Comparison Between Radiographs, White and Fluorescent Images in the Diagnosis and Treatment Decisions for Occlusal Caries: An <i>Ex Vivo</i> Study

Silva, Luciana Pereira da; Bastos, Luan Ferreira; Mascarenhas, Clara Silva Avellar; Lopes, Ricardo Tadeu; Ammari, Michelle Mikhael; Pomarico, Luciana; Souza, Ivete Pomarico Ribeiro de; Visconti, Maria Augusta; Neves, Aline de Almeida

doi:10.1590/pboci.2023.009

Luciana Pereira da Silva

contributed to critical review of intellectual content and approval of the final version to be published

Conceptualization

Formal Analysis

Investigation

Data Curation

Writing - Original Draft

Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

http://orcid.org/0000-0002-0719-5002

Luan Ferreira Bastos

contributed to critical review of intellectual content and approval of the final version to be published

Conceptualization

Formal Analysis

Data Curation

Writing - Original Draft

Nuclear Instrumentation Laboratory, Alberto Luiz Coimbra Institute for Graduate Studies and Research in Engineering, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

http://orcid.org/0000-0001-9948-5500

Clara Silva Avellar Mascarenhas

contributed to critical review of intellectual content and approval of the final version to be published

Conceptualization

Formal Analysis

Data Curation

Writing - Review and Editing

Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

http://orcid.org/0000-0002-5598-8066

Ricardo Tadeu Lopes

contributed to critical review of intellectual content and approval of the final version to be published

Conceptualization

Formal Analysis

Data Curation

Writing - Review and Editing

Nuclear Instrumentation Laboratory, Alberto Luiz Coimbra Institute for Graduate Studies and Research in Engineering, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

http://orcid.org/0000-0001-7250-824X

Michelle Mikhael Ammari

contributed to critical review of intellectual content and approval of the final version to be published

Conceptualization

Formal Analysis

Data Curation

Writing - Review and Editing

Health Institute of Nova Friburgo, School of Dentistry, Fluminense Federal University, Nova Friburgo, RJ, Brazil

http://orcid.org/0000-0003-1294-7026

Luciana Pomarico

contributed to critical review of intellectual content and approval of the final version to be published

Conceptualization

Formal Analysis

Data Curation

Writing - Review and Editing

Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

http://orcid.org/0000-0001-9299-7431

Ivete Pomarico Ribeiro de Souza

contributed to critical review of intellectual content and approval of the final version to be published

Conceptualization

Formal Analysis

Data Curation

Writing - Review and Editing

Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

http://orcid.org/0000-0003-0449-6624

Maria Augusta Visconti

contributed to critical review of intellectual content and approval of the final version to be published

Conceptualization

Validation

Formal Analysis

Data Curation

Writing - Review and Editing

Project Administration

Department of Pathology and Oral Diagnosis, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

http://orcid.org/0000-0002-8837-8387

Aline de Almeida Neves

contributed to critical review of intellectual content and approval of the final version to be published

Conceptualization

Methodology

Formal Analysis

Writing - Review and Editing

Supervision

Project Administration

Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

http://orcid.org/0000-0002-6049-0588

Correspondence: Aline de Almeida Neves, Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil. E-mail: aline.dealmeidaneves@gmail.com

Conflict of Interest

The authors declare no conflicts of interest.

Academic Editor: Burak Buldur

How to cite: Silva LP, Bastos LF, Mascarenhas CSA, Lopes RT, Ammari MM, Ribeiro L, et al. Comparison between radiographs, white and fluorescent images in the diagnosis and treatment decisions for occlusal caries: an ex vivo study. Pesqui Bras Odontopediatria Clín Integr. 2023; 23:e210162. https://doi.org/10.1590/pboci.2023.009

Dental Caries Scores	Description
0	Sound teeth surface
1	Enamel-limited demineralization without enamel cavitation
2	Enamel-limited demineralization with enamel cavitation
3	Dentin demineralization without dentin cavitation
4	Dentin demineralization with dentin cavitation
Treatment Options Scores
0	No specific treatment
1	Preventive treatment (patient education and oral hygiene instructions)
2	Non-operative treatment (fluoride varnish and/or sealant applications)
3	Operative treatment (caries removal and restoration)

	Digital images			Gold standard
Tooth	DR	WL	FL	Micro-CT representative slice	Dental caries score	Treatment decision scores
1					1	1, 2
2					3	1, 2
3					3	1, 2
4					3	1, 2
5					3	1, 2
6					4	3
7					4	3
8					4	3
9					3	1, 2
10					3	1, 2

Dental Caries Scores	Treatment Options Scores
0	0, 1
1	1, 2
2	1, 2
3	1, 2
4	2, 3

Variables	N (%)
Gender
Female	21 (80.8)
Male	5 (19.2)
Education Level
PhD	1 (3.8)
Specialist	20 (76.9)
Master	5 (19.2)
	Mean (SD)	Min-Max
Age (Years)	38.4 (5.6)	31-53
Graduate Time (Years)	14.5 (5.4)	8-28

Tooth	All Methods % [IC 95%]	DR (n=26) % [IC 95%]	Methods WL (n=26) % [IC 95%]	FL (n=26) % [IC 95%]	p-value
1	15.4 [8.7; 24.6]	11.5 [3.4; 28.5]	7.7 [1.6; 23.7]	26.9 [12.9; 46.1]	0.163
2	5.1 [1.8; 11.7]	3.8 [0.4; 18.9]	7.7 [1.6; 23.7]	3.8 [0.4; 18.9]	0.789
3	11.5 [5.9; 20]	15.4 [5.4; 33.2]	0 [0; 0]	19.2 [7.7; 37.6]	0.739
4	2.6 [0.5; 8]	0 [0; 0]	7.7 [1.6; 23.7]	0 [0; 0]	-
5	29.5 [20.3; 40.2]	30.8 [15.7; 50.1]	34.6 [18.6; 54]	23.1 [10.2; 41.9]	0.588
6	28.2 [19.1; 38.8]	15.4^a [5.4; 33.2]	50^b [31.5; 68.5]	19.2^a [7.7; 37.6]	0.003
7	5.1 [1.8; 11.7]	3.8 [0.4; 18.9]	7.7 [1.6; 23.7]	3.8 [0.4; 18.9]	0.52
8	20.5 [12.7; 30.4]	7.7^a [1.6; 23.7]	15.4^ab [5,4; 33,2]	38.5^b [21,7; 57,8]	0.005
9	15.4 [8.7; 24.6]	26.9 [12.9; 46.1]	7.7 [1.6; 23.7]	11.5 [3.4; 28.5]	0.217
10	19.2 [11.7; 29]	11.5 [3.4; 28.5]	26.9 [12.9; 46.1]	19.2 [7.7; 37.6]	0.353
Mean	15.3 [12.9; 17.9]	12.7 [8.8; 17.7]	16.5 [11.7; 22.5]	16.5 [12.4; 21.4]	0.415

Tooth	All Methods % [IC 95%]	DR (n=26) % [IC 95%]	Methods WL (n=26) % [IC 95%]	FL (n=26) % [IC 95%]	p-value
1	51.3 [40.3; 62.2]	50 [31.5; 68.5]	50 [31.5; 68.5]	53.8 [35; 71.9]	0.823
2	39.7 [29.4; 50.8]	26.9 [12.9; 46.1]	38.5 [21.7; 57.8]	53.8 [35; 71.9]	0.089
3	33.3 [23.6; 44.3]	23.1 [10.2; 41.9]	42.3 [24.9; 61.4]	34.6 [18.6; 54]	0.281
4	60.3 [49.2; 70.6]	11.5^a [3.4; 28.5]	88.5^b [71.5; 96.6]	80.8^b [62.4; 92.3]	<0.001
5	28.2 [19.1; 38.8]	11.5 [3.4; 28.5]	38.5 [21.7; 57.8]	34.6 [18.6; 54]	0.086
6	65.4 [54.4; 75.2]	57.7^ab [38.6; 75.1]	84.6^a [66.8; 94.6]	53.8^b [35; 71.9]	0.005
7	17.9 [10.7; 27.5]	11.5 [3.4; 28.5]	23.1 [10.2; 41.9]	19.2 [7.7; 37.6]	0.602
8	57.7 [46.6; 68.2]	34.6^a [18.6; 54]	50^a [31.5; 68.5]	88.5^b [71.5; 96.6]	<0.001
9	38.5 [28.2; 49.5]	38.5 [21.7; 57.8]	26.9 [12.9; 46.1]	50 [31.5; 68.5]	0.259
10	39.7 [29.4; 50.8]	38.5 [21.7; 57.8]	38.5 [21.7; 57.8]	42.3 [24.9; 61.4]	0.949
Mean	43.2 [39.8; 46.7]	30.4^a [24; 37.5]	48.1^b [42.3; 53.9]	51.2^b [44.7; 57.6]	<0.001

[1] Correspondence: Aline de Almeida Neves, Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil. E-mail: aline.dealmeidaneves@gmail.com

Brasil

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Comparison Between Radiographs, White and Fluorescent Images in the Diagnosis and Treatment Decisions for Occlusal Caries: An Ex Vivo Study

ABSTRACT

Objective:

Material and Methods:

Results:

Conclusion: