体内法检测儿童乳牙近龋的有效性，结合组织学验证。

In vivo validity of proximal caries detection in primary teeth, with histological validation.

机构信息

School of Clinical Dentistry, University of Sheffield, Sheffield, UK.

Cancercare Manitoba, Winnipeg, Manitoba, Canada.

出版信息

Int J Paediatr Dent. 2019 Jul;29(4):429-438. doi: 10.1111/ipd.12478. Epub 2019 Mar 6.

DOI:10.1111/ipd.12478

PMID:30735588

Abstract

BACKGROUND

Detection and diagnosis of proximal caries in primary molars are challenging.

AIM

The aim of this in vivo study was to assess the validity and reproducibility of four methods of proximal caries detection in primary molar teeth.

DESIGN

Eighty-two children (5-10 years) were recruited. Initially, 1030 proximal surfaces were examined using meticulous visual examination (ICDAS) (VE1), bitewing radiographs (RE), and a laser fluorescence pen device (LF1). Temporary tooth separation (TTS) was achieved for 447 surfaces, and these were re-examined visually (VE2) and using the LF pen (LF2). Three hundred and fifty-six teeth (542 surfaces) were subsequently extracted and provided histological validation.

RESULTS

At D (enamel and dentine caries) diagnostic threshold, the sensitivity of VE1, RE, VE2, LF1, and LF2 examination was 0.52, 0.14, 0.75, 0.58, and 0.60 and the specificity values were 0.89, 0.97, 0.88, 0.85, and 0.77, respectively. At D (dentine caries) threshold, the sensitivity values were 0.42, 0.71, 0.49, 0.63, and 0.65, respectively, whereas specificity was 0.93 for VE1 and VE2, and 0.98, 0.87, and 0.88 for RE, LF1, and LF2 examinations, respectively. ROC analysis showed radiographic examination to be superior at D .

CONCLUSION

Meticulous caries diagnosis (ICDAS) should be supported by radiographs for detection of dentinal proximal caries in primary molars.

摘要

背景

检测和诊断乳磨牙的近中龋是具有挑战性的。

目的

本体内研究旨在评估四种乳磨牙近中龋检测方法的有效性和可重复性。

设计

招募了 82 名儿童（5-10 岁）。最初，使用细致的视觉检查（ICDAS）（VE1）、牙片（RE）和激光荧光笔设备（LF1）检查了 1030 个近中面。447 个表面实现了暂时牙齿分离（TTS），并对这些表面进行了重新视觉检查（VE2）和 LF 笔检查（LF2）。随后，提取了 356 颗牙齿（542 个表面）并提供了组织学验证。

结果

在 D（牙釉质和牙本质龋）诊断阈值下，VE1、RE、VE2、LF1 和 LF2 检查的灵敏度分别为 0.52、0.14、0.75、0.58 和 0.60，特异性值分别为 0.89、0.97、0.88、0.85 和 0.77。在 D（牙本质龋）阈值下，灵敏度值分别为 0.42、0.71、0.49、0.63 和 0.65，而 VE1 和 VE2 的特异性为 0.93，RE、LF1 和 LF2 的特异性分别为 0.87 和 0.88。ROC 分析显示，在 D 时，放射检查具有优势。