Diagnosis of Proximal Dental Caries Using Intraoral and Extraoral Bitewing Radiographs: A Narrative Review
Abstract
Radiographic examination using intraoral bitewing (IOBW) radiography is an ideal examination to detect proximal carious lesions. Besides the risk of triggering gag reflex, the IOBW technique is susceptible to SARS-CoV-2 virus transmission through saliva-contaminated film or digital sensor. Examination using intraoral techniques during the COVID-19 pandemic should be avoided to minimize cross-contamination of the SARS-CoV-2 virus. The alteration from using IOBW to extraoral bitewing (EOBW) radiography can be a promising alternative to overcome these problems. This review article aims to describe the advantages of the EOBW technique and compares diagnostic performance of IOBW and EOBW radiographs in detecting proximal dental caries. The databases used for literature searching in the review include Google Scholar, PubMed, and Science Direct. The inclusion criteria were original articles, case reports, and English and Indonesian scientific textbooks published from 2010 to 2021. The exclusion criteria were article reviews and original articles that did not contain research methods. A total of 29 literatures were discussed in this narrative review. The EOBW technique is recommended during the COVID-19 pandemic to reduce the risk of cross-contamination in dental radiography. This technique ensures the patient for a more comfortable procedure, with shorter time needed and a wider field of view that allows it to be used to detect bone loss in the alveolar crest. Sensitivity, specificity, and area-under-curve in the IOBW technique were higher than in the EOBW. Nevertheless, EOBW shows good accuracy, so it can be used as an alternative technique for patients who find it difficult to undergo the IOBW technique, especially during the COVID-19 pandemic.References
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K. Kamburoǧlu, E. Kolsuz, S. Murat, S. Yüksel, and T. Özen, “Proximal caries detection accuracy using intraoral bitewing radiography, extraoral bitewing radiography and panoramic radiography,” Dentomaxillofacial Radiol., vol. 41, no. 6, pp. 450–459, 2012, doi: 10.1259/dmfr/30526171.
S. R. Mohanraj M, Prabhu VR, “Diagnostic methods of early detection of dental caries,” Int. J. Pedod. Rehablitation, vol. 1, pp. 29–36, 2016.
B. Şenel, K. Kamburoǧlu, Ö. Üçok, S. P. Yüksel, T. Özen, and H. Avsever, “Diagnostic accuracy of different imaging modalities in detection of proximal caries,” Dentomaxillofacial Radiol., vol. 39, no. 8, pp. 501–511, 2010, doi: 10.1259/dmfr/28628723.
E. S. Kim et al., “A new screening method to detect proximal dental caries using fluorescence imaging,” Photodiagnosis Photodyn. Ther., vol. 20, pp. 257–262, 2017, doi: 10.1016/j.pdpdt.2017.10.009.
K. Crombie, A. Shaikh, and S. Harnekar, “An alternative extra-oral digital technique for bitewing radiography,” South African Dental Journal, vol. 73, no. 4. pp. 265–267, 2018.
R. Little, J. Howell, and P. Nixon, “COVID-19 and beyond: implications for dental radiography,” Br. Dent. J., vol. 229, no. 2, pp. 105–109, 2020, doi: 10.1038/s41415-020-1842-x.
M. Chan, T. Dadul, R. Langlais, D. Russell, and M. Ahmad, “Accuracy of extraoral bite-wing radiography in detecting proximal caries and crestal bone loss,” J. Am. Dent. Assoc., vol. 149, no. 1, pp. 51–58, 2018, doi: 10.1016/j.adaj.2017.08.032.
D. Nyirenda, R. Williams, and W. Ten Ham-Baloyi, “Infection control recommendations for radiology departments in Malawi,” Heal. SA Gesondheid, vol. 24, pp. 1–6, 2019, doi: 10.4102/hsag.v24i0.1035.
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M. Abdinian, S. M. Razavi, R. Faghihian, A. A. Samety, and E. Faghihian, “Accuracy of Digital Bitewing Radiography versus Different Views of Digital Panoramic Radiography for Detection of Proximal Caries.,” J. Dent. (Tehran)., vol. 12, no. 4, pp. 290–7, 2015, [Online]. Available: http://www.ncbi.nlm.nih.gov/pubmed/26622284%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC4662767.
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C. Granlund, A. Thilander-Klang, B. Ylhan, S. Lofthag-Hansen, and A. Ekestubbe, “Absorbed organ and effective doses from digital intra-oral and panoramic radiography applying the ICRP 103 recommendations for effective dose estimations,” Br. J. Radiol., vol. 89, no. 1066, 2016, doi: 10.1259/bjr.20151052.
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W. H. A. El-Ela, M. M. Farid, and M. S. El-Din Mostafa, “Intraoral versus extraoral bitewing radiography in detection of enamel proximal caries: An ex vivo study,” Dentomaxillofacial Radiol., vol. 45, no. 4, 2016, doi: 10.1259/dmfr.20150326.
[23] M. S. Dahlan, Penelitian diagnostik: Dasar-dasat teoritis dan Aplikasi dengan program SPSS dan Stata. Jakarta: Penerbit Salemba Medika, 2009.
B. S. Roudsari, C. McKinney, D. Moore, and J. Jarvik, “Sensitivity and specificity: Imperfect predictors of guideline utility in radiology,” Br. J. Radiol., vol. 84, no. 999, pp. 216–220, 2011, doi: 10.1259/bjr/20598117.
S. Mallett, S. Halligan, G. S. Collins, and D. G. Altman, “Exploration of analysis methods for diagnostic imaging tests: Problems with ROC AUC and confidence scores in CT colonography,” PLoS One, vol. 9, no. 10, pp. 1–11, 2014, doi: 10.1371/journal.pone.0107633.
E. A. Youngstrom, “A primer on receiver operating characteristic analysis and diagnostic efficiency statistics for pediatric psychology: We are ready to ROC,” J. Pediatr. Psychol., vol. 39, no. 2, pp. 204–221, 2014, doi: 10.1093/jpepsy/jst062.
N. Takahashi et al., “A comparison of diagnosis of early stage interproximal caries with bitewing radiographs and periapical images using consensus reference,” Dentomaxillofacial Radiol., vol. 48, 2019, doi: 10.1259/dmfr.20170450.
N. Nikkerdar, A. Akya, A. Khavid, A. Karimi, and S. Emadi, “Effectiveness of two types of photostimulable phosphor plate plastic barrier envelopes for prevention of microbiological contamination,” Pesqui. Bras. Odontopediatria Clin. Integr., vol. 20, pp. 1–7, 2020, doi: 10.1590/pboci.2020.047.
WHO Regional Office for Europe, “Screening programmes: a short guide,” WHO Press, 2020, [Online]. Available: https://apps.who.int/iris/bitstream/handle/10665/330829/9789289054782-eng.pdf.
Published
2023-06-24
How to Cite
OKTAVIAN, Indira Aqlyya; WIDYANINGRUM, Rini; GRACEA, Rellyca Sola.
Diagnosis of Proximal Dental Caries Using Intraoral and Extraoral Bitewing Radiographs: A Narrative Review.
Journal of Indonesian Dental Association, [S.l.], v. 6, n. 1, p. 61-68, june 2023.
ISSN 2621-6175.
Available at: <http://jurnal.pdgi.or.id/index.php/jida/article/view/886>. Date accessed: 21 dec. 2024.
doi: https://doi.org/10.32793/jida.v6i1.886.
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Section
Review Article
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