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数字成像光纤透照法（DIFOTI）和近红外光透照法（NILT）对牙本质龋的诊断效度

Diagnostic Validity of Digital Imaging Fiber-Optic Transillumination (DIFOTI) and Near-Infrared Light Transillumination (NILT) for Caries in Dentine.

作者信息

Marmaneu-Menero Ana, Iranzo-Cortés José Enrique, Almerich-Torres Teresa, Ortolá-Síscar José Carmelo, Montiel-Company José María, Almerich-Silla José Manuel

机构信息

Stomatology Department, University of Valencia, 46010 Valencia, Spain.

出版信息

J Clin Med. 2020 Feb 4;9(2):420. doi: 10.3390/jcm9020420.

DOI:10.3390/jcm9020420
PMID:32033068
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7073697/
Abstract

The objective of the study is to analyse the available evidence for the validity of the transillumination method in the diagnosis of interproximal caries. Bibliographic searches were carried out in three data bases (PubMed, Embase, Scopus) with the key words "Transillumination AND caries". A total of 11 studies were selected for the qualitative analysis and meta-analysis. In the qualitative analysis, both in vivo and in vitro studies were included. The gold standards were tomography, digital radiography, and clinical visual diagnosis. The meta-analysis determined the sensitivity, specificity, and area below the ROC curve relative to the transillumination method in the diagnosis of caries in dentine. Meta-analysis results obtained for transillumination gave a sensitivity value of 0.69 (confidence interval: 0.54-0.81), a specificity value of 0.89 (confidence interval: 0.61-0.98), while giving an AUC value of 0.79 (confidence interval: 0.67-0.87). Transillumination is a method offering moderate validity in the diagnosis of carious lesions in dentine, there is no strong evidence that may enable us to affirm that transillumination may fully substitute X-rays in the complementary diagnosis of carious lesions.

摘要

本研究的目的是分析透照法诊断邻面龋有效性的现有证据。使用关键词“透照法 AND 龋齿”在三个数据库（PubMed、Embase、Scopus）中进行文献检索。共选择了11项研究进行定性分析和荟萃分析。在定性分析中，纳入了体内和体外研究。金标准是断层扫描、数字射线照相和临床视觉诊断。荟萃分析确定了相对于透照法诊断牙本质龋的敏感性、特异性和ROC曲线下面积。透照法的荟萃分析结果显示，敏感性值为0.69（置信区间：0.54 - 0.81），特异性值为0.89（置信区间：0.61 - 0.98），而AUC值为0.79（置信区间：0.67 - 0.87）。透照法在诊断牙本质龋损方面具有中等有效性，没有强有力的证据能使我们肯定透照法在龋损的辅助诊断中可以完全替代X线。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3c4/7073697/14fc736ac10a/jcm-09-00420-g011.jpg
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In vitro visual and visible light transillumination methods for detection of natural non-cavitated approximal caries.
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