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Diagnosing the severity of buccal caries lesions in orthodontic patients at de-bonding using digital photographs.

Journal article
Authors Naif Abdullah Almosa
Ted Lundgren
Andrea Bresin
Dowen Birkhed
Heidrun Kjellberg
Published in Acta odontologica Scandinavica
Volume 72
Issue 6
Pages 474-480
ISSN 1502-3850
Publication year 2014
Published at Institute of Odontology
Institute of Odontology, Section 3
Pages 474-480
Language en
Links dx.doi.org/10.3109/00016357.2013.86...
Keywords de-bonding, human, ICDAS, reliability, white spot lesions
Subject categories Orthodontics

Abstract

Abstract Objective. The aims of this study were (1) to evaluate the severity of buccal caries lesions according to the International Caries Detection and Assessment System (ICDAS) criteria via scoring buccal caries lesions on digital photographs at the time of de-bonding and (2) to compare this method with clinical examination. Materials and methods. In total, 89 patients treated with upper and lower fixed appliances were clinically examined immediately after de-bonding by the first author and buccal caries were scored according to the ICDAS-II. Close-up digital photographs were taken of 245 teeth with different buccal caries lesion scores according to the ICDAS-II. Thirteen postgraduate orthodontics students independently scored the buccal caries lesions in the digital photographs using the modified clinical criteria (ICDAS-II). Intra- and inter-examiner reliabilities were evaluated by calculating the weighted kappa. To evaluate the validity of diagnosing the severity of buccal caries lesions using digital photographs compared to clinical examination, Spearman's correlation coefficient was calculated. Results. Intra-examiner reliability and the reliability between each examiner and the clinical examination showed moderate-to-excellent agreement, with kappa values of 0.52-0.83. Scoring buccal caries lesions via clinical examinations and scoring via photographs were well correlated according to the modified ICDAS-II criteria (Spearman's correlation coefficient, 0.76). Conclusions. Thus, scoring buccal caries lesions on digital photographs according to ICDAS-II criteria is a reliable and valid method for assessing the severity of buccal caries lesions.

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