Three Visual-Diagnostic Methods for the Detection of Enamel Cracks: An In Vitro Study

被引:4
|
作者
Hausdoerfer, Tim [1 ]
Harms, Lisa [1 ]
Kanzow, Philipp [1 ]
Huelsmann, Michael [2 ]
机构
[1] Univ Med Ctr Gottingen, Dept Prevent Dent Periodontol & Cariol, D-37075 Gottingen, Germany
[2] Univ Zurich, Ctr Dent Med, Clin Prevent Dent Periodontol & Cariol, CH-8032 Zurich, Switzerland
关键词
cracked tooth syndrome; tooth fractures; diagnostic errors; dental operating microscope; enamel crack; fiber-optic transillumination; near-infrared transillumination; OPTICAL COHERENCE TOMOGRAPHY; INFRARED LIGHT TRANSILLUMINATION; FIBEROPTIC TRANSILLUMINATION;
D O I
10.3390/jcm12030973
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Tooth fractures are a common cause of tooth loss, frequently starting as enamel cracks. However, methods for the detection of enamel cracks are poorly investigated. The aim of the study was the validation of three clinical methods for the detection of enamel cracks: dental operating microscope (DOM), near-infrared transillumination (NIR), and fiber-optic transillumination (FOTI), with hard-tissue slices serving as controls. A total of 89 extracted teeth, set up as diagnostic models, were investigated, and the maximum crack depth was scored by two examiners. The actual crack depth was determined microscopically (25x) using horizontal sections. The accuracy of each method was analyzed using receiver operating characteristic (ROC) curves. Across all tooth surfaces, the area under the curve (AUC) amounted to 0.57 (DOM), 0.70 (FOTI), and 0.67 (NIR). For crack detection on vestibular/oral surfaces, the AUC was 0.61 (DOM), 0.78 (FOTI), and 0.74 (NIR); for proximal surfaces, it was 0.59 (DOM), 0.65 (FOTI), and 0.67 (NIR). However, the actual crack depth was underestimated with each method (p < 0.001). Under in vitro conditions, FOTI and NIR are suitable for detection of enamel cracks, especially on vestibular and oral tooth surfaces. However, an exact estimation of crack depth is not possible. Therefore, FOTI and NIR seem to be helpful for the clinical detection of enamel cracks.
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页数:10
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