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Clinical evaluation of near-infrared light transillumination in approximal dentin caries detection

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Abstract

The objective of this clinical study was to compare conventional caries detection techniques, pen-type laser fluorescence device, and near-infrared light transillumination method in approximal dentin caries lesions. The study included 157 patients, aged 12–18, without any cavity in the posterior teeth. Two calibrated examiners carried out the assessments of selected approximal caries sites independently. After the assessments, the unopened sites were excluded and a total of 161 approximal sites were included in the study. When both the examiners arrived at a consensus regarding the presence of dentin caries, the detected lesions were opened with a conical diamond burr, the cavity extent was examined and validated (gold standard). Sensitivity, specificity, negative predictive value, positive predictive value, accuracy, and area under the ROC curve (Az) values among the caries detection methods were calculated. Bitewing radiography and near-infrared (NIR) light transillumination methods showed the highest sensitivity (0.83–0.82) and accuracy (0.82–0.80) among the methods. Visual inspection showed the lowest sensitivity (0.54). Laser fluorescence device and visual inspection showed nearly equal performance. Near-infrared light transillumination can be used as an alternative method to approximal dentin caries detection. Visual inspection and laser fluorescence device alone should not be used for approximal dentin caries.

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Authors and Affiliations

  1. Faculty of Dentistry, Department of Oral and Maxillofacial Radiology, Adnan Menderes University, Aydin, Turkey

    Gokhan Ozkan

  2. Faculty of Dentistry, Department of Pedodontics, Adnan Menderes University, Aydin, Turkey

    Kadriye Gorkem Ulu Guzel

Authors
  1. Gokhan Ozkan
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  2. Kadriye Gorkem Ulu Guzel
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Correspondence to Gokhan Ozkan.

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The authors declare that they have no conflict of interest.

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This study has been approved by the appropriate institutional and/or national research ethics committee and has been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Ozkan, G., Guzel, K.G.U. Clinical evaluation of near-infrared light transillumination in approximal dentin caries detection. Lasers Med Sci 32, 1417–1422 (2017). https://doi.org/10.1007/s10103-017-2265-z

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  • DOI: https://doi.org/10.1007/s10103-017-2265-z

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