Evaluation of Reliability of CarieScan PRO Compared With Digital Radiograph and ICDAS-II in Detection of Carious Lesions

Cairo University (CU)

Status: Unknown

Conditions: Dental Caries

Treatments: Radiation: Digital Radiograpgy; Device: CariScan Pro; Diagnostic Test: ICDAS II

Study type: Interventional

Funder types: Other

Identifiers

NCT04438252

1711

Details and patient eligibility

About

The aim of this study is to evaluate the Clinical performance of alternating current impedance spectroscopy (CarieScan PRO) in comparison with digital radiograph and ICDAS-II in detection of occlusal carious lesions.

Full description

The visual examination is routinely used for detecting caries in dental clinics and was also used in recent studies comparing the efficacy of various visual aids. It has the benefit that it is quick and easy to perform, does not need expensive equipment, and can be completed without unnecessary radiation or fluorescence (Ismail, et al., 2007). In the current study, ICDAS-II was set as "gold standard" due to validated relationship between its codes and the histological depth of a carious lesion as in many other studies. In addition, several studies have shown good reproducibility and accuracy of ICDAS-II for caries detection in permanent teeth especially caries lesions in the outer half of the enamel (Gugnani, et al., 2010). Bitewing radiographs are used to determine the depth of caries involvement. Most often, bitewing examination is affiliated with the diagnosis of interproximal caries. It is strongly recommended that these radiographs be used in the diagnosis of occlusal caries into dentin (Pitts NB et al., 1991).

Enrollment: 166 estimated patients

Sex: All

Ages: 15 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria of teeth:

• Posterior teeth with dark shadow on occlusal surface.
• Vital upper or lower posterior teeth with no signs of irreversible pulpitis.
• Intact contact with opposing teeth.
• Teeth with no previous restorations in other surfaces.

Exclusion criteria of the teeth:

• Periapical pathology or signs of pulpal pathology.
• Tooth hypersensitivity.
• Possible prosthodontic restoration of teeth.
• Heavy occlusion and occlusal contacts or history of bruxism.
• Severe periodontal affection.

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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166 participants in 2 patient groups

Cariescan pro

Experimental group

Description:

device for early caries detection

Treatment:

Radiation: Digital Radiograpgy

Device: CariScan Pro

ICDAS II

Experimental group

Description:

Index for caries detection

Treatment:

Diagnostic Test: ICDAS II