Diagnosing the severity of buccal caries lesions in orthodontic patients at de-bonding using digital photographs

@article{Almosa2014DiagnosingTS,
  title={Diagnosing the severity of buccal caries lesions in orthodontic patients at de-bonding using digital photographs},
  author={Naif A. Almosa and Ted Lundgren and Andrea Bresin and Dowen Birkhed and Heidrun Kjellberg},
  journal={Acta Odontologica Scandinavica},
  year={2014},
  volume={72},
  pages={474 - 480}
}
Abstract Objective. The aims of this study were (1) to evaluate the severity of buccal caries lesions according to the International Caries Detection and Assessment System (ICDAS) criteria via scoring buccal caries lesions on digital photographs at the time of de-bonding and (2) to compare this method with clinical examination. Materials and methods. In total, 89 patients treated with upper and lower fixed appliances were clinically examined immediately after de-bonding by the first author and… 
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The findings revealed that “the chance of avoiding new cavities”, according to the Cariogram model, was higher in the P-group compared to the G-group (61% and 28%, respectively) (P < .001), which revealed that scoring buccal caries lesions via clinical examinations and scoring via photographs, was 0.76.
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Most Swedish adolescents who have been scheduled for treatment with fixed appliances appear to have a low-to-medium caries risk nowadays, however, around 10% of all approximal tooth surfaces of premolars/molars had enamel caries and one-third of the individuals had medium/high counts of cariogenic bacteria in their saliva, which may be risk factors for future caries during orthodontic treatment.
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To investigate if the alternating current impedance spectroscopy (ACIS) technology could be used to monitor remineralization of post-orthodontic white spot lesions (WSLs) after debonding of fixed orthodontics appliances, 28 adolescents with at least two WSLs at debonding were studied.
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Daily usage of CPP-ACP paste was not better than normal care for improving the appearance of WSLs after 36 months, and patients used regular fluoride-containing toothpaste.
Fluoride varnish for white spot lesion prevention during orthodontic treatment: results of a randomized controlled trial 1 year after debonding.
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This follow-up study displayed a small beneficial long-term effect of fluoride varnish in reducing WSL development during treatment with FOA, and the prevalence of post-orthodontic WSLs dropped by over 50% during the follow- up with no significant difference between the groups.
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The monitoring of WSL severity by visual comparison of clinical oral photographs taken over time provides discriminatory power in assessing changes in W SL severity and ICDAS assessment on clinical oral Photographs did not have enough discriminatory power to reveal changes inWSL.
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