Saffarpour Aida, Tonkaboni Arghavan, Pareshkooh Mahdi Karimipour, Nazari Sadaf Ostad Agha, Manafi Saba, Kharazifard Mohammad Javad
Departments of Operative and Aesthetic Dentistry, School of Dentistry, Tehran University of Medical Sciences, (International Campus), Tehran, Iran.
Department of Oral Medicine, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Dent Res J (Isfahan). 2023 Jun 27;20:68. eCollection 2023.
This study compared the diagnostic efficacy of VistaCam iX infrared camera, visual inspection, and bitewing-radiographs for the detection of primary occlusal caries of permanent teeth.
In this experimental study, 80 extracted human premolars were evaluated. The occlusal surfaces of these teeth were demineralized by immersion in a demineralizing agent. Then, the International Caries Detection and Assessment System (ICDAS II), bitewing-radiography, and Proxi head of VistaCam iX were used to inspect them. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated for each diagnostic modality. Data were analyzed using SPSS. Twenty-five at < 0.05 level of significance with one-way analysis of variance and Games-Howell test.
Bitewing-radiography had significantly lower sensitivity than ICDAS II and VistaCam ( < 0.05). ICDAS II was comparable to VistaCam, with no significant difference in sensitivity ( > 0.05). ICDAS II had a significantly higher PPV than bitewing-radiography and VistaCam ( < 0.05). The sensitivity of bitewing radiography was significantly lower than that of ICDAS II and VistaCam ( < 0.05). ICDAS II was comparable to that of VistaCam with no significant differences in sensitivity ( > 0.05). ICDAS II had a considerably higher PPV than bitewing-radiography and VistaCam ( < 0.05). The NPV of ICDAS II visual inspection was significantly higher than that of bitewing-radiography and VistaCam ( < 0.05). The ICDASS II and VistaCam had a repeatability coefficient of 47.4%. For bitewing-radiography and VistaCam, this value was 44.2% and 83.4% for ICDAS II and bitewing-radiography.
Visual inspection seems to be superior to bitewing-radiography and VistaCam in detecting primary occlusal caries of permanent teeth.
本研究比较了VistaCam iX红外相机、视觉检查和咬合翼片X线片对恒牙原发性咬合面龋的诊断效能。
在这项实验研究中，对80颗拔除的人类前磨牙进行了评估。通过将这些牙齿浸泡在脱矿剂中使其咬合面脱矿。然后，使用国际龋病检测与评估系统（ICDAS II）、咬合翼片X线片和VistaCam iX的Proxi头对其进行检查。计算每种诊断方法的敏感性、特异性、阳性预测值（PPV）和阴性预测值（NPV）。使用SPSS对数据进行分析。采用单因素方差分析和Games-Howell检验，P<0.05为差异有统计学意义。
咬合翼片X线片的敏感性显著低于ICDAS II和VistaCam（P<0.05）。ICDAS II与VistaCam相当，敏感性无显著差异（P>0.05）。ICDAS II的PPV显著高于咬合翼片X线片和VistaCam（P<0.05）。咬合翼片X线片的敏感性显著低于ICDAS II和VistaCam（P<0.05）。ICDAS II与VistaCam相当，敏感性无显著差异（P>0.05）。ICDAS II的PPV显著高于咬合翼片X线片和VistaCam（P<0.05）。ICDAS II视觉检查的NPV显著高于咬合翼片X线片和VistaCam（P<0.05）。ICDASS II和VistaCam的重复性系数为47.4%。对于咬合翼片X线片和VistaCam，ICDAS II和咬合翼片X线片的该值分别为44.2%和83.4%。
在检测恒牙原发性咬合面龋方面，视觉检查似乎优于咬合翼片X线片和VistaCam。
