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Performance of laser fluorescence for the detection of enamel caries in non-cavitated occlusal surfaces: clinical study with total validation of the sample.
MedLine Citation:
PMID:  22558692     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
PURPOSE: To evaluate the clinical performance of a laser fluorescence device in detecting enamel caries in non-cavitated occlusal surfaces.
METHODS: The sample included 96 first and second permanent molars, selected according to the criteria of Ekstrand: 44 not suspected of having dentin caries (score: 0-2) and 52 under suspicion (score: 3-4). Once measured by laser fluorescence, all teeth were validated by fissurotomy (gold standard). To avoid ethical questions, the 44 teeth (score: 0-2) used were to serve as abutments for a fixed dental prostheses. Following fissurotomy, the 52 teeth with suspected caries were treated with resin composite restorations. Kruskall-Wallis statistical analysis (P<0.05) was used.
RESULTS: Laser fluorescence showed an area under the Receiver Operating Characteristic (ROC) curve of Az = 0.803 for enamel caries. The cut-off point with the highest sensitivity and specificity was 15, with a sensitivity and specificity of 0.97 and 0.63, respectively. Values under 10 indicated healthy teeth.
Authors:
Camilo Abalos; Asunción Mendoza; Amparo Jimenez-Planas; Elena Guerrero; Antonio Chaparro; Franklin Garcia-Godoy
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of dentistry     Volume:  25     ISSN:  0894-8275     ISO Abbreviation:  Am J Dent     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-05-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8806701     Medline TA:  Am J Dent     Country:  United States    
Other Details:
Languages:  eng     Pagination:  44-8     Citation Subset:  D    
Affiliation:
Department of Dental Pathology and Therapeutics, Faculty of Dentistry, University of Seville, Seville, Spain. cabalos@us.es
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