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Lui JCL, Lam WYH, Chu CH, Yu OY. Global Research Trends in the Detection and Diagnosis of Dental Caries: A Bibliometric Analysis. Int Dent J 2024:S0020-6539(24)01469-2. [PMID: 39237399 DOI: 10.1016/j.identj.2024.08.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2024] [Revised: 08/04/2024] [Accepted: 08/06/2024] [Indexed: 09/07/2024] Open
Abstract
This study aims to provide an overview of the global research trends in the detection and diagnosis of dental caries in the past 20 years. A literature search was conducted in the Scopus Database to retrieve studies on the diagnostic approaches for dental caries published from January 2003 to December 2023. The diagnostic approaches in the retrieved studies were examined and the studies were categorized according to the diagnostic approaches investigated. Bibliometric data including journals, countries, affiliations, authors, and numbers of citations of the publications were summarised. The publications' keyword co-occurrence was analysed using VOSviewer. This bibliometric analysis included 1879 publications investigating seven categories of caries diagnostic approaches, including visual and/or tactile (n = 459; 19%), radiation-based (n = 662; 27%), light-based (n = 771; 32%), ultrasound-based (n = 28; 1%), electric-based (n = 51; 2%), molecular-based (n = 196; 8%) diagnostic approaches, as well as AI-based diagnostic interpretation aids (n = 265; 11%). An increase in the annual number of publications on caries diagnostic approaches was observed in the past 20 years. Caries Research (n = 103) presented the highest number of publications on caries diagnostic approaches. The country with the highest number of publications was the United States (n = 1092). The University of São Paulo was the institution that published the highest number of articles (n = 195). The publication with the highest citation has been cited 932 times. VOS viewer revealed that the most frequently occurring keywords were 'Deep Learning', 'Artificial Intelligence', 'Laser Fluorescence' and 'Radiography'. This bibliometric analysis highlighted an emerging global research trend in the detection and diagnosis approaches for dental caries in the past 20 years. An evident increase in publications on molecular-based caries diagnostic approaches and AI-based diagnostic interpretation aids was perceived over the last 5 years.
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Affiliation(s)
- Jane Ching-Lam Lui
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, S.A.R., China
| | - Walter Yu-Hang Lam
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, S.A.R., China
| | - Chun-Hung Chu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, S.A.R., China
| | - Ollie Yiru Yu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, S.A.R., China.
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Doğu Kaya B, Manav Özen A, Yılmaz Atalı P, Sarıalioğlu Güngör A, Dalkılıç E, Alkan E, Tağtekin D, Türkmen C. Effect of the use of remineralization agents before resin infiltration on the treatment of initial enamel lesions: an in-vitro study. BMC Oral Health 2024; 24:868. [PMID: 39080605 PMCID: PMC11289949 DOI: 10.1186/s12903-024-04523-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Accepted: 06/23/2024] [Indexed: 08/02/2024] Open
Abstract
AIM This study aimed to evaluate the effect of the use of remineralization agents before the application of resin infiltration on the treatment of initial enamel lesions. MATERIALS AND METHODS Eighty buccal enamel samples were prepared from human molars, and artificial initial lesions were formed after 96 h of incubation with a demineralizing solution. The samples were randomly divided into 8 groups (n = 10) including a remineralizing agent (Tooth Mousse, Medical Mineral Gel, Remin Pro), resin infiltration (ICON), and a combined treatment of both. Remineralizing agents were applied in pH cycle for 7 days. Baseline, demineralization, and after-treatment fluorescence (FluoreCam and DIAGNOdent Pen), surface microhardness (HMV-2T), surface roughness (M300C), OCT (Maestro-2) and ultrasonic system (Novascope 4500) data were obtained for all groups. The sample surfaces were examined under SEM/EDX (SU3500) at x1000. Data were statistically analyzed using the Two-Way Robust ANOVA and Bonferroni tests (p < 0.05). RESULTS There was no statistically significant difference between the groups for microhardness, roughness, OCT, DIAGNOdent Pen, ultrasound, and FluoreCam size/intensity values (p = 0.582; p = 0.963; p = 0.884; p = 0.923; p = 0.051; p = 0.268; p = 0.793 respectively). The effect of the treatment procedure showed a significant difference (p < 0.001), except for the roughness values (p = 0.984). The lowest Calcium (Ca) ratio (%atomic) was observed in the RI group in the EDX analysis. CONCLUSION Remineralizing agents and resin infiltration methods may be used in combination or alone in the treatment of initial enamel lesions. Combining remineralizing agents with resin infiltration does not alter the efficacy of the treatment.
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Affiliation(s)
- Bengü Doğu Kaya
- Faculty of Dentistry, Department of Restorative Dentistry, Marmara University, Istanbul, Turkey.
| | - Aybike Manav Özen
- Faculty of Dentistry, Department of Restorative Dentistry, Marmara University, Istanbul, Turkey
| | - Pınar Yılmaz Atalı
- Faculty of Dentistry, Department of Restorative Dentistry, Marmara University, Istanbul, Turkey
| | - Ayça Sarıalioğlu Güngör
- Faculty of Dentistry, Department of Restorative Dentistry, İstanbul Galata University, Istanbul, Turkey
| | - Evrim Dalkılıç
- Faculty of Dentistry, Department of Restorative Dentistry, Bezmialem Vakıf University, Istanbul, Turkey
| | - Elif Alkan
- Faculty of Dentistry, Department of Restorative Dentistry, Marmara University, Istanbul, Turkey
| | - Dilek Tağtekin
- Faculty of Dentistry, Department of Restorative Dentistry, Marmara University, Istanbul, Turkey
| | - Cafer Türkmen
- Faculty of Dentistry, Department of Restorative Dentistry, Marmara University, Istanbul, Turkey
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Mohamed OS, Almaz SI, Moustafa NR, Ibrahim AA, Hall MA, Karawia I. An In Vitro Validation of DIAGNOdent Versus Radiography for the Detection of Caries Underneath Different Types of Restorations. Cureus 2024; 16:e63689. [PMID: 39092343 PMCID: PMC11293794 DOI: 10.7759/cureus.63689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/01/2024] [Indexed: 08/04/2024] Open
Abstract
Objective This study aimed to assess the validity of DIAGNOdent as a diagnostic device for the detection of secondary dental caries underneath different types of restorations. Methods A total of 60 extracted human permanent molars were used in this experimental study (30 sound teeth and 30 teeth with proximal caries); 20 teeth (10 sound and 10 carious) were randomly allocated into one of three restoration groups: composite, amalgam, or resin-modified glass ionomer (RMGI). All teeth were examined using both KaVo DIAGNOdent Classic and digital radiographic sensors. Results In the composite-restored teeth, DIAGNOdent showed excellent sensitivity (90%) and specificity (90%). On the other hand, digital radiography had high sensitivity (80%) and poor specificity (20%). In amalgam-restored teeth, DIAGNOdent showed low sensitivity (30%) and excellent specificity (100%), while radiographs showed good sensitivity (70%) and low specificity (30%). In the RMGI-restored teeth, DIAGNOdent had excellent sensitivity (100%) and 70% specificity, while digital radiography had poor sensitivity (30%) and excellent specificity (90%). Conclusions DIAGNOdent showed superior results in detecting secondary caries lesions underneath composite and RMGI restorations when compared to digital radiography. On the other hand, radiography emerged as a preferable method for the detection of secondary caries underneath amalgam restorations. Based on our findings, DIAGNOdent can be used in dental clinics for the early diagnosis of hidden secondary caries underneath composite and RMGI restorations.
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Affiliation(s)
- Osama S Mohamed
- Dental Prosthesis Manufacture Technology Department, Faculty of Applied Health Sciences Technology, Pharos University in Alexandria, Alexandria, EGY
| | - Salma I Almaz
- Faculty of Dentistry, Pharos University in Alexandria, Alexandria, EGY
| | - Nouran R Moustafa
- Faculty of Dentistry, Pharos University in Alexandria, Alexandria, EGY
| | - Ahmed A Ibrahim
- Faculty of Dentistry, Pharos University in Alexandria, Alexandria, EGY
| | - Mohamed A Hall
- Alexandria Dental Research Center, Ministry of Health and Population, Alexandria, EGY
| | - Inas Karawia
- Pediatric and Community Dentistry Department, Faculty of Dentistry, Pharos University in Alexandria, Alexandria, EGY
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Porumb (Chifor) I, Leucuta DC, Nigoghossian M, Culic B, Lucaciu PO, Culic C, Badea IC, Leghezeu AN, Nicoara AG, Simu MR. Caries Lesion Assessment Using 3D Virtual Models by Examiners with Different Degrees of Clinical Experience. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:2157. [PMID: 38138260 PMCID: PMC10744345 DOI: 10.3390/medicina59122157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 12/04/2023] [Accepted: 12/11/2023] [Indexed: 12/24/2023]
Abstract
Background and Objectives: Dental caries is a preventable, reversible disease in its early stages. This study evaluated the intra-rater agreement of International Caries Assessment and Detection System (ICDAS) scores with Medit i500® and Omnicam® scanners versus traditional clinical examinations and the inter-rater agreement using the Omnicam® among senior dentists and dental students and between these two groups. Materials and Methods: A total of 24 patients aged between 21 and 34 years, randomly selected from dental students and interns, underwent four examinations (three intraoral scans and one clinical examination), and the corresponding ICDAS scores were recorded by a randomly selected rater out of the 31 available examiners. The examination team consisted of dental students, dentists with less than 3 years, and dentists with more than 5 years of clinical experience. The following inter- and intra-rater agreement tests for the ordinal data were chosen: Fleiss' kappa coefficient, Cohen's weighted kappa, and inter-class correlations. Results: For all examination techniques, there was statistically significant agreement for the experienced raters (p < 0.05). The highest positive interclass correlation was obtained for inter-rater agreement tests of 288 observations recorded by senior dentists: ICC = 0.969 (95% CI 0.949-0.981). Conclusions: Intra-rater reliability was excellent for Omnicam compared to clinical exams conducted by senior dentists but moderate for Medit i500. Although inter-rater agreement using Omnicam was poor between students and between senior dentists and students, it was excellent among senior dentists.
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Affiliation(s)
- Ioana Porumb (Chifor)
- Department of Preventive Dentistry, Iuliu Hatieganu University of Medicine and Pharmacy, 31 A Iancu Str., 400083 Cluj-Napoca, Romania; (I.C.B.)
- SC Chifor Meddent SRL, 9 Gh Doja Str., 400068 Cluj-Napoca, Romania
| | - Daniel-Corneliu Leucuta
- Department of Medical Informatics and Biostatistics, Iuliu Hatieganu University of Medicine and Pharmacy, 4 Pasteur Str., 400349 Cluj-Napoca, Romania;
| | - Marion Nigoghossian
- Faculty of Dental Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Avram Iancu Str., No 31, 400083 Cluj-Napoca, Romania; (A.-N.L.); (A.G.N.)
| | - Bogdan Culic
- Dental Propedeutics and Aesthetics Department, Iuliu Hatieganu University of Medicine and Pharmacy, 32 Clinicilor Str., 400006 Cluj-Napoca, Romania;
| | - Patricia Ondine Lucaciu
- Department of Oral Health, Iuliu Hatieganu University of Medicine and Pharmacy, 15 Victor Babes Str., 400012 Cluj-Napoca, Romania;
| | - Carina Culic
- Department of Odontology, Iuliu Hatieganu University of Medicine and Pharmacy, 33 Motilor Str., 400001 Cluj-Napoca, Romania
| | - Iulia Clara Badea
- Department of Preventive Dentistry, Iuliu Hatieganu University of Medicine and Pharmacy, 31 A Iancu Str., 400083 Cluj-Napoca, Romania; (I.C.B.)
| | - Alexa-Nicole Leghezeu
- Faculty of Dental Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Avram Iancu Str., No 31, 400083 Cluj-Napoca, Romania; (A.-N.L.); (A.G.N.)
| | - Andra Gabriela Nicoara
- Faculty of Dental Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Avram Iancu Str., No 31, 400083 Cluj-Napoca, Romania; (A.-N.L.); (A.G.N.)
| | - Meda-Romana Simu
- Department of Pediatric Dentistry, Iuliu Hatieganu University of Medicine and Pharmacy, 400083 Cluj-Napoca, Romania;
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