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Caries Diagnosis Flashcards

(19 cards)

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1
Q

What is accuracy

A

Measures what is claimed

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2
Q

What is precision

A

Consistency of measurement

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3
Q

Describe sensitivity and specificity within accuracy

A

Sensitivity - % of disease found correctly

Specificity - % of health found correctly

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4
Q

What is the accuracy of detecting D1 caries under normal examination

A

Sensitivity - 0.32

Specificity - 0.97

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5
Q

What is the accuracy of detecting D3 caries under normal examination

A

Sensitivity - 0.34

Specificity - 0.99

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6
Q

How can accuracy of caries diagnosis be improved

A

ICCMS
Radiographs
Magnification
FOTI

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7
Q

What is ICCMS

A

International Caries Classification and Management System
A set of clinical protocols that address all diagnostic, preventative and restorative decisions necessary to preserve tooth structure and restore only when indicated

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8
Q

What is the accuracy of detecting D1 caries under ICCMS examination

A

Sensitivity - 0.65

Specificity - 0.85

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9
Q

What is the accuracy of detecting D3 caries under ICCMS examination

A

Sensitivity - 0.8

Specificity - 0.8

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10
Q

How does ICCMS examination compare to normal examination

A

Higher sensitivity but lower specificity

Better way of diagnosing caries especially if looking at secondary prevention methods

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11
Q

What are the advantages of taking radiographs

A

All practices have the capability
Quick
Permanent

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12
Q

What are the disadvantages of taking radiographs

A

Uses ionising radiation
Difficult to standardise angle
If taken from a different angle you may not be able to track the progression of a lesion accurately over time

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13
Q

What is the accuracy of detecting D1 approximal caries using bitewing radiographs

A

Sensitivity - 0.32

Specificity - 0.87

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14
Q

What is the accuracy of detecting D3 approximal caries using bitewing radiographs

A

Sensitivity - 0.57

Specificity - 0.95

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15
Q

What are the advantages of magnification

A

Simple technique

Allows better view

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16
Q

What are the disadvantages of magnification

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A

Takes time to get used to

High cost of at least £1,000

17
Q

What is the accuracy of detecting D1 caries with magnification

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A

Sensitivity - 0.42

Specificity - 0.94

18
Q

What is the accuracy of detecting D3 caries using magnification

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A

Sensitivity - 0.37

Specificity - 0.99

19
Q

What other techniques can be used for caries diagnosis

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A

Fibre-optic transillumination - shining a light through the tooth, caries stops the light and you see shading
DIAGNOdent
Electric techniques

Caries (5 decks)

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