State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Pediatric Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, Sichuan, China.
Wuhan University, Wuhan, China.
J Dent. 2023 Nov;138:104658. doi: 10.1016/j.jdent.2023.104658. Epub 2023 Aug 18.
The aim of this study was to validate the near-infrared imaging (NIRI) in comparison with visual inspection (VI) for early detection of proximal caries in primary molars.
VI and intraoral scans were performed on 126 patients aged 3-12 years with at least one non-cavitied and non-restored proximal tooth surface, who were scheduled for bite wing radiography (BWR) as part of their standard care. Teeth with signs of proximal cavities, restorations or residual caries were excluded in this study. BWR, a gold standard to diagnose proximal caries in primary molars, was used to validate the findings of NIRI and VI. The accuracy, sensitivity, specificity and the area under the curve (AUC) of NIRI and VI were calculated.
The accuracy, sensitivity and specificity of NIRI were 82.89%, 74.10% and 90.97%, while those of VI were 71.64%, 43.88% and 97.14%, respectively. NIRI showed higher accuracy and sensitivity, and lower specificity (P < 0.001). The AUC of NIRI was higher than that of VI (0.826 vs 0.706; P < 0.05).
NIRI showed higher sensitivity and lower specificity compared with VI when detecting proximal caries in primary molars. Therefore, it is recommended to use NIRI in combination with BWR to improve the detection rate of proximal caries in primary molars.
In children, there is a high incidence of proximal caries in primary molars, which require high technical sensitivity for detection. NIRI shows high sensitivity in detecting proximal caries, which may improve their detection rate in primary molars.
ChiCTR2300070916.
本研究旨在通过近红外成像（NIRI）与目视检查（VI）对比，验证其在早期检测乳磨牙近中面龋损中的作用。
对 126 名年龄在 3-12 岁的患者进行 VI 和口腔内扫描，这些患者至少有一颗非龋损和未修复的近中面牙齿，他们被安排进行牙尖片（BWR）作为标准护理的一部分。本研究排除了有近中面龋损、修复体或残龋迹象的牙齿。BWR 是诊断乳磨牙近中面龋损的金标准，用于验证 NIRI 和 VI 的结果。计算 NIRI 和 VI 的准确性、敏感度、特异度和曲线下面积（AUC）。
NIRI 的准确性、敏感度和特异度分别为 82.89%、74.10%和 90.97%，而 VI 分别为 71.64%、43.88%和 97.14%。NIRI 具有更高的准确性和敏感度，以及更低的特异度（P<0.001）。NIRI 的 AUC 高于 VI（0.826 与 0.706；P<0.05）。
与 VI 相比，NIRI 在检测乳磨牙近中面龋损时具有更高的敏感度和更低的特异度。因此，建议将 NIRI 与 BWR 结合使用，以提高乳磨牙近中面龋损的检出率。
在儿童中，乳磨牙近中面龋的发病率较高，需要高的技术敏感性进行检测。NIRI 在检测近中面龋损方面具有较高的敏感性，可能会提高其在乳磨牙中的检出率。
ChiCTR2300070916。
