Dental and Medical Problems

Dent Med Probl
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ISSN 2300-9020 (online)
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Dental and Medical Problems

2016, vol. 53, nr 4, October-December, p. 468–475

doi: 10.17219/dmp/64382

Publication type: original article

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Comparison of the Detection of Proximal Caries in Children and Youth Using DIAGNOcam® and Bitewing Radiovisiography

Porównanie wykrywalności próchnicy na powierzchniach międzystycznych zębów u dzieci i młodzieży po zastosowaniu urządzenia DIAGNOcam® i radiowizjografii skrzydłowo-zgryzowej

Anna Błażejewska1,A,B,C,D, Natalia Dacyna1,A,B,C,D, Paweł Niesiobędzki1,A,B,C,D, Magdalena Trzaska1,A,B,C,D, Dariusz Gozdowski2,B,C, Anna Turska-Szybka3,A,B,C,E,F, Dorota Olczak-Kowalczyk3,E,F

1 Students Scientific Society, Department of Pediatric Dentistry, Medical University of Warsaw, Warsaw, Poland

2 Department of Experimental Design and Bioinformatics, Department of Agriculture and Biology, Warsaw University of Life Sciences, Warsaw, Poland

3 Department of Pediatric Dentistry, Medical University of Warsaw, Warsaw, Poland


Background. Detecting early carious lesions on tooth surfaces which are hard to reach, especially proximal ones, is the most problematic part of a dental examination. Nowadays, in clinical practice, in additional to a clinical examination, the use of subsidiary methods, such as radiovisiography or laser, in detecting proximal caries is recommended.
Objectives. A comparison of the effectiveness of detecting caries on the proximal surfaces of primary molars, permanent molars and premolars in children and youth under 18 years old using visual and tactical examination, the laser diagnostic camera DIAGNOcam® (KaVo) and bitewing radiovisiography.
Material and Methods. The proximal surfaces of molars and premolars in 100 children and youth under 18 years old were examined, all of whom were patients of the Department of Pediatric Dentistry at the Medical University of Warsaw. Examination of the proximal surfaces was conducted using Digora bitewing radiovisiography, a DIAGNOcam KaVo laser camera and visual and tactical examination according to the ICDAS-II classification scale. Statistical analysis was conducted using the Wilcoxon signed-rank test. Moreover, the sensitivity and specificity of the methods was evaluated.
Results. The average patient age was 10.5 ± 3.83 years. Caries were diagnosed on 122 (10.90%) proximal surfaces of the lateral teeth in the radiovisiographic examination, on 113 (10.47%) using the DIAGNOcam KaVo intraoral camera and on 98 (4.00%) in the visual and tactical examination. A lack of statistical significance for the examination of the proximal tooth surfaces using DIAGNOcam vs radiovisiography was stated. The sensitivity of the radiovisiography was 88.33 and the specificity 84.38, whereas the sensitivity of the DIAGNOcam was 80.00 and the specificity was 81.10.
Conclusion. The diagnostic methods that were used have varied in sensitivity and specificity. Examination of the proximal surfaces using the DIAGNOcam is less sensitive than radiovisiography, as well as less specific. Both methods have limitations in usage.

Key words

caries diagnostic methods, detection of proximal caries, bitewing X-rays, DIAGNOcam, DIFOTI technology

Słowa kluczowe

metody wykrywania próchnicy, wykrywanie próchnicy na powierzchniach stycznych, zdjęcie zgryzowo-skrzydłowe, DIAGNOcam, DIFOTI

References (26)

  1. Ziętek M.: Oral health of Poles. Czas. Stomatol. 2005, 58, 388–391 [in Polish].
  2. Mirska-Miętek M.: Diagnosis of caries on approximal surfaces of permanent teeth. Ann. Acad. Med. Stetin. 2010, 56, 2, 70–79 [in Polish].
  3. Tassery H., Levallois B., Terrer E., Manton D.J., Otsuki M., Koubi S., Gugnani N., Panayotov I., Jacquot B., Cuisinier F., Rechmann P.: Use of new minimum intervention dentistry technologies in caries management. Aust. Dent. J. 2013, 58, 40–59.
  4. Jodkowska E.: Non-invasive caries treatment. Stomatol. Współcz. 2001, 8, 1, 13–16 [in Polish].
  5. Shamsa S., Radecki S., Zalewska K., Turska-Szybka A., Olczak-Kowalczyk D.: The comparison of selected diagnostic methods’ accuracy in the detection of early occlusal carious lesions in first permanent molar teeth in children. Nowa Stomatol. 2013, 18, 2, 61–66 [in Polish].
  6. Mariańska I., Gontarz W., Pędzisz M., Turska-Szybka A., Olczak-Kowalczyk D.: Identification and stage of severity of caries on proximal surfaces of deciduous teeth. Dent. Med. Probl. 2015, 52, 39–46 [in Polish].
  7. Rodakowska E., Waszkiel D.: Assessment of the incidence of caries in first molars using visual detection and the diagnodent system. J. Stoma. 2011, 64, 385–393.
  8. Zarzecka J.B., Kęsek B., Gołda T., Wieczorek E.: Contemporary opinions regarding early carious lesions treatment. Magazyn Stomatol. 2003, 13, 4, 30–32 [in Polish].
  9. Nowosielska A., Marciniak A., Zawadzka E.: The modern methods of dental caries diagnosis. Nowa Stomatol. 2003, 8, 1, 27–32 [in Polish].
  10. Kühnisch J., Söchtig F., Pitchika V., Laubender R., Neuhaus K.W., Lussi A., Hickel R.: In vivo validation of near-infrared light transillumination for interproximal dentin caries detection. Clin. Oral Investig. 2016, 20, 821–829.
  11. Strzelecka P., Skomro P., Kubala E., Perz A., Lietz-Kijak D.: Diagnosis of dental caries on the contact surfaces at orthodontic patients treatment with fixed braces. Asyst. Hig. Stomatol. 2015, 10, 4, 186–193 [in Polish].
  12. Marinova-Takorova M., Anastasova R., Panov V.: Comparative evaluation of the effectiveness of five methods for early diagnosis of occlusal caries lesions – in vitro study. J. IMAB, 2014, 20, 514–516.
  13. Söchtig F., Hickel R., Kühnisch J.: Caries detection and diagnostics with near-infrared light transillumination, clinical experiences. Quintessence Int. 2014, 45, 531–538.
  14. Paruzel-Pliskowska A., Malina-Novak K., Trystuła E., Pytko-Polończyk J.: Primary caries detection using orthopantomogram and DIAGNOcam (KaVo) – a pilot study. Stomatol. Współcz. 2014, 21, 3, 18–23 [in Polish].
  15. Abdelaziz M., Krejci I.: DIAGNOcam – a Near Infrared Digital Imaging Transillumination (NIDIT) technology. Int. J. Esthet. Dent. 2015, 10, 158–165.
  16. Straková D., Dostálová T., Ivanov I.H.: New method of caries detection. What does DIAGNOcam enable? IJBH 2014, 2, 1, 37–41.
  17. Łagocka R., Bendyk-Szeffer M., Stogiera A., Buczkowska-Radlińska J.: Diagnostic laser digital camera for detecting of caries – DIAGNOcam – initial assessment. Magazyn Stomatol. 2015, 25, 3, 135–139 [in Polish].
  18. Strzelecka P., Kubala E., Skomro P., Perz A., Stępniak B., Lietz-Kijak D.: Carious lesions detected on approximal teeth surfaces with DIAGNOcam at patients treated with fixed braces. Art. Dent. 2015, 13, 4, 238–246 [in Polish].
  19. International Caries Detection and Assessment System (ICDAS) Coordinating Committee (2005) Criteria Manual – International Caries Detection and Assessment System (ICDAS II). assessed 15 Nov 2008.
  20. Hinze H., Wenzel A.: Clinical and laboratory radiographic caries diagnosis. A study of the same teeth. Dentomaxillofac. Radiol. 1996, 25, 115–118.
  21. Mejàre I., Källestal C., Stenlund H.: Incidence and progression of approximal caries from 11 to 22 years of age in Sweden: A prospective radiographic study. Caries Res. 1999, 33, 93–100.
  22. Olczak-Kowalczyk D., Wagner L.: Identification and classification of dental caries. [In:] Introduction to pediatric dentistry. Publishing Company WUM, Warszawa 2014, 88–94 [in Polish].
  23. Pitts N.B.: The use of bitewing radiographs in the management of dental caries: scientific and practical considerations. Dentomaxillofac. Radiol. 1996, 25, 5–16.
  24. Peers A., Hill F.J., Mitropoulos C.M., Holloway P.J.: Validity and reproducibility of clinical examination, fibreoptic transillumination, and bite-wing radiology for the diagnosis of small approximal carious lesions: An in vitro study. Caries Res. 1993, 27, 307–311.
  25. Vaarkamp J., Bosch J.J., Verdonschot E.H., Bronkhoorst E.M.: The real performance of bitewing radiography and fiber-optic transillumination in approximal caries diagnosis. J. Dent. Res. 2000, 79, 1747–1751.
  26. Ástvaldsdóttir Á., Åhlund K., Holbrook W.P., de Verdier B., Tranæus S.: Approximal caries detection by DIFOTI: In vitro comparison of diagnostic accuracy/efficacy with film and digital radiography. Int. J. Dent. 2012, ID: 326401.