TY - JOUR
T1 - Performance of 5 different displays in the detection of artificial incipient and recurrent caries-like lesions
AU - Countryman, Shawn Chancy
AU - Sousa Melo, Saulo Leonardo
AU - Belem, Manuella Dias Furtado
AU - Haiter-Neto, Francisco
AU - Vargas, Marcos A.
AU - Allareddy, Veeratrishul
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2018/2
Y1 - 2018/2
N2 - Objectives: The aim of this study was to assess whether auto-calibrating medical-grade monitors perform better than off-the-shelf monitors and tablet computers in detecting artificial incipient and recurrent caries-like lesions. Study Design: Sixty extracted teeth (30 premolars and 30 molars) were selected. All molars received class II amalgam and composite restorations. A 7-mm2 area on the crowns of half of the teeth was demineralized. Phantoms consisting of 4 teeth were created. Three observers using a 5-point scale evaluated digital periapical radiographs for the presence of caries on 5 displays: 2 autocalibrating medical-grade monitors, 2 tablets, and 1 off-the-shelf monitor. Sensitivity, specificity, accuracy, and receiver operating curve data were calculated and verified through analysis of variance and Tukey tests. Observer agreements were assessed using Cohen's κ test. Results: Intraobserver agreement ranged from 0.347 to 0.612 (molars) and 0.617 to 0.811 (premolars). Interobserver agreement ranged from 0.239 to 0.559 (molars) and 0.657 to 0.858 (premolars). The performances of tablets and the off-the-shelf monitor were similar to medical monitors when the same tooth groups were compared. Medical-grade monitors presented fewer statistically significant differences when different lesions where compared within the same display and restorative material. Conclusions: Evaluations of similar lesions were not significantly different among the 3 types of displays. However, the autocalibrating medical-grade monitors performed better when incipient and recurrent lesions were compared.
AB - Objectives: The aim of this study was to assess whether auto-calibrating medical-grade monitors perform better than off-the-shelf monitors and tablet computers in detecting artificial incipient and recurrent caries-like lesions. Study Design: Sixty extracted teeth (30 premolars and 30 molars) were selected. All molars received class II amalgam and composite restorations. A 7-mm2 area on the crowns of half of the teeth was demineralized. Phantoms consisting of 4 teeth were created. Three observers using a 5-point scale evaluated digital periapical radiographs for the presence of caries on 5 displays: 2 autocalibrating medical-grade monitors, 2 tablets, and 1 off-the-shelf monitor. Sensitivity, specificity, accuracy, and receiver operating curve data were calculated and verified through analysis of variance and Tukey tests. Observer agreements were assessed using Cohen's κ test. Results: Intraobserver agreement ranged from 0.347 to 0.612 (molars) and 0.617 to 0.811 (premolars). Interobserver agreement ranged from 0.239 to 0.559 (molars) and 0.657 to 0.858 (premolars). The performances of tablets and the off-the-shelf monitor were similar to medical monitors when the same tooth groups were compared. Medical-grade monitors presented fewer statistically significant differences when different lesions where compared within the same display and restorative material. Conclusions: Evaluations of similar lesions were not significantly different among the 3 types of displays. However, the autocalibrating medical-grade monitors performed better when incipient and recurrent lesions were compared.
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U2 - 10.1016/j.oooo.2017.11.004
DO - 10.1016/j.oooo.2017.11.004
M3 - Article
C2 - 29242128
AN - SCOPUS:85037598891
SN - 2212-4403
VL - 125
SP - 182
EP - 191
JO - Oral surgery, oral medicine, oral pathology and oral radiology
JF - Oral surgery, oral medicine, oral pathology and oral radiology
IS - 2
ER -