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Sensitivity and specificity of the ICDAS II system and bitewing radiographs for detecting occlusal caries using the Spectra™ caries detection system as the reference test in children

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dc.contributor.author Caceda, Jorge H.
dc.contributor.author Jiang, Shuying
dc.contributor.author Calderón Ubaqui, Victor
dc.contributor.author Villavicencio Caparo, Ebigen
dc.date.accessioned 2023-12-07T22:33:25Z
dc.date.available 2023-12-07T22:33:25Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14720
dc.description.abstract Background: Most studies assessing the sensitivity and specificity of caries detection methods have been performed in vitro using the histological method as the gold standard showing inconsistent values. The aim of this study was to compare the sensitivity and specificity in detecting occlusal caries using the International Caries Detection and Assessment System (ICDAS II) with the radiographic method (RM), while using the Spectra™ Caries Detection System (SCDS) as the reference test. Methods: One hundred sixty children, ages 7–12 years, participated in the study. Five zones in the occlusal surfaces of 859 primary and 632 first permanent molars were examined visually using ICDAS-II, the RM using bitewing radiographs and SCDS. The descriptive statistics of sensitivity and specificity were calculated and compared. Results: For all molars combined and for primary molars only, the sensitivity of ICDAS II was higher for detecting total caries (p < 0.001), caries in enamel (p < 0.001), and caries in dentin (p = 0.016), but it was not different for detecting caries in the dentin of permanent first molars (p = 0.214), and primary second molars (p = 0.761). The specificity of RM was higher for detecting total caries, caries in enamel for all molars combined and for permanent first molars (p < 0.001). For caries in dentin, the specificity of ICDAS II was higher for all molars combined and for primary molars only (p < 0.001). For total caries in primary molars only, and caries in dentin of permanent first molars only, the specificity was not different (p = 0.156 and p = 0.181 respectively). Conclusions: The sensitivity and specificity of ICDAS II and RM changes depending on whether the carious lesion compromises the enamel or dentin, and if the caries detection is performed in the primary molars or permanent first molars. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries BMC Oral Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Sensitivity en_US
dc.subject Specificity en_US
dc.subject Caries detection en_US
dc.subject ICDAS II en_US
dc.subject Radiographs en_US
dc.subject Fluorescent camera en_US
dc.subject Children en_US
dc.subject.mesh Sensibilidad y Especificidad
dc.subject.mesh Pruebas de Actividad de Caries Dental
dc.subject.mesh Niño
dc.title Sensitivity and specificity of the ICDAS II system and bitewing radiographs for detecting occlusal caries using the Spectra™ caries detection system as the reference test in children en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12903-023-03615-6
dc.relation.issn 1472-6831


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