The diagnostic efficacy of quantitative light-induced fluorescence in detection of dental caries of primary teeth

Kyung Hyun Cho, Chung Min Kang, Hoi In Jung, Hyo Seol Lee, Koeun Lee, Tae Yang Lee, Je Seon Song

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


Objectives: To evaluate a quantitative light-induced fluorescence (QLF) caries detection method using a portable device under clinical conditions and present a QLF scoring index (QS-index) for primary teeth. Methods: A total of 878 tooth surfaces (proximal and occlusal) of 44 children were studied. After visual inspection and radiographic examination, images of dental caries captured with the QLF device were classified according to caries progression stages and analyzed with a specialized software. Cut-off values, sensitivity, specificity, and area under the receiver operating characteristic curve (AUROC) were calculated for the QLF parameters: fluorescence loss (ΔF) and bacterial activity (ΔR). The reliability of logistic regression model to combine ΔF and ΔR was evaluated by the AUROC. Results: QLF parameters showed a good sensitivity (0.72–0.91), specificity (0.74–0.96), and AUROC (0.861–0.940). The AUROC of logistic regression model (0.90–0.957) was higher than ΔF or ΔR average alone in all types of carious lesions. Every level of the QS-index was properly defined to represent the progression of dental caries with corresponding statistical significance. Conclusions: The reliability of QLF for dental caries detection in primary teeth was similar to or slightly higher than that of the traditional diagnostic methods of visual inspection or radiographic examination in clinical conditions. Clinical significance: The results of QLF were reliable in detecting all types of dental caries in primary teeth. The QLF method can provide visual images as well as quantitatively analyze the carious lesion.

Original languageEnglish
Article number103845
JournalJournal of Dentistry
Publication statusPublished - 2021 Dec

Bibliographical note

Funding Information:
This research was supported by a grant from AIOBIO, Seoul, Republic of Korea and Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education ( 2018R1D1A1B07041657 ).

Publisher Copyright:
© 2021

All Science Journal Classification (ASJC) codes

  • Dentistry(all)


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