IADR Abstract Archives
Fluorescent and NIR Devices in Secondary Caries Detection. a Systematic-Review
Objectives: To systematically review the diagnostic accuracy of devices with fluorescence and near-infrared (NIR) in recurrent caries detection.
Methods: A comprehensive search of electronic databases was conducted for studies from their inception until February 2023. Studies that evaluated the diagnostic accuracy of fluorescence-based devices and NIR cameras for caries detection were included. The review protocol was a priori registered in Prospero. Two reviewers independently screened the studies, extracted data, and assessed the risk of bias using the QUADAS-2 tool.
Results: Of the initial 96 search results, a total of 9 studies were included in the systematic review.
Only one in vivo study was identified, showing 0.60/0.81 in terms of sensitivity and specificity when using a fluorescent device for detecting caries around amalgam restorations.
The rest of the studies were in vitro. Three of them used NIR devices to detect recurrent caries, showing 0.90-1 sensitivity and 0.71-1 specificity, while the others used fluorescence devices compared to conventional methods, such as visual examination and radiographs with 0.05-0.97 and 0.00-1 sensitivity and specificity respectively.
Conclusions: The diagnostic accuracy of fluorescence and NIR devices for detecting recurrent caries varied widely across the studies. Fluorescence-based and NIR cameras are promising tools for recurrent caries detection. However, further research is needed to determine their diagnostic performance in vivo and in vitro and assess the feasibility of their clinical application.
Methods: A comprehensive search of electronic databases was conducted for studies from their inception until February 2023. Studies that evaluated the diagnostic accuracy of fluorescence-based devices and NIR cameras for caries detection were included. The review protocol was a priori registered in Prospero. Two reviewers independently screened the studies, extracted data, and assessed the risk of bias using the QUADAS-2 tool.
Results: Of the initial 96 search results, a total of 9 studies were included in the systematic review.
Only one in vivo study was identified, showing 0.60/0.81 in terms of sensitivity and specificity when using a fluorescent device for detecting caries around amalgam restorations.
The rest of the studies were in vitro. Three of them used NIR devices to detect recurrent caries, showing 0.90-1 sensitivity and 0.71-1 specificity, while the others used fluorescence devices compared to conventional methods, such as visual examination and radiographs with 0.05-0.97 and 0.00-1 sensitivity and specificity respectively.
Conclusions: The diagnostic accuracy of fluorescence and NIR devices for detecting recurrent caries varied widely across the studies. Fluorescence-based and NIR cameras are promising tools for recurrent caries detection. However, further research is needed to determine their diagnostic performance in vivo and in vitro and assess the feasibility of their clinical application.