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Optical magnification has no benefits on the detection of occlusal caries lesions in permanent molars using different visual scoring systems: an in vitro study

2020Journal article Open access
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dc.contributor.authorWilde, Sabrina
dc.contributor.authorCampos, Priscila Hernández de
dc.contributor.authorMarcondes, Ana Paula Marçal
dc.contributor.authorMoura-Netto, Cacio
dc.contributor.authorNovaes, Tatiane Fernandes
dc.contributor.authorLussi, Adrian
dc.contributor.authorDiniz, Michele Baffi
dc.date.accessioned2021-03-30T19:32:01Z
dc.date.available2021-03-30T19:32:01Z
dc.date.issued2020
dc.description.abstractBackground: Some studies have addressed the influence of optical magnification on the detection of caries lesions using a visual scoring system. However, there is a lack of research related to the use of the CAST and ADA-CCS visual scoring systems. In addition, the reliability and accuracy of ADA-CCS index in permanent teeth were not studied yet. So, the aim of this study was to evaluate, in vitro, the influence of different levels of optical magnification on the detection of occlusal caries lesions in permanent molars using three visual scoring systems. Material and Methods: One occlusal site per tooth was analyzed in 120 extracted permanent molars. Two trained examiners inspected the teeth using ICDAS (International Caries Detection and Assessment System), CAST (Caries Assessment Spectrum and Treatment), and ADA-CCS (American Dental Association-Caries Classification System) visual criteria, twice with each scoring system, with a one-week interval between examinations. The study was conducted in three phases: (A) without optical magnification, (B) using a binocular lens (3.5x magnification), and (C) using an operating microscope (16x magnification). Then, the teeth were sectioned longitudinally through the center of the selected site and the section with the more severe lesion was histological evaluated considering the D1 (lesions in enamel and dentin) and D3 (dentin lesions) thresholds. Results: Kappa values for intra-and inter-examiner reproducibility were good to excellent for all systems. At the D1 threshold, sensitivity, accuracy, and area under the ROC curve were high for ICDAS and CAST in all phases. However, this was not the case for the ADA-CCS in phase C (p<0.05). At the D3 diagnostic threshold, there was no significant difference between the visual scoring systems during the study phases (p>0.05). Conclusions: The magnification does not improve the accuracy of the visual scoring systems in the detection of occlusal caries lesions in permanent molars.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.4317/JCED.56445pt_PT
dc.identifier.eid85087088433
dc.identifier.issn1989-5488
dc.identifier.pmcPMC7263771
dc.identifier.pmid32509231
dc.identifier.urihttp://hdl.handle.net/10400.14/32405
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectCaries detectionpt_PT
dc.subjectDental cariespt_PT
dc.subjectMagnificationpt_PT
dc.subjectPermanent teethpt_PT
dc.subjectVisual examinationpt_PT
dc.titleOptical magnification has no benefits on the detection of occlusal caries lesions in permanent molars using different visual scoring systems: an in vitro studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPagee487pt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPagee479pt_PT
oaire.citation.titleJournal of Clinical and Experimental Dentistrypt_PT
oaire.citation.volume12pt_PT
person.familyNameMoura-Netto
person.familyNameNOVAES
person.familyNameDiniz
person.givenNameCacio
person.givenNameTATIANE
person.givenNameMichele B.
person.identifierC-4429-2012
person.identifier.ciencia-idC411-367A-4B38
person.identifier.orcid0000-0003-4495-1126
person.identifier.orcid0000-0003-1288-6470
person.identifier.orcid0000-0002-0693-2162
person.identifier.ridC-4429-2012
person.identifier.ridG-1362-2012
person.identifier.scopus-author-id57193533854
person.identifier.scopus-author-id23666880300
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication5a50fd23-420e-4d4a-86cc-0108350c0333
relation.isAuthorOfPublication11b36255-683c-4d8e-a515-c909eea0cca5
relation.isAuthorOfPublication4a18b8fa-1213-4767-a0a1-75b1e545a32d
relation.isAuthorOfPublication.latestForDiscovery5a50fd23-420e-4d4a-86cc-0108350c0333

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