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dc.contributor.authorSouza, Juliana Feltrin dept_BR
dc.contributor.authorDiniz, Michele Baffipt_BR
dc.contributor.authorBoldieri, Thalitapt_BR
dc.contributor.authorRodrigues, Jonas de Almeidapt_BR
dc.contributor.authorLussi, Adrianpt_BR
dc.contributor.authorCordeiro, Rita de Cássia Loiolapt_BR
dc.date.accessioned2015-05-06T01:58:32Zpt_BR
dc.date.issued2014pt_BR
dc.identifier.issn0970-9290pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/115904pt_BR
dc.description.abstractAim: To evaluate the performance of a pen type laser fluorescence device (DIAGNOdent 2190; LFpen, KaVo, Germany) and bitewing radiographs (BW) for approximal caries detection in permanent and primary teeth. Materials and Methods: A total of 246 anterior approximal surfaces (102 permanent and 144 primary) were selected. Contact points were simulated using sound teeth. Two examiners assessed all approximal surfaces using LFpen and BW. The teeth were histologically assessed for the reference standard. Optimal cut off limits were calculated for LFpen for primary and permanent teeth. Sensitivity, specificity, accuracy and area under the receiver operating characteristic curve (Az) were calculated for D1 (enamel and dentin lesions) and D3 (dentin lesions) thresholds. The reproducibility was assessed by intraclass correlation coefficient (ICC) and Cohen«SQ»s weighted kappa values. Results: For permanent teeth, the LFpen cut off were 0– 27 (sound), 28– 33 (enamel caries) and >33 (dentin caries). For primary teeth, the LFpen cut off were 0– 7 (sound), 8– 32 (enamelcaries) and >32 (dentin caries). The LFpen presented higher sensitivity values than BW for primary teeth (0.58 vs. 0.32 at D1 and 0.80 vs. 0.47 at D3) and permanent teeth (0.80 vs. 0.57 at D1 and 0.94 vs. 0.51 at D3). Specificity did not show a significant difference between the methods. Rank correlations with histology were 0.59 and 0.83 (LFpen) and 0.36 and 0.70 (BW) for primary and permanent teeth, respectively, considering all lesions. ICC values for LFpen were 0.71 (inter) and 0.86 (intra) for permanent teeth and 0.94 (inter) and 0.90/0.99 for primary teeth. Kappa values for BW were 0.69 (inter) and 0.68/0.90 (intra) for permanent teeth and 0.64 (inter) and 0.89/0.89 for primary teeth. Conclusion: LFpen presented better reproducibility for primary and permanent teeth and higher accuracy in detecting caries lesions at D1 threshold than BW for permanent teeth. LFpen should be used as an adjunct method for approximal caries detection.en
dc.format.mimetypeapplication/pdf
dc.language.isoengpt_BR
dc.relation.ispartofIndian Journal of Dental Research. Ahmedabad. Vol. 25, no. 6 (Nov./Dec. 2014), p. 702-710pt_BR
dc.rightsOpen Accessen
dc.subjectLaser na odontologiapt_BR
dc.subjectRadiografia dentariapt_BR
dc.subjectCárie dentáriapt_BR
dc.titleIn vitro performance of a pen-type laser fluorescence device and bitewing radiographs for approximal caries detection in permanent and primary teethpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb000955683pt_BR
dc.type.originEstrangeiropt_BR


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