Suppr超能文献

龋损牙本质中荧光特征口腔内扫描仪、激光荧光和分光光度分析之间相关性的评估:一项体外诊断准确性研究。

Assessment of the correlation between fluorescence-featured intraoral scanner, laser fluorescence and spectrophotometric analyses in caries-affected dentin: an in-vitro diagnostic accuracy study.

作者信息

Kanar Özlem, Korkut Bora, Tağtekin Dilek

机构信息

Marmara University, Istanbul, Türkiye.

出版信息

Lasers Med Sci. 2025 Mar 14;40(1):140. doi: 10.1007/s10103-025-04390-2.

Abstract

To investigate the relation between the caries scoring system of the fluorescence intraoral scanner (IOS) Trios 4 (3Shape, Denmark)a red laser light-induced fluorescence device DIAGNOdent Pen (Kavo, Germany), and the color parameters (Lab*) by a clinical contact type hybrid spectrophotometer Rayplicker (Borea, France) in the assessment of caries affected dentin tissue. Caries lesions were minimally invasively removal from 186 extracted molars. Teeth were scanned using Trios4, and the integrated software scored the cavity floor regarding the colors (yellow, initial caries; red, moderate-extensive caries) depending on the fluorescence features. Then the DIAGNOdent measurements were obtained from each cavity's deep and discolored surface points following the previously obtained Trios4 colors. Thus, the Trios4 reading could be quantitatively assessed. Cross-polarization photographs were using the Rayplickerand Lab color parameters, and 3D Master (VITA) color mapping was obtained by using the RayPlicker's software. Spearman's Rho Correlation, Kappa, Mann Whitney-U, One-way Analysis-of-Variance, and Kruskal Wallis tests were used for the statistical analyses (P < 0.05). Sensitivity, specificity and AUC were calculated. Trios4 and DIAGNOdent were positively correlated (r = 0.733;P < 0.001). The Lparameter by Rayplicker and Trios4 was negatively correlated(r=-0.742;P < 0,001). The aparameter by Rayplicker and Trios4 scoring positively correlated(r = 0.552;P < 0.001). No significant correlation was observed between bparameter by Rayplicker and Trios4 (r = 0.023; P = 0.760). DIAGNOdent readings according toTrios4 scorings were significant (P < 0.001). The teeth without caries scored by the Trios4 corresponded to the median value of 29 in DIAGNOdent readings, and 88 for the teeth with caries (by Trios4 / yellow-red). The agreement between the Trios4 and DIAGNOdent was 52.2% for the specimens with no residual caries. The presence of caries scores by the Trios 4 corresponded to the DIAGNOdent readings of %100 for all the teeth evaluated. Regarding the RayPlicker assessments, 33% of the sound cavities corresponded to 2M3 color, and 73% corresponded to 5M3 color. Trios4 scorings presented 0.782 AUC, 56.30% sensitivity, and 100% specificity in DIAGNOdent reference. Trios4 scoring was considered coherent with the DIAGNOdent Pen. DIAGNOdent readings and the Level of L and a* parameters in the dentin tissue might be considered interrelated. Fluorescence-featured scanner devices can be useful clinical tools to evaluate remaining dentin tissue during the caries removal procedure.

摘要

为了研究荧光口腔内扫描仪(IOS)Trios 4(丹麦3Shape公司)、红色激光诱导荧光装置DIAGNOdent Pen(德国卡瓦公司)的龋病评分系统与临床接触式混合分光光度计Rayplicker(法国Borea公司)的颜色参数(Lab*)在评估龋损牙本质组织中的关系。对186颗拔除的磨牙进行微创龋损去除。使用Trios4对牙齿进行扫描,集成软件根据荧光特征对洞底颜色(黄色,初期龋;红色,中度-广泛龋)进行评分。然后根据先前获得的Trios4颜色,从每个洞的深部和变色表面点进行DIAGNOdent测量。因此,可以对Trios4读数进行定量评估。使用Rayplicker拍摄交叉偏振照片并获取Lab颜色参数,通过RayPlicker软件获得3D Master(维他公司)颜色映射。使用Spearman秩相关、Kappa、Mann Whitney-U、单因素方差分析和Kruskal Wallis检验进行统计分析(P < 0.05)。计算敏感性、特异性和AUC。Trios4和DIAGNOdent呈正相关(r = 0.733;P < 0.001)。Rayplicker和Trios4的L参数呈负相关(r = -0.742;P < 0.001)。Rayplicker和Trios4评分的a参数呈正相关(r = 0.552;P < 0.001)。Rayplicker和Trios4的b参数之间未观察到显著相关性(r = 0.023;P = 0.760)。根据Trios4评分的DIAGNOdent读数具有显著性(P < 0.001)。Trios4评分无龋的牙齿在DIAGNOdent读数中的中位数为29,有龋的牙齿(Trios4/黄色-红色)为88。对于无残留龋的标本,Trios4和DIAGNOdent之间的一致性为52.2%。Trios 4的龋病评分与所有评估牙齿的DIAGNOdent读数的对应率为100%。关于RayPlicker评估,33%的健康窝洞对应2M3颜色,73%对应5M3颜色。在DIAGNOdent参考中,Trios4评分的AUC为0.782,敏感性为56.30%,特异性为100%。Trios4评分被认为与DIAGNOdent Pen一致。DIAGNOdent读数以及牙本质组织中L和a*参数水平可能被认为是相互关联的。具有荧光特征的扫描设备可能是在龋病去除过程中评估剩余牙本质组织的有用临床工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fac7/11909021/a4b19ff2ada0/10103_2025_4390_Fig1_HTML.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验