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Physical methods of dental caries detection
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|---|---|---|---|---|
| PPG_38859 | 207.54 KB | Adobe PDF |
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Abstract(s)
A cárie dentária é a doença oral mais prevalente e seu diagnóstico envolve avaliação
visual-tátil (AVT) e a radiografia dentária (Rx) como exame complementar. Contudo, o Rx
expõe o paciente a radiação ionizante. A fluorescência induzida por luz (FL) e a
transiluminação por infravermelho próximo (TLIP) são novas ferramentas para ajudar na
obtenção de um diagnóstico mais preciso. Esta revisão da literatura tenta explicar as
diferenças nestas tecnologias e compara-as aos métodos de diagnóstico tradicionais. A análise
dos estudos mostrou que ambos os métodos foram validados para o diagnóstico de cárie e no
caso da FL, a sensibilidade varia de 0,69 a 0,73 e a especificidade de 0,73 a 0,82. Para o
TLIP, a faixa de sensibilidade foi de 0,66 a 0,92 e a especificidade de 0,76 a 0,98. FL e TLIP
apresentaram resultado superior ao Rx, excepto em lesão profunda na dentina. Concluímos
que as tecnologias FL e NILT são excelentes como ferramentas de diagnóstico de cárie
dentária.
Dental caries is the most prevalent oral disease and it’s diagnostic involve visualtactile evaluation (VTE) and usually the Dental radiography (Rx) as an adjunct exam. However, Rx exposes patients to ionising radiation. Light-induced fluorescence (LF) and Near-infrared light transillumination (NILT) are new tools to help the achievement of an accurate diagnosis. This literature review explains the differences between these technologies and compare them to traditional diagnosis methods. The evaluation of the studies showed that both were validated to caries diagnosis and for the LF, sensitivity range from 0.69 to 0.73 and specificity from 0.73 to 0.82. For the NILT, sensitivity range was 0.66 to 0.92 and the specificity 0.76 to 0.98. There is a better result for LF and NILT than Rx in all sites, except deep dentin lesion. We concluded that the LF and NILT technologies are excellent tools in caries diagnosis.
Dental caries is the most prevalent oral disease and it’s diagnostic involve visualtactile evaluation (VTE) and usually the Dental radiography (Rx) as an adjunct exam. However, Rx exposes patients to ionising radiation. Light-induced fluorescence (LF) and Near-infrared light transillumination (NILT) are new tools to help the achievement of an accurate diagnosis. This literature review explains the differences between these technologies and compare them to traditional diagnosis methods. The evaluation of the studies showed that both were validated to caries diagnosis and for the LF, sensitivity range from 0.69 to 0.73 and specificity from 0.73 to 0.82. For the NILT, sensitivity range was 0.66 to 0.92 and the specificity 0.76 to 0.98. There is a better result for LF and NILT than Rx in all sites, except deep dentin lesion. We concluded that the LF and NILT technologies are excellent tools in caries diagnosis.
Description
Keywords
Cáries dentárias Métodos de diagnóstico Fluorescência por laser Transiluminação por infravermelho próximo Dental caries Diagnostic method Quantitative light-induced fluorescence Near-infrared light transillumination