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Agreement of Bioluminescence Measurements and Visual Assessment in Monitoring Occlusal Surfaces of Permanent Teeth
Background: Caries lesion activity is typically assessed by visual–tactile criteria. Regular monitoring is required to detect the transition of lesions and to ensure that the initial assessment was valid. This clinical study aimed to evaluate the agreement of bioluminescence measurements (Calcivis...
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| Autoren: | , , , |
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| Format: | Artikel |
| Sprache: | Englisch |
| Veröffentlicht: |
Philipps-Universität Marburg
2022
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| Schlagworte: | |
| Online Zugang: | PDF-Volltext |
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| Zusammenfassung: | Background: Caries lesion activity is typically assessed by visual–tactile criteria. Regular
monitoring is required to detect the transition of lesions and to ensure that the initial assessment was
valid. This clinical study aimed to evaluate the agreement of bioluminescence measurements (Calcivis
imaging system, Cis) with visual examination to assess caries lesion activity and to monitor occlusal
surfaces. Methods: The occlusal surfaces of ninety-one permanent posterior teeth were assessed
for the presence or absence of active caries lesions with ICCMS criteria and Cis measurements at
three visit times: baseline (t1) and six months (t2) and 12 months (t3) after baseline. Results: At the
baseline visit, 70% of the included occlusal sites were assessed visually as active lesions (ICCMS
codes 1 and 2). At t3, 64.8% of the sites showed signs of an active lesion. The percentage agreements
between the visual and Cis methods were 87.8% (t1), 89.9% (t2) and 88.6% (t3). The corresponding
κ-values were 0.71 (95% CI 0.52;0.87), 0.75 (95% CI 0.59;0.89) and 0.77 (95% CI 0.61;0.90), respectively.
No significant difference between the visual and bioluminescence systems was found at any visit
(p > 0.05). The results based on cluster randomization (generalized estimation equations) showed
no significant differences between the visual and Cis findings for all visits (p = 0.108, Wald X2 with
1 df = 2.587). Conclusion: The bioluminescence system demonstrated substantial agreement for the
activity assessment of occlusal lesions compared to the findings obtained by visual assessment over
twelve months. |
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| Beschreibung: | Gefördert durch den Open-Access-Publikationsfonds der UB Marburg. |
| Umfang: | 13 Seiten |
| DOI: | 10.3390/jcm11020464 |