Occlusal caries detection and monitoring using a 3D intraoral scanner system. An in vivo assessment

Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved..

OBJECTIVE: To assess the agreement in detecting and monitoring occlusal caries over thirty months using conventional visual and radiographic assessment and an intraoral scanner system which supports automated caries scoring.

METHODS: Ninety-one young participants aged 12-19 years were included in the study. All occlusal surfaces were examined visually, radiographically (when indicated), and scanned with the TRIOS 4 intraoral scanner. TRIOS Patient Monitoring software (vers. 2.3, 3Shape TRIOS A/S, Denmark) was used for automated caries detection on the 3D digital models.

RESULTS: Fifty-five of the study participants were re-examined after 30-months. Significant differences regarding caries detection were found between the conventional methods and the automated caries scoring system (p < 0.01), with moderate positive percent agreement (49-61%) and high negative percent agreement (87-98%). All methods reported significant caries progression over the follow-up period (p < 0.01). However, the automated system showed significantly more caries progression than the other methods (p < 0.01).

CONCLUSIONS: The software for automated caries detection and classification showed moderate positive agreement and strong negative agreement with the conventional methods considering both the baseline and the follow-up assessments. The automated caries scoring system detected significantly fewer caries lesions and tended to underestimate the caries severity. All methods indicated significant caries progression over the follow-up period, while the automated system detected more caries progression.

CLINICAL SIGNIFICANCE: The TRIOS system supporting automated occlusal caries detection and classification can assist in detecting and monitoring occlusal caries on permanent teeth as a complementary tool to the conventional methods. However, the operator should be aware that the automated system shows a tendency to underestimate the caries presence and lesion severity.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:143

Enthalten in:

Journal of dentistry - 143(2024) vom: 30. März, Seite 104900

Sprache:

Englisch

Beteiligte Personen:

Michou, Stavroula [VerfasserIn]
Tsakanikou, Angeliki [VerfasserIn]
Bakhshandeh, Azam [VerfasserIn]
Ekstrand, Kim R [VerfasserIn]
Rahiotis, Christos [VerfasserIn]
Benetti, Ana R [VerfasserIn]

Links:

Volltext

Themen:

Clinical study
Dental caries
Fluorescence
Journal Article
Optical Imaging
Three-dimensional imaging

Anmerkungen:

Date Completed 25.03.2024

Date Revised 25.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jdent.2024.104900

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369028279