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International Poster Journal of Dentistry and Oral Medicine
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Int Poster J Dent Oral Med 5 (2003), No. 1     15. Mar. 2003
Int Poster J Dent Oral Med 5 (2003), No. 1  (15.03.2003)

Poster 156, Language: German


Zur Reproduzierbarkeit von DIAGNOdent-Messwerten
Kühnisch, Jan/Heinrich-Weltzien, Roswitha/Stößer, Lutz
Aim of this study was to assess the reliability of the measurement of occlusal caries by a laser fluorescent technique. Four dentists using four DIAGNOdent® devices (Dd) according to manufacturers instructions examined 80 carefully cleaned molars with non-cavitated occlusal lesions. Inter- and intra-examiner reproducibility were calculated using Lin's intra-class correlation coefficient (ICCLin), Students t-test and the limits of agreement by Bland and Altman (1990).
Excellent intra-examiner reproducibility was found for dentist 2 and dentist 4. Significant differences were calculated for dentist 1 and dentist 3. Inter-examiner reproducibility was significantly different between dentist 3 and each of the other dentists. Significant differences between Dd instruments disappeared after exclusion of all readings of dentist 3. Categorising Dd values in order of treatment related cut-offs a substantial reproducibility was found in the range of 0-14 (ICCLin 0.66) and >30 (ICCLin 0.65). Only 41.6% of all Dd measurements were reproduced in the range 15-30 (ICCLin 0.16). The results suggest that dentists should be trained before using Dds. The low reliability in the interval of 15-30 could limit the use of Dds for a longitudinal caries monitoring on occlusal surfaces.

Keywords: DIAGNOdent, Laserfluoreszenz-Messung, Kariesdiagnostik, Reproduzierbarkeit, Variabilität

Conference/Exhibition:
Februar 2002
Preventive Dentistry 2002
Jena