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http://dx.doi.org/10.5933/JKAPD.2021.48.4.405

Detecting of Proximal Caries in Primary Molars using Pen-type QLF Device  

Cho, Hyejin (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Kim, Hyuntae (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Song, Ji-Soo (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Shin, Teo Jeon (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Kim, Jung-Wook (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Jang, Ki-Taeg (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Kim, Young-Jae (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.48, no.4, 2021 , pp. 405-413 More about this Journal
Abstract
The purpose of this in vivo study was to assess the clinical screening performance of a quantitative light-induced fluorescence (QLF) device in detecting proximal caries in primary molars. Fluorescence loss, red autofluorescence and a simplified QLF score for proximal caries (QS-proximal) were evaluated for their validity in detecting proximal caries in primary molars compared to bitewing radiography. Three hundred and forty-four primary molar surfaces were included in the study. Carious lesions were scored according to lesion severity assessed by visual-tactile and radiographic examinations. The QLF images were analyzed for two quantitative parameters, fluorescence loss and red autofluorescence, as well as for QS-proximal. For both quantitative parameters and QS-proximal, the sensitivity, specificity and area under receiver operating curve (AUROC) were calculated as a function of the radiographic scoring index at enamel and dentin caries levels. Both quantitative parameters showed fair AUROC values for detecting dentine level caries (△F = 0.794, △R = 0.750). QS-proximal showed higher AUROC values (0.757 - 0.769) than that of visual-tactile scores (0.653) in detecting dentine level caries. The QLF device showed fair screening performance in detecting proximal caries in primary molars compared to bitewing radiography.
Keywords
Quantitative light-induced fluorescence; Proximal caries; Caries detection;
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