International Journal of Clinical Pediatric Dentistry

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VOLUME 12 , ISSUE 4 ( July-August, 2019 ) > List of Articles

RESEARCH ARTICLE

In Vivo Comparative Enactment of CarieScanPRO™ with Conventional Methods to Detect Occlusal Carious Lesions in the Mandibular Primary Molars

Vimala Devi Popuri, Sreekanth Kumar Mallineni

Keywords : Caries detection, CarieScanPRO™, Occlusal caries, Radiovisiography, Visual International caries detection and assessment system II

Citation Information : Popuri VD, Mallineni SK. In Vivo Comparative Enactment of CarieScanPRO™ with Conventional Methods to Detect Occlusal Carious Lesions in the Mandibular Primary Molars. Int J Clin Pediatr Dent 2019; 12 (4):325-331.

DOI: 10.5005/jp-journals-10005-1649

License: CC BY-NC 4.0

Published Online: 01-08-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: To assess the performance of CarieScanPRO™ with radiovisiography (RVG) and international caries detection and assessment system II (ICDAS-II) to detect the occlusal carious lesions in the mandibular primary molars. Methods: Fifty healthy children of age 5–7 years were involved and evaluated for caries using visual ICDAS-II, RVG, and CarieScanPRO™. Operative intervention pit and fissure opening served as a gold standard for comparison of the three methods of examination. The sensitivity, specificity, accuracy, and area under the receiver operating characteristic (ROC) curve (Az) of the methods were calculated at enamel (D1), dentinoenamel junction (DEJ) (D2), and dentine (D3, D4). Results: At D1 threshold, CarieScanPRO™ showed higher values of sensitivity and accuracy (0.97 and 0.88) and RVG specificity (0.92). At D2 threshold, visual examination showed higher values of sensitivity (0.80) whereas CarieScanPRO™ showed specificity and accuracy of 0.98 and 0.87. At D3, D4 threshold, CarieScanPRO™ showed higher values of sensitivity, specificity, and accuracy (0.1, 0.98, and 0.99). Higher positive predictive value (PPV), negative predictive value (NPV) and lower false discovery rate (FDR), false-positive rate (FPR) were shown by CarieScanPRO™. The intraexaminer repeatability for CarieScanPRO™ was good with kappa at D1 (0.77) and D3, D4 (0.98). Conclusion: CarieScanPRO™ showed higher reproducibility compared to visual examination and RVG for the detection of enamel and dentinal caries. Higher accuracy of CarieScanPRO™ can be used for longitudinal monitoring of occlusal caries in primary teeth with low sensitivity at DEJ.


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