Intraoral scanning found useful for detecting and monitoring occlusal caries in new study

• Significant differences in caries detection were observed between conventional methods and the automated system (p < 0.01), with moderate positive percent agreement (49–61%) and high negative percent agreement (87–98%).

• All methods showed significant caries progression over the follow-up period (p < 0.01).

• The automated system detected significantly more caries progression compared to other methods (p < 0.01).

The automated caries detection system demonstrated moderate positive agreement and strong negative agreement with conventional methods at baseline and follow-up assessments. While it can assist in detecting and monitoring occlusal caries, it tends to underestimate caries presence and severity. Dentists should use the automated system as a complementary tool to conventional methods, being mindful of its tendency for underestimation.

The TRIOS system supporting automated occlusal caries detection provides valuable assistance in dental practice. Dentists should interpret results cautiously, considering the system's tendency to underestimate caries severity. It offers a promising approach for enhancing caries detection and monitoring in young patients.

Reference:

Michou, S., Tsakanikou, A., Bakhshandeh, A., Ekstrand, K. R., Rahiotis, C., & Benetti, A. R. Occlusal caries detection and monitoring using a 3D intraoral scanner system. An in vivo assessment. Journal of Dentistry,2024;143(104900):104900. https://doi.org/10.1016/j.jdent.2024.104900