用近红外透射光(NIR-LT)与临床视觉检查/FOTI 检测活体龋齿。

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Quintessence international Pub Date : 2024-08-27 DOI:10.3290/j.qi.b5714710
Mirja Methuen, Anna L Suominen, Adrian Lussi, Hannu Vähänikkilä, Timo Lakka, Vuokko Anttonen
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引用次数: 0

摘要

目的评估近红外透射光(NIR-LT)与纤维光学透射光(FOTI)辅助的临床-视觉检查(VI)相比,检测近端釉质和牙本质龋损的能力:对170名15-17岁的芬兰青少年的5294颗前臼齿和臼齿的近端间表面进行了检查,首先采用国际龋病检测和评估系统(ICDAS)的分类方法,在FOTI(VI+FOTI)的辅助下进行临床-视觉检查。随后,使用近红外激光扫描仪对牙齿表面进行检查。病变范围是根据索希特标准修改后的 NIR-LT 分类确定的。在进行分析时,将上下前臼齿和臼齿的数据合并在一起。病变分布以频率表示。VI+FOTI和NIR-LT在牙齿和牙齿表面的差异通过Chi-square和费雪精确检验进行分析。以 VI+FOTI 作为金标准,对近红外-LT 方法检测任何病变的敏感性和特异性进行了分析:通过 VI+FOTI,92.4% 的牙面被归类为完好,而通过 NIR-LT 则有 88.2%。VI+FOTI发现7.0%的牙面有龋坏,NIR-LT发现11.6%的牙面有龋坏。在所有受检牙齿组中,近红外荧光透射法发现的釉质病变几乎是前者的两倍,只有下磨牙是后者的 1.3 倍。在 66% 的牙面上,近红外荧光透射法和 VI+FOTI 检测结果之间的差异具有统计学意义(p 结论:近红外荧光透射法和 VI+FOTI 检测结果之间的差异具有统计学意义:无辐射 NIR-LT 方法作为一种辅助方法,在早期发现低龋患率青少年的龋病方面具有相当大的潜力。
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Near-infrared light transillumination (NIR-LT) vs clinical-visual inspection/FOTI to detect interproximal caries lesions in vivo.

Objective: To evaluate the ability of near-infrared light transillumination (NIR-LT) to detect interproximal enamel and dentinal caries lesions compared to clinical-visual inspection (VI) aided by fibre-optic transillumination (FOTI).

Method and materials: From 170 Finnish adolescents aged 15-17 years, 5294 interproximal surfaces of premolars and molars were examined first clinical-visually aided by FOTI (VI+FOTI) using the International Caries Detection and Assessment System (ICDAS) classification. Subsequently, the surfaces were examined using NIR-LT. The extent of lesions was determined using the modified NIR-LT classification based on the Söchtig criteria. For the analyses, data on upper and lower premolars and molars were combined. Distributions of lesions were presented as frequencies. Differences between VI+FOTI and NIR-LT at the tooth and tooth surface levels were analysed by Chi-square and Fisher's exact tests. Sensitivity and specificity of the NIR-LT method to detect any lesion was performed using VI+FOTI as the gold standard.

Results: By VI+FOTI, 92.4% surfaces were classified as sound and by NIR-LT, 88.2%. Enamel caries lesions were found on 7.0% of the surfaces by VI+FOTI and on 11.6% by NIR-LT. Enamel lesions identified by NIR-LT were nearly double for all examined teeth groups, except for lower molars it was 1.3-fold. In 66% of the surfaces, the differences between NIR-LT and VI+FOTI findings were statistically significant (p<0.001). The sensitivity for all teeth of NIR-LT was 48.4% and the specificity was 91.1%.

Conclusion: Radiation-free NIR-LT method shows considerable potential as a supplementary method for early detection of caries lesions among low caries prevalence adolescents.

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来源期刊
Quintessence international
Quintessence international 医学-牙科与口腔外科
CiteScore
3.30
自引率
5.30%
发文量
11
审稿时长
1 months
期刊介绍: QI has a new contemporary design but continues its time-honored tradition of serving the needs of the general practitioner with clinically relevant articles that are scientifically based. Dr Eli Eliav and his editorial board are dedicated to practitioners worldwide through the presentation of high-level research, useful clinical procedures, and educational short case reports and clinical notes. Rigorous but timely manuscript review is the first order of business in their quest to publish a high-quality selection of articles in the multiple specialties and disciplines that encompass dentistry.
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