Abstract Archives

IADR Abstract Archives

Accuracy of The Canary System with opaque dental sealants

Objective: We determined the sensitivity and specificity of The Canary System (CS) when used to monitor caries underneath the commonly used opaque dental sealants.

Method: 124 potential sound and carious pits/fissures, on occlusal surfaces of 60 extracted human molars and premolars, were examined using ICDAS criteria. Fifteen mixed sound and carious teeth were randomly assigned to each of four sealant groups (Helioseal® F, Embraceä WetBondä, Delton®, UltraSeal XT® plusä). After scanning marked pits/fissures on each tooth with CS and DIAGNOdent (DD), teeth in each group were sealed with their respective sealant by an experienced clinician. Following sealant placement, the marked pits/fissures were re-scanned with CS and DD. Using polarized light microscopy as the gold standard, the status (carious/non-carious) of each examined pit/fissure was confirmed. The sensitivity (SS) and Specificity (SP) of each caries diagnostic method before and after sealant placement was calculated in overall and for each type of sealant.

Result:

Method

Overall

Delton

Embrace

Helio

UltraSeal

Before Sealant

After Sealant

Before Sealant

After Sealant

Before Sealant

After Sealant

Before Sealant

After Sealant

Before Sealant

After Sealant

SS

SP

SS

SP

SS

SP

SS

SP

SS

SP

SS

SP

SS

SP

SS

SP

SS

SP

SS

SP

CS

.77

1

.59

.94

.79

1

.67

1

.87

1

.78

1

.65

1

.39

1

.75

1

.5

.67

DD

0.2

1

.93

.13

.29

1

1

.29

.22

1

.9

0

.26

1

1

0

.1

1

.8

0

ICDAS

.49

.94

-

-

.5

1

-

-

.57

1

-

-

.52

0

-

-

.35

1

-

-

Conclusion: While the caries detection ability of CS was not affected by sealant, the sensitivity of DIAGNOdent was increase at the expense of the specificity, which was drastically reduced possibly due to the high false positive readings after sealant placement.

Division: IADR/AADR/CADR General Session
Meeting: 2013 IADR/AADR/CADR General Session (Seattle, Washington)
Location: Seattle, Washington
Year: 2013
Final Presentation ID: 7
Abstract Category|Abstract Category(s): Cariology Research - Detection, Risk Assessment and Others
Authors
  • Wong, Bonny  ( Quantum Dental Technologies, Toronto, ON, Canada )
  • Elman, Gary  ( Cliffcrest Dental Office, Scarborough, ON, Canada )
  • Mensinkai, Poornima  ( University of Texas - San Antonio / Health Science Ctr, San Antonio, TX, USA )
  • Mathews, Sapna  ( University of Texas - San Antonio / Health Science Ctr, San Antonio, TX, USA )
  • Amaechi, Bennett  ( University of Texas - San Antonio / Health Science Ctr, San Antonio, TX, USA )
  • Abrams, Stephen  ( Quantum Dental Technologies, Toronto, ON, Canada )
  • Abrams, Tamara  ( Quantum Dental Technologies, Toronto, ON, Canada )
  • Sivagurunathan, Koneswaran  ( Quantum Dental Technologies, Toronto, ON, Canada )
  • Jeon, Raymond  ( Quantum Dental Technologies, Toronto, ON, Canada )
  • Silvertown, Josh  ( Quantum Dental Technologies, Toronto, ON, Canada )
  • Hellen, Adam  ( Quantum Dental Technologies, Toronto, ON, Canada )
  • Mandelis, Andreas  ( University of Toronto, Toronto, ON, Canada )
  • Hellen, Warren  ( Cliffcrest Dental Office, Scarborough, ON, Canada )
    • SESSION INFORMATION
    Oral Session
    Caries Risk, Detection, and Activity [CLINICIAN TRACK]
    03/20/2013