세대별 QLF 기기의 평활면 비와동형 법랑질 우식 병소 탐지에 관한 진단정확도 비교

Comparison of fluorescence loss measurements among various generations of QLF devices

  • 박석우 (연세대학교 치과대학 예방치과학교실) ;
  • 이형석 (연세대학교 치과대학 예방치과학교실) ;
  • 김상겸 (연세대학교 치과대학 예방치과학교실) ;
  • 이은송 (연세대학교 치과대학 예방치과학교실) ;
  • ;
  • 김백일 (연세대학교 치과대학 예방치과학교실)
  • Park, Seok-Woo (Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry) ;
  • Lee, Hyung-Suk (Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry) ;
  • Kim, Sang-Kyeom (Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry) ;
  • Lee, Eun-Song (Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry) ;
  • de Jong, Elbert de Josselin (Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry) ;
  • Kim, Baek-Il (Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry)
  • 투고 : 2017.10.10
  • 심사 : 2017.11.14
  • 발행 : 2018.01.01

초록

Purpose: The aim of in vitro study was to compare the diagnostic accuracy to detect non-cavitated enamel caries on smooth surface by using four kinds of the QLF devices. Materials and Methods: A total of 52 human permanent premolars and molars were used. Fluorescence images were captured by the QLF devices (Inspektor Pro, QLF-D, Qraycam, and Qraypen). Fluorescence loss of the QLF was calculated. The severity of lesions was categorized into the following 3 scores using polarized light microscopy: normal (S), enamel demineralization to outer half of enamel (D1), and inner half of the enamel up to the dentin-enamel junction (D2). The Kruskal-Wallis test was used to compare the fluorescence loss among the QLF devices. Spearman rank correlation coefficient between histological scores and fluorescence loss of the devices was calculated. The sensitivity, specificity, and area under the receiver operating curve (AUROC) were calculated to compare their diagnostic accuracies. Results: The correlation coefficients between histological scores and the fluorescence loss of the devices showed 0.77 to 0.81 (P < 0.001). All histological scores, the fluorescence loss among the devices showed no statistical difference. Among the devices, sensitivity, specificity, and AUC values of the fluorescence loss showed 0.84 to 0.94, 0.76 to 0.90, and 0.90 to 0.92, respectively. Conclusions: All QLF devices had no difference with excellent diagnostic accuracies to detect non-cavitated enamel caries on smooth surface.

키워드

과제정보

연구 과제 주관 기관 : 한국과학기술단체총연합회

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