Dental Care Program for Children, Department of Prevention, Pediatric Dentistry and Orthodontics, Complutense University of Madrid, Madrid</wicri:regionArea>
<placeName><settlement type="city">Madrid</settlement>
<region nuts="2" type="region">Communauté de Madrid</region>
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</author>
<author><name sortKey="Maroto, Myriam" sort="Maroto, Myriam" uniqKey="Maroto M" first="Myriam" last="Maroto">Myriam Maroto</name>
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<author><name sortKey="Arenas, Marcela" sort="Arenas, Marcela" uniqKey="Arenas M" first="Marcela" last="Arenas">Marcela Arenas</name>
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<author><name sortKey="Silva, Cristina Cardoso" sort="Silva, Cristina Cardoso" uniqKey="Silva C" first="Cristina Cardoso" last="Silva">Cristina Cardoso Silva</name>
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<author><name sortKey="Maroto, Myriam" sort="Maroto, Myriam" uniqKey="Maroto M" first="Myriam" last="Maroto">Myriam Maroto</name>
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<author><name sortKey="Arenas, Marcela" sort="Arenas, Marcela" uniqKey="Arenas M" first="Marcela" last="Arenas">Marcela Arenas</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term>
<term>Area Under Curve (MeSH)</term>
<term>Child (MeSH)</term>
<term>Dental Caries (diagnosis)</term>
<term>Dental Caries Activity Tests (methods)</term>
<term>Dentition, Permanent (MeSH)</term>
<term>Female (MeSH)</term>
<term>Fluorescence (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Lasers (MeSH)</term>
<term>Male (MeSH)</term>
<term>Molar (pathology)</term>
<term>Odds Ratio (MeSH)</term>
<term>Reproducibility of Results (MeSH)</term>
<term>Sensitivity and Specificity (MeSH)</term>
<term>Tooth, Deciduous (pathology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term>
<term>Aire sous la courbe (MeSH)</term>
<term>Caries dentaires (diagnostic)</term>
<term>Dent de lait (anatomopathologie)</term>
<term>Denture permanente (MeSH)</term>
<term>Enfant (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Fluorescence (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Lasers (MeSH)</term>
<term>Molaire (anatomopathologie)</term>
<term>Mâle (MeSH)</term>
<term>Odds ratio (MeSH)</term>
<term>Reproductibilité des résultats (MeSH)</term>
<term>Sensibilité et spécificité (MeSH)</term>
<term>Tests d'évaluation de l'activité carieuse (méthodes)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Dent de lait</term>
<term>Molaire</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dental Caries</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Caries dentaires</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Caries Activity Tests</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Tests d'évaluation de l'activité carieuse</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Molar</term>
<term>Tooth, Deciduous</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Area Under Curve</term>
<term>Child</term>
<term>Dentition, Permanent</term>
<term>Female</term>
<term>Fluorescence</term>
<term>Humans</term>
<term>Lasers</term>
<term>Male</term>
<term>Odds Ratio</term>
<term>Reproducibility of Results</term>
<term>Sensitivity and Specificity</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Aire sous la courbe</term>
<term>Denture permanente</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Fluorescence</term>
<term>Humains</term>
<term>Lasers</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Reproductibilité des résultats</term>
<term>Sensibilité et spécificité</term>
</keywords>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>The authors conducted an in vivo study to compare a laser fluorescence system with a visual system for occlusal caries diagnosis in children's primary and permanent molars.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>The authors selected for evaluation 320 untreated, cavity-free primary and permanent molars in healthy children aged 6 through 14 years. Two of the authors conducted the laser fluorescence evaluation. Another of the authors completed the clinical evaluation. The kappa value was 0.68. The authors compared sensitivity, specificity, predictive values, odds ratio and receiver operating characteristic (ROC) curves for the laser fluorescence system.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>For the whole sample, the sensitivity and specificity of the laser fluorescence system were 0.79 and 0.87, respectively. The positive and negative odds ratios for the whole sample were 6.33 and 0.23. The positive and negative predictive values for the whole sample were 33.9 percent and 98.1 percent. The value of the area beneath the ROC curve (AUC) was 0.92 for the whole sample.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>The laser fluorescence system was more precise than visual evaluation in identifying lesions without cavities and healthy surfaces in primary and permanent molars.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CLINICAL IMPLICATIONS</b>
</p>
<p>In daily practice, dentists can consider the laser fluorescence system a complementary tool in the visual exploration of occlusal surfaces of primary molars and permanent first molars.</p>
</div>
</front>
</TEI>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The authors conducted an in vivo study to compare a laser fluorescence system with a visual system for occlusal caries diagnosis in children's primary and permanent molars.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The authors selected for evaluation 320 untreated, cavity-free primary and permanent molars in healthy children aged 6 through 14 years. Two of the authors conducted the laser fluorescence evaluation. Another of the authors completed the clinical evaluation. The kappa value was 0.68. The authors compared sensitivity, specificity, predictive values, odds ratio and receiver operating characteristic (ROC) curves for the laser fluorescence system.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">For the whole sample, the sensitivity and specificity of the laser fluorescence system were 0.79 and 0.87, respectively. The positive and negative odds ratios for the whole sample were 6.33 and 0.23. The positive and negative predictive values for the whole sample were 33.9 percent and 98.1 percent. The value of the area beneath the ROC curve (AUC) was 0.92 for the whole sample.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The laser fluorescence system was more precise than visual evaluation in identifying lesions without cavities and healthy surfaces in primary and permanent molars.</AbstractText>
<AbstractText Label="CLINICAL IMPLICATIONS" NlmCategory="CONCLUSIONS">In daily practice, dentists can consider the laser fluorescence system a complementary tool in the visual exploration of occlusal surfaces of primary molars and permanent first molars.</AbstractText>
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<country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Barberia, Elena" sort="Barberia, Elena" uniqKey="Barberia E" first="Elena" last="Barbería">Elena Barbería</name>
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