Comparison of photographic and visual assessment of occlusal caries with histology as the reference standard

BackgroundThe purpose of this study was to compare diagnostic performance for the detection of caries using photographs with an established visual examination method and histological sections as the reference standard.Methods50 extracted permanent teeth were assessed for the presence of occlusal caries by 9 examiners using two methods; traditional visual examination developed by BASCD and photographs produced by an intra-oral camera. For both methods, diagnoses were made at “caries into dentine” level. The teeth were histologically sectioned and the diagnostic decisions using visual and photographic assessment were compared to the histological reference standard. Inter- and intra- examiner reliability for the methods was assessed and weighted kappa values were calculated.ResultsThe visual examination method had a median sensitivity value of 65.6% and a median specificity value of 82.4%. The photographic assessments method had a median sensitivity of 81.3% and a median specificity of 82.4%.ConclusionsThe photographic assessments method had a higher sensitivity for caries detection than the visual examination. The two methods had comparable specificities and good intra- and inter- examiner reliability.

[1]  C. Pine,et al.  British Association for the Study of Community Dentistry (BASCD) guidance on sampling for surveys of child dental health. A BASCD coordinated dental epidemiology programme quality standard. , 1997, Community dental health.

[2]  V. Jolliffe,et al.  Can we safely diagnose pigmented lesions from stored video images? A diagnostic comparison between clinical examination and stored video images of pigmented lesions removed for histology , 2001, Clinical and experimental dermatology.

[3]  S. Patterson,et al.  Dental screenings using telehealth technology: a pilot study. , 1998, Journal.

[4]  R. Heinrich-Weltzien,et al.  Comparison of visual inspection and different radiographic methods for dentin caries detection on occlusal surfaces. , 2009, Dento maxillo facial radiology.

[5]  J. R. Landis,et al.  The measurement of observer agreement for categorical data. , 1977, Biometrics.

[6]  S. Tranæus,et al.  Validity and Reliability of Laser-Induced Fluorescence Measurements on Carious Root Surfaces in vitro , 2009, Caries Research.

[7]  A. Wenzel,et al.  Relationship between Histological and Radiographic Caries Lesion Depth Measured in Images from Four Digital Radiography Systems , 2003, Caries Research.

[8]  Refaat B Karim,et al.  Digital Photography as a Means of Enhancing Interconsultant Communication in Oncological Cutaneous Surgery , 2002, Annals of plastic surgery.

[9]  U. Welander,et al.  Occlusal Caries Detection with KaVo DIAGNOdent and Radiography: An in vitro Comparison , 2000, Caries Research.

[10]  J. Radford,et al.  What is an appropriate caries diagnosis? , 2010, BDJ.

[11]  C. Pine,et al.  British Association for the Study of Community Dentistry (BASCD) guidance on the statistical aspects of training and calibration of examiners for surveys of child dental health. A BASCD coordinated dental epidemiology programme quality standard. , 1997, Community dental health.

[12]  J. Weintraub,et al.  Pit and fissure sealants in high-caries-risk individuals. , 2001, Journal of dental education.

[13]  P J Liepins,et al.  Histological validation of electrical resistance measurements in the diagnosis of occlusal caries. , 1996, Caries research.

[14]  Iain A Pretty,et al.  Caries detection and diagnosis: novel technologies. , 2006, Journal of dentistry.

[15]  C. Pine,et al.  The dental caries experience of 12-year-old children in England and Wales. Surveys coordinated by the British Association for the Study of Community Dentistry in 2000/2001. , 1988, Community dental health.

[16]  I. Pretty,et al.  Quantification of Dental Fluorosis Using Fluorescence Imaging , 2006, Caries Research.

[17]  A Lussi,et al.  Traditional lesion detection aids. , 2009, Monographs in oral science.

[18]  U. Mansmann,et al.  Diagnostic performance of the universal visual scoring system (UniViSS) on occlusal surfaces , 2010, Clinical Oral Investigations.

[19]  A. Kupietzky,et al.  Long-term photographic and radiographic assessment of bonded resin composite strip crowns for primary incisors: results after 3 years. , 2005, Pediatric dentistry.

[20]  A. Wenzel,et al.  Comparison of microscopy and radiography as gold standards in radiographic caries diagnosis. , 1999, Dento maxillo facial radiology.

[21]  R F Z Lizarelli,et al.  A comparative in vitro study to diagnose decayed dental tissue using different methods. , 2004, Photomedicine and laser surgery.

[22]  A. Pereira,et al.  Perception of dental fluorosis and other oral health disorders by 12-year-old Brazilian children. , 2007, International journal of paediatric dentistry.

[23]  R. Hickel,et al.  Development, Methodology and Potential of the New Universal Visual Scoring System (UniViSS) for Caries Detection and Diagnosis , 2009, International journal of environmental research and public health.

[24]  N. Rao,et al.  A comparative evaluation of DIAGNOdent with visual and radiography for detection of occlusal caries: an in vitro study. , 2009, Indian Journal of Dental Research.

[25]  H. Moll,et al.  Validity of scoring caries and primary molar hypomineralization (DMH) on intraoral photographs , 2009, European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry.

[26]  M. Heinzel-Gutenbrunner,et al.  Occlusal caries: Evaluation of direct microscopy versus digital imaging used for two histological classification systems. , 2009, Journal of dentistry.

[27]  N B Pitts,et al.  British Association for the Study of Community Dentistry (BASCD) diagnostic criteria for caries prevalence surveys-1996/97. , 1997, Community dental health.

[28]  Nithin Chacko Thomas,et al.  The dental caries experience of 5-year-old children in Great Britain (2005/6). Surveys co-ordinated by the British Association for the study of community dentistry. , 2007, Community dental health.

[29]  Prendergast Mj,et al.  The relationship between deprivation, ethnicity and dental health in 5-year-old children in Leeds, UK. , 1997 .

[30]  Masatoshi Ando,et al.  Comparative Study to Quantify Demineralized Enamel in Deciduous and Permanent Teeth Using Laser– and Light–Induced Fluorescence Techniques , 2001, Caries Research.

[31]  T. Watson,et al.  A comparison of two histological validating techniques for occlusal caries. , 1998, Journal of dentistry.