Evaluation of near-infrared digital imaging transillumination compared with bitewing radiography for proximal caries detection in children.

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International journal of paediatric dentistry Pub Date : 2024-05-20 DOI:10.1111/ipd.13205

Jilen Patel, Akhil Vannemreddy, Yee Jing Goh, Youssef Francis, Robert Anthonappa

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Abstract

Background: Limitations in traditional caries detection tools have driven the development of alternatives methods, focused on the early lesion detection such as near-infrared digital imaging transillumination (NIDIT).

Aim: The aim of this study was to evaluate the performance of NIDIT compared with bitewing radiography (BWR) in the detection of interproximal carious lesions in children.

Design: A retrospective audit of data from children who had NIDIT, BWR and intraoral photographs was conducted. Carious lesions were scored on a tooth surface level with BWR acting as the primary reference for comparison. Accuracy was determined using multi-class area under the curve (AUC), and correlation was determined using Fleiss' Kappa.

Results: Data from 499 tooth surfaces involving 44 children were included in this study. The average age across the participants was 86 months (~7 years) with an average dmft (decayed, missing and filled teeth in primary dentition) of 5.29. Multi-class AUC comparing NIDIT to BWR was 0.70. The correlation between NIDIT and BWR was moderate (0.43), whereas the correlation between photographic examination and BWR was 0.30, which is fair.

Conclusion: When compared to BWR, NIDIT showed a high specificity but a low sensitivity for proximal caries detection in primary teeth.

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评估近红外数字成像透射法与咬合射线摄影法在儿童近端龋齿检测方面的比较。

背景：目的：本研究的目的是评估近红外数字成像透射（NIDIT）与咬合射线照相术（BWR）相比在检测儿童根尖间龋病方面的性能：设计：对接受 NIDIT、BWR 和口内照片检查的儿童数据进行回顾性审核。以 BWR 作为主要参考对比，对牙齿表面的龋坏进行评分。准确度采用多类曲线下面积（AUC）确定，相关性采用弗莱斯卡帕（Fleiss' Kappa）确定：本研究纳入了 44 名儿童 499 个牙面的数据。参与者的平均年龄为 86 个月（约 7 岁），平均蛀牙、缺失牙和补过的乳牙数（dmft）为 5.29。NIDIT 与 BWR 的多类 AUC 值为 0.70。NIDIT和BWR之间的相关性为中等（0.43），而照片检查和BWR之间的相关性为0.30，属于中等水平：结论：与 BWR 相比，NIDIT 对乳牙近端龋齿检测的特异性较高，但灵敏度较低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.