Diagnostic Performance and Children's Acceptance of Near-Infrared Light Transillumination and Bitewing Radiographs for Detecting Proximal Cavitation in Primary Molars of Patients Aged 4 to 10 Years
NCT ID: NCT07041164
Last Updated: 2025-09-29
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
174 participants
OBSERVATIONAL
2025-08-01
2026-04-30
Brief Summary
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* Are the sensitivity, specificity, accuracy, and area under the curve (AUC) different across the three diagnostic techniques (bitewing radiography, near-infrared light transillumination, and their combination)?
* Are these diagnostic parameters influenced by patient age?
* Which technique yields the highest level of patient acceptance?
Researchers will compare the three diagnostic approaches to determine whether age influences diagnostic performance and patient acceptance.
Participants will:
* Be examined using bitewing radiography and near-infrared light transillumination
* Undergo tooth separation for 7 days using orthodontic elastic separators
* Receive clinical examination of the target approximal surface
* Be asked to rate their experience using the Simplified Facial Pain Scale (S-FPS)
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Detailed Description
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* The patient acceptance towards bitewing radiograph and near-infrared light transillumination will be evulated by Simplified Facial Pain Scale (S-FPS)
* Diagnostic performance will be assessed by calculating sensitivity, specificity, accuracy, and the area under the curve (AUC)
* The diagnostic efficacy of the caries detection methods will be analyzed using repeated measures ANOVA, and patient acceptance will be assessed using the Chi-square test, with statistical significance set at p \< 0.05 and a 95% confidence level.
Conditions
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Study Design
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COHORT
CROSS_SECTIONAL
Study Groups
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4-6 years old
Bitewing radiograph
Digital radiograph, proximal caries, initial caries
Near-infrared light transillumination
DIAGNOcam, proximal caries, initial caries
6-8 years old
Bitewing radiograph
Digital radiograph, proximal caries, initial caries
Near-infrared light transillumination
DIAGNOcam, proximal caries, initial caries
8-10 years old
Bitewing radiograph
Digital radiograph, proximal caries, initial caries
Near-infrared light transillumination
DIAGNOcam, proximal caries, initial caries
Interventions
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Bitewing radiograph
Digital radiograph, proximal caries, initial caries
Near-infrared light transillumination
DIAGNOcam, proximal caries, initial caries
Eligibility Criteria
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Inclusion Criteria
* Low risk for periodontal disease
* At least one quadrant contains fully erupted, well-aligned adjacent primary molars that are free of restorations, exhibit no clinically visible cavitated caries, demonstrate tooth mobility of grade 2 or less, show no developmental dental anomalies
* Bitewing radiographs show at least one radiolucent lesion in the proximal surface of a primary molar classified as RA2 or RA3 according to the ICDAS II radiographic criteria
Exclusion Criteria
* Demonstrate Frankl's behavior rating scale of 1 during either near-infrared light transillumination examination or tooth separation
4 Years
10 Years
ALL
Yes
Sponsors
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Mahidol University
OTHER
Sawanya Prutthithaworn
OTHER
Responsible Party
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Sawanya Prutthithaworn
Dr
Locations
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Dental Hospital, Faculty of Dentistry, Mahidol University (Phayathai Campus)
Bangkok, , Thailand
Dental Hospital, Faculty of Dentistry, Mahidol University (Phayathai Campus)
Bangkok, , Thailand
Countries
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Central Contacts
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Sawanya Prutthithaworn, Ph.D. (Dental biomaterials)
Role: CONTACT
Facility Contacts
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Other Identifiers
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MU-DT/PY-IRB 2025/025.0304
Identifier Type: -
Identifier Source: org_study_id
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