ArticleBMC oral health2013
Comparing potential early caries assessment methods for teledentistry.
Article in BMC oral health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Transillumination and optical coherence tomography for the detection and diagnosis of enamel caries.The Cochrane database of systematic reviews · 2021Pooled it
- Fluorescence devices for the detection of dental caries.The Cochrane database of systematic reviews · 2020Pooled it
- Review
- Review
- Challenges and Opportunities for Dental Education from COVID-19.Dentistry journal · 2022Review
- A Teledentistry Pilot Study on Patient-Initiated Care.International journal of environmental research and public health · 2022Article
- Optical Coherence Tomography for Patients with Developmental Disabilities: A Preliminary Study.Sensors (Basel, Switzerland) · 2021Article
- Diagnostic Value of Fluorescence Methods, Visual Inspection and Photographic Visual Examination in Initial Caries Lesion: A Systematic Review and Meta-Analysis.Dentistry journal · 2021Review
- Performance of light-emitting diode device in detecting occlusal caries in the primary molars.Lasers in medical science · 2019Article
- Use of a Teledentistry-based Program for Screening of Early Childhood Caries in a School Setting.Cureus · 2017Article
- The Use of Optical Coherence Tomography in Dental Diagnostics: A State-of-the-Art Review.Journal of healthcare engineering · 2017Review
- [Ex vivo assessment of the potency of optical coherence tomography for the detection of early occlusal caries].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2016Article
- Comparison of occlusal caries detection using the ICDAS criteria on extracted teeth or their photographs.BMC oral health · 2016Article
- Assessment of early occlusal caries pre- and post-sealant application--an imaging approach.Lasers in surgery and medicine · 2014Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOptical caries detection has the potential to be incorporated in telehealth medicine for preventive dental screening. The objective of this study was to evaluate and compare visible and near infrared detection methods for identifying early non-cavitated ex vivo occlusal demineralization.
methodsSix blinded examiners were used to compare the accuracy of the following three examinations in detecting occlusal demineralization: Midwest Caries ID (MID), visual photographic examination (CAM) and Cross Polarization Optical Coherence Tomography (CP-OCT). For each diagnostic method, two examiners assessed the extracted tooth samples 1-2 weeks apart. Teeth were then sectioned and lesion depth was confirmed (n = 42) by a blinded histological examination using a glycol based caries indicator dye. The sensitivity (Sen), specificity (Sp), Intraclass Correlation Coefficient (ICC), and Area under the Receiver Operator Curve (AUC) were calculated.
resultsFor detecting any demineralization versus sound pit and fissure enamel, the mean Sen/Sp found was 46.9/85.0 for MID, 80.5/52.5 for CAM, and 83.4/45.0 for CP-OCT. For detecting non-cavitated demineralization that progressed into the dentin, the mean Sen/Sp found was 17.3/88.0 for MID, 48.0/57.8 for CAM, and 44.2/72.7 for CP-OCT. AUC values were statistically significant (P < 0.05) in three out of four examiner assessments when MID and CP-OCT were used to detect any demineralization. AUC values were significant for a single CAM examination. When assessing deeper non-cavitated lesions, none of the assessment methods were able to yield AUC values that were significantly different than a random 'coin flip' test. When examining reliability, MID demonstrated the highest ICC score (0.83) and CP-OCT had the lowest (0.49).
conclusionAlthough MID and CP-OCT were useful in detecting the presence of demineralization, examiners were not able to utilize these devices to adequately assess the depth of the demineralization. This study found that MID and CP-OCT did not have markedly superior diagnostic values from simple CAM assessment for use in teledentistry.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.