%0 Journal Article
%T In vitro Evaluation of Magnification and LED Illumination for Detection of Occlusal Caries in Primary and Permanent Molars Using ICDAS Criteria
%A Timucin Ari
%A Sahza Hatibovic Kofman
%A Nilgun Ari
%J Dentistry Journal
%D 2013
%I MDPI AG
%R 10.3390/dj1030019
%X Background: Early detection of occlusal caries in children is challenging for the dentists, because of the morphology of pit and fissures. Aim: The aim of the present study was to investigate the use of low-powered magnification (¡Á2.5) and its association with LED headlight illumination for occlusal caries detection in primary and permanent molars using International Caries Detection and Assessment System (ICDAS) criteria.Methods: The occlusal surfaces of 36 extracted teeth (n=18 primary molars, n=18 permanent molars) were examined using ICDAS criteria with unaided visual examination, low-powered magnification and low-powered magnification plus LED headlight illumination. Three examiners evaluated one occlusal site per tooth twice independently with one week interval, using all methods. The teeth (n = 36) were sectioned and examined under light microscopy using Downer¡¯s histological criteria as the gold standard. Results: The weighted kappa values for inter- and intraexaminer reproducibility for the ICDAS examinations were almost perfect (Kappa values 0.72¨C0.96) in all three examination methods. The correlation with histology and overall AUC performance (0.96¨C0.98) of low-powered magnification plus LED headlight illumination was statistically significant in permanent molars. In primary molars, both low-powered magnification (0.82¨C0.90) and low-powered magnification plus LED headlight illumination (0.87¨C0.93) showed statistically significant correlation with histology and good to excellent AUC performance than unaided examination. Conclusion: Visual aids have the potential to improve the performance of early caries detection and clinical diagnostics in children.
%K ICDAS
%K dental caries
%K magnification
%K headlight
%K primary molars
%K permanent molars
%K visual aids
%U http://www.mdpi.com/2304-6767/1/3/19