SOPROLIFE system: an accurate diagnostic enhancer.
OBJECTIVE
The aim of this study was to evaluate a light-emitting diode fluorescence tool, the SOPROLIFE light-induced fluorescence evaluator, and compare it to the international caries detection and assessment system-II (ICDAS-II) in the detection of occlusal caries.


METHODS
A total of 219 permanent posterior teeth in 21 subjects, with age ranging from 15 to 65 years, were examined. An intraclass correlation coefficient (ICC) was computed to assess the reliability between the two diagnostic methods.


RESULTS
The results showed a high reliability between the two methods (ICC = 0.92; IC = 0.901-0.940; P < 0.001). The SOPROLIFE blue fluorescence mode had a high sensitivity (87%) and a high specificity (99%) when compared to ICDAS-II.


CONCLUSIONS
Compared to the most used visual method in the diagnosis of occlusal caries lesions, the finding from this study suggests that SOPROLIFE can be used as a reproducible and reliable assessment tool. At a cut-off point, categorizing noncarious lesions and visual change in enamel, SOPROLIFE shows a high sensitivity and specificity. We can conclude that financially ICDAS is better than SOPROLIFE. However SOPROLIFE is easier for clinicians since it is a simple evaluation of images. Finally in terms of efficiency SOPROLIFE is not superior to ICDAS but tends to be equivalent with the same advantages.
Department of Aesthetic and Restorative Dentistry, Dental School, Lebanese University, Hadath, Lebanon.
Mona
M
Zeitouny
Department of Aesthetic and Restorative Dentistry, Dental School, Lebanese University, Hadath, Lebanon.
Mireille
M
Feghali
Department of Aesthetic and Restorative Dentistry, Dental School, Lebanese University, Hadath, Lebanon.
Assaad
A
Nasr
Department of Aesthetic and Restorative Dentistry, Dental School, Lebanese University, Hadath, Lebanon.
Philippe
P
Abou-Samra
Faculty of Nursing and Health Sciences, Notre Dame University, Beirut, Lebanon.
Nadine
N
Saleh
Department of Public Health, Faculty of Odontology, University of Lyon 1, 69008 Lyon, France.
Denis
D
Bourgeois
Department of Endodontics and Dentistry, Faculty of Odontology, University of Lyon 1, 69008 Lyon, France.
Pierre
P
Farge
D000293:Adolescent; D000328:Adult; D000368:Aged; D055117:Curing Lights, Dental; D003731:Dental Caries / Q000175:diagnosis*; D003743:Dental Enamel / Q000473:pathology; D005260:Female; D005453:Fluorescence; D006801:Humans; D008297:Male; D008875:Middle Aged; D061848:Optical Imaging / Q000379:methods* / Q000592:standards*; D055815:Young Adult