{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T21:26:48Z","timestamp":1790026008515,"version":"4.0.1"},"reference-count":31,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T00:00:00Z","timestamp":1696982400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>This study aims to compare the diagnostic reliability of ICDAS-II visual criteria, light-induced fluorescence (using the VistaCam iX, D\u00fcrr Dental, Bietigheim-Bissingen, Germany), and laser-induced fluorescence (using the DIAGNOdent Pen, KaVo, Biberach, Germany) on occlusal caries. Permanent and temporary molars were selected according to the inclusion criteria. Out of 160 teeth that met the inclusion criteria, 139 were chosen and examined by two previously trained and calibrated examiners. The kappa value was 0.95 for both VistaCam iX and DIAGNOdent Pen. Results from visual examination and the readings of the two fluorescence devices were computed, lesions being divided into non-cavitated, enamel lesions, and lesions extended to dentin. All statistical analyses were performed using R (version 4.2.2). Spearman\u2019s rank correlation was computed to assess the relationship between the scores of diagnostics reliabilities of the three methods mentioned above. There was a positive, statistically significant Spearman\u2019s rank correlation coefficient, \u03c1 = 0.25, between VistaCam iX and ICDAS II, and a positive, not statistically significant Spearman\u2019s rank correlation coefficient, \u03c1 = 0.11, between DiagnoDent Pen and ICDAS II. Considering the temporary teeth, there was a positive, statistically significant Spearman\u2019s rank correlation coefficient, \u03c1 = 0.52, between VistaCam iX and DiagnoDent Pen; a positive, statistically significant Spearman\u2019s rank correlation coefficient, \u03c1 = 0.35, between VistaCam iX and ICDAS II; and the lowest, not statistically significant Spearman\u2019s rank correlation coefficient, \u03c1 = 0.16, between DiagnoDent Pen and ICDAS II. Conclusions: In conclusion, ICDAS II and light-induced fluorescence are better diagnostic methods than the laser-induced fluorescence devices for detecting occlusal caries. Clinical Significance: This study may support clinicians in selecting the most efficient tool for diagnosing carious lesion in the earliest stages possible. Furthermore, such technologies raise the availability for more preventive approaches, as opposed to invasive procedures.<\/jats:p>","DOI":"10.3390\/diagnostics13203170","type":"journal-article","created":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T02:11:01Z","timestamp":1696990261000},"page":"3170","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["In Vivo Performance of Visual Criteria, Laser-Induced Fluorescence, and Light-Induced Fluorescence for Early Caries Detection"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8274-1667","authenticated-orcid":false,"given":"Antonis","family":"Perdiou","sequence":"first","affiliation":[{"name":"Faculty of Dental Medicine, \u201cVictor Babe\u015f\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8915-6305","authenticated-orcid":false,"given":"Aurora Doris","family":"Fratila","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine, Ludwig-Maximilian-University Munich, Goethestra\u00dfe 70, 80336 M\u00fcnchen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0244-2609","authenticated-orcid":false,"given":"Ruxandra","family":"Sava-Rosianu","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine, \u201cVictor Babe\u015f\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"},{"name":"Translational and Experimental Clinical Research Center in Oral Health (TEXC-OH), 14A Tudor Vladimirescu Ave., 300173 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3920-6869","authenticated-orcid":false,"given":"Vlad Tiberiu","family":"Alexa","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine, \u201cVictor Babe\u015f\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"},{"name":"Translational and Experimental Clinical Research Center in Oral Health (TEXC-OH), 14A Tudor Vladimirescu Ave., 300173 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1784-2357","authenticated-orcid":false,"given":"Dacian","family":"Lalescu","sequence":"additional","affiliation":[{"name":"Faculty of Food Engineering, Banat\u2019s University of Agricultural Sciences and Veterinary Medicine, King Michael I of Romania from Timi\u0219oara, Calea Aradului No. 119, 300645 Timi\u0219oara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2705-5020","authenticated-orcid":false,"given":"Daniela","family":"Jumanca","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine, \u201cVictor Babe\u015f\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"},{"name":"Translational and Experimental Clinical Research Center in Oral Health (TEXC-OH), 14A Tudor Vladimirescu Ave., 300173 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atena","family":"Galuscan","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine, \u201cVictor Babe\u015f\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"},{"name":"Translational and Experimental Clinical Research Center in Oral Health (TEXC-OH), 14A Tudor Vladimirescu Ave., 300173 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,10,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1177\/0022034515573272","article-title":"Global burden of untreated caries: A systematic review and metaregression","volume":"94","author":"Kassebaum","year":"2015","journal-title":"J. Dent. Res."},{"key":"ref_2","unstructured":"World Health Organization (2021, June 21). Oral Resolution EB148.R1. In WHO Executive Board 148th Resolutions and Annexes; 2021, Available online: https:\/\/apps.who.int\/gb\/ebwha\/pdf_fles\/EB148\/B148_R1-en.pdf."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.jobcr.2020.02.006","article-title":"Impact of early childhood caries on quality of life: Child and parent perspectives","volume":"10","author":"Singh","year":"2020","journal-title":"J. Oral. Biol. Craniofac Res."},{"key":"ref_4","first-page":"ZE21","article-title":"Oral Health and Quality of Life: Current Concepts","volume":"11","author":"Baiju","year":"2017","journal-title":"J. Clin. Diagn. Res."},{"key":"ref_5","unstructured":"Zimmerman, B., and Jenzer, A.C. (2021). StatPearls, StatPearls Publishing."},{"key":"ref_6","first-page":"CD003220","article-title":"Pulp treatment for extensive decay in primary teeth","volume":"5","author":"Glenny","year":"2018","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1111\/j.1600-0528.1984.tb01408.x","article-title":"Measurement of dental caries experience-modification of the DMFT index","volume":"12","author":"Anaise","year":"1984","journal-title":"Community Dent. Oral. Epidemiol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1002\/j.0022-0337.2007.71.5.tb04324.x","article-title":"How Much Does the DMFT Index Underestimate the Need for Restorative Care?","volume":"71","author":"Becker","year":"2007","journal-title":"J. Dent. Educ."},{"key":"ref_9","first-page":"63","article-title":"Icdas II Criteria (International Caries Detection And Assessment System)","volume":"49","author":"Dikmen","year":"2015","journal-title":"Eur. Oral. Res."},{"key":"ref_10","unstructured":"International Caries Detection and Assessment System (ICDAS) Coordinating Committee (2005). Criteria Manual\u2013International Caries Detection and Assessment System (ICDAS II), Dental Health Services Research Unit. Available online: http:\/\/www.icdas.org."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1159\/000113160","article-title":"Reproducibility and accuracy of the icdas-ii for detection of occlusal caries in vitro","volume":"42","author":"Stachniss","year":"2008","journal-title":"Caries Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"176","DOI":"10.17267\/2596-3368dentistry.v11i2.3122","article-title":"ICDAS and dmft\/DMFT. Sensitivity and specificity, the importance of the index used: A systematic review","volume":"11","author":"Coelho","year":"2020","journal-title":"J. Public Health Dent."},{"key":"ref_13","first-page":"8","article-title":"The natural history of dental caries lesions: A 4-year observational study","volume":"91","author":"Santiago","year":"2012","journal-title":"J. Dent. Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1016\/j.jdent.2006.06.001","article-title":"Caries detection and diagnosis: Novel technologies","volume":"34","author":"Pretty","year":"2006","journal-title":"J. Dent."},{"key":"ref_15","first-page":"101","article-title":"Performance of a new fluorescence camera for detection of occlusal caries in vitro","volume":"28","author":"Liebegall","year":"2012","journal-title":"Lasers Med. Sci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1002\/cre2.42","article-title":"Dental calculus detection using the VistaCam","volume":"2","author":"Shakibaie","year":"2016","journal-title":"Clin. Exp. Dent. Res."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The measurements of observer agreement for categorical data","volume":"33","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.sdentj.2012.07.002","article-title":"Comparison between a laser fluorescence device and visual examination in the detection of occlusal caries in children","volume":"24","author":"Kouchaji","year":"2012","journal-title":"Saudi Dent. J."},{"key":"ref_19","first-page":"324","article-title":"Comparison of Radiography, Laser Fluorescence, and Visual Examination in Diagnosing Incipient OcclusalCaries of Permanent First Molars","volume":"12","author":"Bahrololoomi","year":"2016","journal-title":"J. Dent."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1111\/adj.12049","article-title":"Use of new minimum intervention dentistry technologies in caries management","volume":"58","author":"Tassery","year":"2013","journal-title":"Aust. Dent. J."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1159\/000077769","article-title":"Are We Ready to Move from Operative to Non-Operative\/Preventive Treatment of Dental Caries in Clinical Practice?","volume":"38","author":"Pitts","year":"2004","journal-title":"Caries Res."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Rusu, L., and Ardelean, L.C. (2022). Dental Cariesi\u2014The Selection of Restoration Methods and Restorative Materials, IntechOpen.","DOI":"10.5772\/intechopen.100795"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"81","DOI":"10.15517\/ijds.2018.34896","article-title":"In Vitro Comparison of ICDAS and Laser induced fluorescence device in The Diagnosis and Treatment Decisions of Non-Cavitated Occlusal Caries","volume":"20","author":"Akarsu","year":"2018","journal-title":"Odovtos-Int. J. Dent. Sci."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1159\/000016583","article-title":"Occlusal caries detection with KaVo DIAGNOdent and radiography: An in vitro comparison","volume":"34","author":"Shi","year":"2000","journal-title":"Caries Res."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1159\/000148162","article-title":"Performance of fluorescence methods, radiographic examination and ICDAS II on occlusal surfaces in vitro","volume":"42","author":"Rodrigues","year":"2008","journal-title":"Caries Res."},{"key":"ref_26","first-page":"371595","article-title":"Use of ICDAS-II, FluorescenceBased Methods, and Radiography in Detection and Treatment Decision of Occlusal Caries Lesions: An In Vitro Study","volume":"2012","author":"Stucke","year":"2012","journal-title":"Int. J. Dent."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1034\/j.1600-0722.2001.109001014.x","article-title":"Clinical performance of a laser fluorescence device for detection of occlusal caries lesions","volume":"109","author":"Lussi","year":"2001","journal-title":"Eur. J. Oral. Sci."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1159\/000047485","article-title":"Comparison between visual examination and a laser fluorescence system for in vivo diagnosis of occlusal caries","volume":"35","author":"Sheehy","year":"2001","journal-title":"Caries Res."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"4817","DOI":"10.1007\/s00784-021-03786-y","article-title":"The validity of laser fluorescence (LF) and near-infrared reflection (NIRR) in detecting early proximal cavities","volume":"25","author":"Ahrari","year":"2021","journal-title":"Clin. Oral. Investig."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Qudeimat, M.A., Altarakemah, Y., Alomari, Q., Alshawaf, N., and Honkala, E. (2019). The impact of ICDAS on occlusal caries treatment recommendations for high caries risk patients: An in vitro study. BMC Oral. Health, 19.","DOI":"10.1186\/s12903-019-0730-8"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Mazur, M., Jedli\u0144ski, M., Ndokaj, A., Corridore, D., Maruotti, A., Ottolenghi, L., and Guerra, F. (2020). Diagnostic Drama. Use of ICDAS II and Fluorescence- Based Intraoral Camera in Early Occlusal Caries Detection: A Clinical Study. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17082937"}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/13\/20\/3170\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:04:39Z","timestamp":1760130279000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/13\/20\/3170"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,11]]},"references-count":31,"journal-issue":{"issue":"20","published-online":{"date-parts":[[2023,10]]}},"alternative-id":["diagnostics13203170"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics13203170","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,11]]}}}