Laser fluorescence as an alternative for digital radiography in detecting caries lesions

a literature review

Authors

  • Lucila Massu Yoshizaki Akinaga Moreira Universidade de São Paulo
  • Bruna Cordeiro Amarante Universidade de São Paulo
  • Bruno Munhoz Marotta Universidade de São Paulo
  • Christyan Hiroshi Iida Universidade de São Paulo
  • Danielle Ayumi Nishimura Universidade de São Paulo
  • Suelen Schumiski Universidade de São Paulo
  • Claudio Costa Universidade de São Paulo

DOI:

https://doi.org/10.11606/issn.2357-8041.clrd.2020.169239

Keywords:

Transiluminescense, Laser Fluorescence, Diagnosis, Dental Caries

Abstract

Diagnosis of caries lesions consists of visual/tactile methods following the International Caries Detection and Assessment System (ICDAS) and radiographic methods (BW), however these methods have limitations for detecting caries at different depths and locations and is usually influenced by the examiner’s experience. New technologies have emerged to improve caries diagnosis methods, among these are methods that use optical principles to quantify differences between healthy and demineralized tissues, for example: quantitative light- -induced fluorescence (QLF), the “DIAGNOdent” caries detection pen, and VistaProof (fluorescence camera). This literature review aims to provide up-to-date information on the applicability of fluorescence-based methods in the diagnosis of caries. The results show that DIAGNOdent pen was the most effective method for diagnosing caries, wherein some authors indicate that it can be used as the only diagnostic method, but most recommend using it as a complementary method to ICDAS and BW. LFpen must be used in association with ICDAS and 2 articles indicate near-infrared light transillumination (NILT) as a substitute for BW, however there is still a need for further studies to reach a concrete decision. In conclusion, digital methods for the diagnosis of caries are efficient, but they do not replace visual/tactile methods and bitewing radiographs. Therefore, they should be used as a complementary diagnostic method to those already known and widely used and studied.

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Author Biographies

  • Lucila Massu Yoshizaki Akinaga Moreira, Universidade de São Paulo

    Department of Stomatology, School of Dentistry, Universidade de São Paulo (FOUSP), São Paulo, SP, Brazil.

  • Bruna Cordeiro Amarante, Universidade de São Paulo

    Department of Pediatric Dentistry, School of Dentistry, Universidade de São Paulo (FOUSP), São Paulo, SP, Brazil.

  • Bruno Munhoz Marotta, Universidade de São Paulo

    Department of Stomatology, School of Dentistry, Universidade de São Paulo (FOUSP), São Paulo, SP, Brazil

  • Christyan Hiroshi Iida, Universidade de São Paulo

    Department of Stomatology, School of Dentistry, Universidade de São Paulo (FOUSP), São Paulo, SP, Brazil.

  • Danielle Ayumi Nishimura, Universidade de São Paulo

    Department of Stomatology, School of Dentistry, Universidade de São Paulo (FOUSP), São Paulo, SP, Brazil.

  • Suelen Schumiski, Universidade de São Paulo

    Department of Stomatology, School of Dentistry, Universidade de São Paulo (FOUSP), São Paulo, SP, Brazil.

  • Claudio Costa, Universidade de São Paulo

    Department of Stomatology, School of Dentistry, Universidade de São Paulo (FOUSP), São Paulo, SP, Brazil.

References

Silva PFD, Oliveira LRS, Braga SSL, Signori C, Armstrong SR, Soares CJ, et al. Effect of selective carious tissue removal on biomechanical behavior of class II bulk-fill dental composite restorations. Dent Mater. 2018;34(9):1289-98. https://doi.org/10.1016/j.dental.2018.05.014

Souza JF, Boldieri T, Diniz MB, Rodrigues JA, Lussi A, Cordeiro RCL. Traditional and novel methods for occlusal caries detection: performance on primary teeth. Lasers Med Sci. 2013;28(1):287-95. doi: https://doi.org/10.1007/s10103-012-1154-8

Mansour S, Ajdaharian J, Nabelsi T, Chan G, Wilder-Smith P. Comparison of caries diagnostic modalities: a clinical study in 40 subjects. Lasers Surg Med. 2016;48(10):924-8. doi: https://doi.org/10.1002/lsm.22460

Braga MM, Mendes FM, Ekstrand KR. Detection activity assessment and diagnosis of dental caries lesions. Dent Clin North Am. 2010;54(3):479-93. doi: https://doi.org/10.1016/j.cden.2010.03.006

Maia AMA, Karlsson L, Margulis W, Gomes ASL. Evaluation of two imaging techniques: near-infrared transillumination and dental radiographs for the detection of early approximal enamel caries. Dentomaxillofac Radiol. 2011;40(7):429-33. doi: https://doi.org/10.1259/dmfr/32702114

Braga MM, Morais CC, Nakama RCS, Leamari VM, Siqueira WL, Mendes FM. In vitro performance of methods of approximal caries detection in primary molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108(4):e35-41. doi: https://doi.org/10.1016/j.tripleo.2009.05.017

Shi XQ, Li G. Detection accuracy of approximal caries by black-and-white and color-coded digital radiographs. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(3):433-6. doi: https://doi.org/10.1016/j.tripleo.2008.07.008

Bozdemir E, Aktan AM, Ozsevik A, Sirin Kararslan E, Ciftci ME, Cebe MA. Comparison of different caries detectors for approximal caries detection. J Dent Sci. 2016;11(3):293- 8. doi: https://doi.org/10.1016/j.jds.2016.03.005

Melo M, Pascual A, Camps I, del Campo Á, Ata-Ali J. Caries diagnosis using light fluorescence devices in comparison with traditional visual and tactile evaluation: a prospective study in 152 patients. Odontology. 2017;105(3):283- 90. doi: https://doi.org/10.1007/s10266-016-0272-3

Souza LA, Cancio V, Tostes MA. Accuracy of pen-type laser fluorescence device and radiographic methods in detecting approximal carious lesions in primary teeth: an in vivo study. Int J Paediatr Dent. 2018;28(5):472- 80. doi: https://doi.org/10.1111/ipd.12399

Diniz MB, Campos PH, Wilde S, Cordeiro R CL, Zandona AGF. Performance of light-emitting diode device in detecting occlusal caries in the primary molars. Lasers Med Sci. 2019;34(6):1235- 41. doi: https://doi.org/10.1007/s10103-019-02717-4

Schwendicke F, Brouwer F, Paris S, Stolpe M. Detecting proximal secondary caries lesions. J Dent Res. 2016;95(2):152- 9. doi: https://doi.org/10.1177/0022034515617937

Yoon HI, Yoo MJ, Park EJ. Detection of proximal caries using quantitative light-induced fluorescence-digital and laser fluorescence: a comparative study. J Adv Prosthodont. 2017;9(6):432- 8. doi: https://doi.org/10.4047/jap.2017.9.6.432

Ozsevik AS, Kararslan ES, Aktan AM, Bozdemir E, Cebe F, Sarl F. Effect of different contact materials on approximal caries detection by laser fluorescence and light-emitting diode devices. Photomed Laser Surg. 2015;33(10):492- 7. doi: https://doi.org/10.1089/pho.2015.3930

Silva Tagliaferro EP, Valsecki A, Rosell FL, Silva SRC, Riley JL, Gilbert GH, et al. Caries diagnosis in dental practices: results from dentists in a Brazilian community. Oper Dent. 2019;44(1):E23-31. doi: 10.2341/18-034-C

Abogazalah N, Ando M. Alternative methods to visual and radiographic examinations for approximal caries detection. J Oral Sci. 2017;59(3):315- 22. doi: https://doi.org/10.2334/josnusd.16-0595

Markowitz K, Carey K. Assessing the appearance and fluorescence of resin-infiltrated white spot lesions with caries detection devices. Oper Dent. 2018;43(1):10- 8. doi: https://doi.org/10.2341/16-153-L

Iranzo-Cortés JE, Terzic S, Montiel-Company JM, Almerich-Silla JM. Diagnostic validity of ICDAS and DIAGNOdent combined: an in vitro study in pre-cavitated lesions. Lasers Med Sci. 2017;32(3):543–8. doi: https://doi.org/10.1007/s10103-017-2146-5

Luczaj-Cepowicz E, Marczuk-Kolada G, Obidzinska M, Sidun J. Diagnostic validity of the use of ICDAS II and DIAGNOdent pen verified by micro-computed tomography for the detection of occlusal caries lesions: an in vitro evaluation. Lasers Med Sci. 2019;34(8):1655- 63. doi: https://doi.org/10.1007/s10103-019-02762-z

NouhzadehMalekshah S, Fekrazad R, Bargrizan M, Kalhori KA. Evaluation of laser fluorescence in combination with photosensitizers for detection of demineralized lesions. Photodiagnosis Photodyn Ther. 2019;26 :300- 5. doi: https://doi.org/10.1016/j.pdpdt.2019.03.019

Iranzo-Cortés JE, Montiel-Company JM, Almerich-Torres T, Bellot-Arcís C, Almerich-Silla JM. Use of DIAGNOdent and VistaProof in diagnostic of pre-cavitated caries lesions: a systematic review and meta-analysis. J Clin Med. 2019;9(1):20. doi: https://doi.org/10.3390/jcm9010020

Iranzo-Cortés JE, Almarche-Tarazona M, Montiel-Company JM, Almerich-Silla JM. Diagnostic validity of ICDAS II, VistaProof and a combination of these two methods : an in vitro study in pre-cavitated lesions. Lasers Surg Med. 2018;50(2):166- 73. doi: https://doi.org/10.1002/lsm.22751

Bussaneli DG, Restrepo M, Boldieri T, Pretel H, Mancini MW, Santos-Pinto L, et al. Assessment of a new infrared laser transillumination technology (808 nm) for the detection of occlusal caries: an in vitro study. Lasers Med Sci. 2015;30(7):1873- 9. doi: https://doi.org/10.1007/s10103-014-1704-3

Diniz MB, Campos PH, Sanabe ME, Duarte DA, Santos MTBR, Guaré RO, et al. Effectiveness of fluorescence-based methods in monitoring progression of noncavitated caries-like lesions on smooth surfaces. Oper Dent. 2015;40(6):E230- 41. doi: https://doi.org/10.2341/15-036-L

Rodrigues JA, Sarti CS, Assunção CM, Arthur RA, Lussi A, Diniz MB. Evaluation of laser fluorescence in monitoring non-cavitated caries lesion progression on smooth surfaces in vitro. Lasers Med Sci. 2017;32(8):1793- 800. doi: https://doi.org/10.1007/s10103-017-2262-2

Castilho LS, Cotta FVMD, Bueno AC, Moreira AN, Ferreira EF, Magalhães CS. Validation of DIAGNOdent laser fluorescence and the International Caries Detection and Assessment System (ICDAS) in diagnosis of occlusal caries in permanent teeth: an in vivo study. Eur J Oral Sci. 2016;124(2):188- 94. doi: https://doi.org/10.1111/eos.12257

Jablonski-Momeni A, Rüter M, Röttker J, Korbmacher-Steiner H. Use of a laser fluorescence device for the in vitro activity assessment of incipient caries lesions. J Orofac Orthop. 2019;80(6):327- 35. doi: https://doi.org/10.1007/s00056-019-00194-6

Diniz MB, Cordeiro RCL, Ferreira-Zandona AG. Detection of caries around amalgam restorations on approximal surfaces. Oper Dent. 2016;41(1):34- 43. doi: https://doi.org/10.2341/14-048-L

Diniz MB, Eckert GJ, González-Cabezas C, Cordeiro RDCL, Ferreira-Zandona AG. Caries detection around restorations using ICDAS and optical devices. J Esthet Restor Dent. 2016;28(2):110- 21. doi: https://doi.org/10.1111/jerd.12183

Menem R, Barngkgei I, Beiruti N, Al Haffar I, Joury E. The diagnostic accuracy of a laser fluorescence device and digital radiography in detecting approximal caries lesions in posterior permanent teeth: an in vivo study. Lasers Med Sci. 2017;32(3):621- 8. doi: https://doi.org/10.1007/s10103-017-2157-2

Bizhang M, Wollenweber N, Singh-Hüsgen P, Danesh G, Zimmer S. Pen-type laser fluorescence device versus bitewing radiographs for caries detection on approximal surfaces. Head Face Med. 2016;12(1):1- 8. doi: https://doi.org/10.1186/s13005-016-0126-9

Anauate-Netto C, Borelli Neto L, Amore R, Di Hipólito V, D’Alpino PHP. Caries progression in non-cavitated fissures after infiltrant application: a 3-year follow-up of a randomized controlled clinical trial. J Appl Oral Sci. 2017;25(4):442- 54. doi: https://doi.org/10.1590/1678-7757-2016-0633

Bussaneli DG, Restrepo M, Boldieri T, Albertoni TH, Santos-Pinto L, Cordeiro RCL. Proximal caries lesion detection in primary teeth: does this justify the association of diagnostic methods? Lasers Med Sci. 2015;30(9):2239- 44. doi: https://doi.org/10.1007/s10103-015-1798-2

Sichani A, Javadinejad S, Ghafari R. Diagnostic value of DIAGNOdent in detecting caries under composite restorations of primary molars. Dent Res J. 2016;13(4):327- 32. doi: https://doi.org/10.4103/1735-3327.187874

Tassoker M, Ozcan S, Karabekiroglu S. Occlusal caries detection and diagnosis using visual ICDAS criteria, laser fluorescence measurements, and near-infrared light transillumination images. Med Princ Pract. 2020;29(1):25- 31. doi: https://doi.org/10.1159/000501257

Bahrololoomi Z, Ezoddini F, Halvani N. Comparison of radiography, laser fluorescence and visual examination for diagnosing incipient occlusal caries of permanent first molars. J Dent. 2015;12(5):324- 32.

Ko CC, Yi DH, Lee DJ, Kwon J, Garcia-Godoy F, Kwon YH. Diagnosis and staging of caries using spectral factors derived from the blue laser-induced autofluorescence spectrum. J Dent. 2017;67:77-83. doi: https://doi.org/10.1016/j.jdent.2017.09.015

Shwetha G, Chandra P, Anandakrishna L, Dhananjaya G, Shetty AK, Kamath PS. Validation of different diagnostic aids in detection of occlusal caries in primary molars: an in vitro study. J Indian Soc Pedod Prev Dent. 2017;35(4):301- 6. doi: https://doi.org/10.4103/JISPPD.JISPPD_54_17

Akgul S, Bala O, Yikilgan I. Performance of different methods for detection of incipient occlusal caries lesions: an in vitro study. Photomed Laser Surg. 2018;36(4):191- 7. doi: https://doi.org/10.1089/pho.2017.4353

Alomari QD, Qudiemat M, Khalaf ME, Al-Tarakemah Y. The effect of combining radiographs and DIAGNOdent with visual examination on detection and treatment decisions of noncavitated occluso-dentinal caries. Oper Dent. 2015;40(3):313- 21. doi: https://doi.org/10.2341/14-138-L

Novaes TF, Moriyama CM, De Benedetto MS, Kohara EK, Braga MM, Mendes FM. Performance of fluorescence-based methods for detecting and quantifying smooth-surface caries lesions in primary teeth: an in vitro study. Int J Paediatr Dent. 2016;26(1):13- 9. doi: https://doi.org/10.1111/ipd.12152

Silvertown JD, Wong BPY, Abrams SH, Sivagurunathan KS, Mathews SM, Amaechi BT. Comparison of the canary system and DIAGNOdent for the in vitro detection of caries under opaque dental sealants. J Investig Clin Dent. 2017;8(4):1- 7. doi: https://doi.org/10.1111/jicd.12239

Pontes LRA, Novaes TF, Moro BLP, Braga MM, Mendes FM. Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth. Braz Oral Res. 2017;31:e91. doi: https://doi.org/10.1590/1807-3107bor-2017.vol31.0091

Subka S, Rodd H, Nugent Z, Deery C. In vivo validity of proximal caries detection in primary teeth, with histological validation. Int J Paediatr Dent. 2019;29(4):429- 38. doi: https://doi.org/10.1111/ipd.12478

Kühnisch J, Söchtig F, Pitchika V, Laubender R, Neuhaus KW, Lussi A, et al. In vivo validation of near-infrared light transillumination for interproximal dentin caries detection. Clin Oral Investig. 2016;20(4):821- 9. doi: https://doi.org/10.1007/s00784-015-1559-4

Ozkan G, Guzel KGU. Clinical evaluation of near-infrared light transillumination in approximal dentin caries detection. Lasers Med Sci. 2017;32(6):1417- 22. doi: https://doi.org/10.1007/s10103-017-2265-z

Singh SP, Fält P, Barman I, Koistinen A, Dasari RR, Kullaa AM. Objective identification of dental abnormalities with multispectral fluorescence imaging. J Biophotonics. 2017;10(10):1-8. doi: https://doi.org/10.1002/jbio.201600218

Abdel Gawad AL, El-Sharkawy Y, Ayoub HS, El-Sherif AF, Hassan MF. Classification of dental diseases using hyperspectral imaging and laser induced fluorescence. Photodiagnosis Photodyn Ther. 2019;25:128- 35. doi: https://doi.org/10.1016/j.pdpdt.2018.11.017

El-Sharkawy YH, Elbasuney S. Design and implementation of novel hyperspectral imaging for dental carious early detection using laser induced fluorescence. Photodiagnosis Photodyn Ther. 2018;24:166- 78. doi: https://doi.org/10.1016/j.pdpdt.2018.10.004

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Published

2020-08-25

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Literature review