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VOLUME 18 , ISSUE 12 ( December, 2017 ) > List of Articles

REVIEW ARTICLE

Spanning the Horizon of Accuracy of Different Intraoral Radiographic Modalities: A Systematic Review

Mohnish Muchhal, Lav K Niraj, Devanshu Chaudhary, Irfan Ali, Kuldeep Dhama, Basavaraj Patthi

Citation Information : Muchhal M, Niraj LK, Chaudhary D, Ali I, Dhama K, Patthi B. Spanning the Horizon of Accuracy of Different Intraoral Radiographic Modalities: A Systematic Review. J Contemp Dent Pract 2017; 18 (12):1206-1212.

DOI: 10.5005/jp-journals-10024-2201

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

This study was conducted with an aim to systematically review the literature for assessing the accuracy of intraoral radiographs in detection of dental caries.

Introduction

Despite the advancements in oral disease science, dental caries continues to be a worldwide health concern, affecting humans of all ages. Correct diagnosis of caries is critical both in clinical practice as well as in epidemiology and radiography are worthwhile adjunct for a thorough examination.

Results

A literature review was performed in PubMed Central and Cochrane library, Embase, and Google Scholar, and these databases were searched up to 2016. The primary outcome measure was to assess the accuracy of intraoral radiographs in the detection of dental caries based on sensitivity and specificity. The sensitivity for conventional radiographs for the detection of lesions in enamel (16–68%) and dentin (16–96%) was found to be superior as compared with other modalities of digital radiography, whereas the specificity of digital radiography was found to be superior in detection of lesion in enamel (77–96%) and dentin (84–100%) when compared with conventional radiography. Sensitivity of conventional radiographs was noted to be superior as compared with digital radiography, whereas in terms of specificity, digital was found to be superior to conventional radiographs.

Conclusion

Although there was no significant difference between digital and conventional radiography in the diagnosis of caries, conventional radiographs were able to detect carious lesion, in general, but for lesion to be detected precisely, digital was found to be superior.

Clinical significance

As digital radiography produces lower ionizing radiation, dental professionals should employ this method in their routine dental practice for diagnosing and treating carious lesions.

How to cite this article

Muchhal M, Niraj LK, Chaudhary D. Ali I, Dhama K, Patthi B. Spanning the Horizon of Accuracy of Different Intraoral Radiographic Modalities: A Systematic Review. J Contemp Dent Pract 2017;18(12):1206-1212.


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  1. Diagnostic accuracy of digital and conventional radiography in the detection of non-cavitated approximal dental caries. Iran J Radiol 2012 Mar;9(1):17-21.
  2. ; Pharoah, MJ. Oral radiology: principles and interpretation. 7th ed. St. Louis (MO): Elsevier Publications; 2013.
  3. Comparison of digital systems and conventional dental film for the detection of approximal enamel caries. Dentomaxillofac Radiol 2010 Oct;39(7):431-436.
  4. Accuracy of direct digital radiography for detecting occlusal caries in primary teeth compared with conventional radiography and visual inspection: an in vitro study. Dentomaxillofac Radiol 2010 Sep;39(6):362-367.
  5. Variations in the predominant cultivable microflora of dental plaque at defined subsites on approximal tooth surfaces in children. Arch Oral Biol 1997 Feb;42(2):101-111.
  6. The relation between the resistance distribution on crown surface and caries. Zhonghua Kou Qiang Yi Xue Za Zhi 1993 Jan;28(1):47-49.
  7. Dental caries in the rat in relation to the chemical composition of the teeth and diet. Variations in the diet of the Ca/P ratio obtained by changes in the phosphorus content. Minerva Stomatol 1981 Jan-Feb;30(1):17-20.
  8. Dental caries in the albino rat in relation to the chemical composition of the teeth and of the diet. IV. Variations in the Ca/P ratio of the diet induced by changing the calcium content. J Nutr 1959;67(4):645-653.
  9. The effects of sugars intake and frequency of ingestion on dental caries increment in a three-year longitudinal study. J Dent Res 1988 Nov;67(11):1422-1429.
  10. Physical properties of foods and their caries-producing potential. J Dent Res 1970 Nov-Dec;49(6):1293-1298.
  11. Minerals: calcium and phosphates. In: Gould RF, editor. Dietary chemicals versus dental caries, advances in chemistry services. Vol. 94. Washington (DC): American Chemical Society; 1970. pp. 116-122.
  12. Nutrition in preventive dentistry: sciences and practice. 2nd ed. Philadelphia (PA): WB Saunders; 1981. p. 417-452.
  13. Preventive care advised (PCA)/operative care advised (OCA)-categorising caries by the management option. Community Dent Oral Epidemiol 1995 Feb;23(1):55-59.
  14. Intraoral radiography: principles, techniques and error correction. 2014. [cited 2016 Jul 14]. Available from: http://www.Dentalcare.com/en-US/dental-education/continuing-education/ce137Ice137.aspx?review=true.
  15. Essentials of dental radiography and radiology. In: Periapical radiography. 3rd ed. London: Churchill Livingstone; 2002. pp. 75-100.
  16. Evaluation of proximal caries in images resulting from different modes of radiographic digitalization. Dentomaxillofac Radiol 2011 Sep;40(6):338-343.
  17. Emerging technologies for diagnosis of dental caries: the road so far. Am Inst Phys 2009 Jun;105:102047.
  18. Diagnostic accuracy of cone beam computed tomography scans compared with intraoral image modalities for detection of caries lesions. Dentomaxillofac Radiol 2008 Jan;37(1):18-22.
  19. Diagnosis of dentin involvement in occlusal caries based on visual and radiographic examination of the teeth. Scand J Dent Res 1992 Jun;100(3):144-148.
  20. Occlusal caries detection in primary teeth: a comparison of diagnodent with conventional methods. Br Dent J 2001 Apr;190(8):440-443.
  21. Visual-tactile examination compared with conventional radiography, digital radiography, and diagnodent in the diagnosis of occlusal occult caries in extracted premolars. Pediatr Dent 2003 Feb;25(4):341-349.
  22. Comparison of visual inspection and different radiographic methods for dentin caries detection on occlusal surfaces. Dentomaxillofac Radiol 2009 Oct;38(7):452-457.
  23. Clinical and radiographic assessment of approximal carious lesions. Acta Odontol Scand 1986 Feb;44(1):31-37.
  24. Accuracy in radiographic diagnosis: Dutch practitioners and dental caries. J Dent 1990 Jun;18(3):130-136.
  25. Radiovisiographic diagnosis of dental caries: initial comparison of basic mode videoprints with bitewing radiography. Caries Res 1993;27(1):65-70.
  26. An evaluation of the diagnostic yield from bitewing radiographs of small approximal and occlusal carious lesions in a low prevalence sample in vitro using different film types and speeds. Br Dent J 1997 Jan;182(2):51-58.
  27. Validity of diagnosis of questionable caries lesions in occlusal surfaces of extracted third molars. Caries Res 1992;26(3):188-194.
  28. The sensitivity and specificity of clinical assessment compared with bitewing radiography for detection of occlusal dentin caries. Pediatr Dent 2001 May;23(3):204-210.
  29. Comparison of validity of DIAGNOdent with conventional methods for detection of occlusal caries in primary molars using the histological gold standard: an in vivo study. J Indian Soc Pedod Prev Dent 2009 Oct-Dec;27(4):227-234.
  30. An in vivo comparison of radiographic and clinical examination with separation for assessment of approximal caries in primary teeth. Eur J Paediatr Dent 2014 Dec;15(4):371-374.
  31. Validation of methods used in dental caries diagnosis. Int Dent J 1989 Dec;39(4):241-246.
  32. Visual and radiographic diagnosis of occlusal caries in first permanent molars and in second primary molars. Br Dent J 1993 May;174(10):364-370.
  33. Radiographic detection of occlusal caries in noncavitated teeth. A comparison of conventional film radiographs, digitized film radiographs, and RadioVisioGraphy. Oral Surg Oral Med Oral Pathol 1991 Nov;72(5):621-626.
  34. Comparison of different methods for the diagnosis of fissure caries without cavitation. Caries Res 1993 Jan;27(5):409-416.
  35. A comparison of the accuracy of digital and conventional radiography in the diagnosis of recurrent caries. J Contemp Dent Pract 2010 Dec;11(6):E025-E032.
  36. Diagnostic accuracy of different imaging modalities in detection of proximal caries. Dentomaxillofac Radiol 2010 Dec;39(8):501-511.
  37. Diagnostic accuracy of digital bite wing radiography in interproximal carious lesion detection of posterior teeth. Int J Med Res Health Sci 2016;5(11):290-293.
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