EVALUATION OF THE OCCLUSAL COMPOSITE RESIN RESTORATIONS BASED ON CARS CRITERIA AND OPTICAL METHODS: A CROSS-SECTIONAL STUDY

Aims of the study were as follows: to assess the status of posterior coronal composite resin restorations using the CARS criteria and the optical methods DIAGNOdent Pen and VistaCam; to analyze the correlation between clinical CARS scores and the scores recorded by the DIAGNOdent Pen (KaVO) and Vist...

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Main Authors: R. Brânzan, Angela Ghiorghe, Claudiu Topoliceanu, Andrei Georgescu, N. Tofan, Sorin Andrian
Format: Article
Language:English
Published: Romanian Society of Oral Rehabilitation 2025-06-01
Series:Romanian Journal of Oral Rehabilitation
Online Access:https://rjor.ro/evaluation-of-the-occlusal-composite-resin-restorations-based-on-cars-criteria-and-optical-methods-a-cross-sectional-study/
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author R. Brânzan
Angela Ghiorghe
Claudiu Topoliceanu
Andrei Georgescu
N. Tofan
Sorin Andrian
author_facet R. Brânzan
Angela Ghiorghe
Claudiu Topoliceanu
Andrei Georgescu
N. Tofan
Sorin Andrian
author_sort R. Brânzan
collection DOAJ
description Aims of the study were as follows: to assess the status of posterior coronal composite resin restorations using the CARS criteria and the optical methods DIAGNOdent Pen and VistaCam; to analyze the correlation between clinical CARS scores and the scores recorded by the DIAGNOdent Pen (KaVO) and VistaCam (Dürr Dental) devices in the evaluation of composite resin restorations. Materials and methods: The retrospective study included 32 patients (mean age: 24.25 ± 2.918 years; gender: 13 males, 19 females; p = 0.526). A total of 161 direct composite resin restorations aged between 3 and 5 years were evaluated clinically and using DIAGNOdent Pen (KaVo) and the VistaCam device (Dürr Dental). Statistical analysis was conducted using SPSS 29.0, applying both parametric and non-parametric tests to evaluate associations between clinical findings and optical methods outcomes. Results: Based on CARS scores, 54% of restorations showed enamel-limited demineralization, with no cases of extensive cavitation. DIAGNOdent Pen results indicated that 49.7% of restorations had signs of enamel or dentin demineralization, with a mean value of 18.40 ± 15.50. VistaCam evaluation revealed that 30.4% of restorations had varying degrees of demineralization, while 69.6% presented healthy enamel margins, with a mean value of 0.73 ± 0.88. Conclusions: More than half of the restorations exhibited various degree of enamel demineralization. The overall consistency among CARS scores, DIAGNOdent Pen readings, and VISTACam values supports the integration of fluorescence-based technologies into routine clinical practice for improved diagnostic accuracy and conservative treatment planning.
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spelling doaj-art-563bdf335a434bfda9a9d59164ad50ba2025-08-21T07:04:34ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612025-06-0117286687810.62610/RJOR.2025.2.17.79EVALUATION OF THE OCCLUSAL COMPOSITE RESIN RESTORATIONS BASED ON CARS CRITERIA AND OPTICAL METHODS: A CROSS-SECTIONAL STUDYR. Brânzan0Angela Ghiorghe1Claudiu Topoliceanu2Andrei Georgescu3N. Tofan4Sorin Andrian5Ph.D. Student, Faculty of Dental Medicine, UMF "Grigore T.Popa" IasiDiscipline of Cariology and Restorative Odontotherapy, Faculty of Dental Medicine, UMF "Grigore T.Popa" IasiDiscipline of Cariology and Restorative Odontotherapy, Faculty of Dental Medicine, UMF "Grigore T.Popa" IasiDiscipline of Cariology and Restorative Odontotherapy, Faculty of Dental Medicine, UMF "Grigore T.Popa" IasiDiscipline of Cariology and Restorative Odontotherapy, Faculty of Dental Medicine, UMF "Grigore T.Popa" IasiDiscipline of Cariology and Restorative Odontotherapy, Faculty of Dental Medicine, UMF "Grigore T.Popa" IasiAims of the study were as follows: to assess the status of posterior coronal composite resin restorations using the CARS criteria and the optical methods DIAGNOdent Pen and VistaCam; to analyze the correlation between clinical CARS scores and the scores recorded by the DIAGNOdent Pen (KaVO) and VistaCam (Dürr Dental) devices in the evaluation of composite resin restorations. Materials and methods: The retrospective study included 32 patients (mean age: 24.25 ± 2.918 years; gender: 13 males, 19 females; p = 0.526). A total of 161 direct composite resin restorations aged between 3 and 5 years were evaluated clinically and using DIAGNOdent Pen (KaVo) and the VistaCam device (Dürr Dental). Statistical analysis was conducted using SPSS 29.0, applying both parametric and non-parametric tests to evaluate associations between clinical findings and optical methods outcomes. Results: Based on CARS scores, 54% of restorations showed enamel-limited demineralization, with no cases of extensive cavitation. DIAGNOdent Pen results indicated that 49.7% of restorations had signs of enamel or dentin demineralization, with a mean value of 18.40 ± 15.50. VistaCam evaluation revealed that 30.4% of restorations had varying degrees of demineralization, while 69.6% presented healthy enamel margins, with a mean value of 0.73 ± 0.88. Conclusions: More than half of the restorations exhibited various degree of enamel demineralization. The overall consistency among CARS scores, DIAGNOdent Pen readings, and VISTACam values supports the integration of fluorescence-based technologies into routine clinical practice for improved diagnostic accuracy and conservative treatment planning. https://rjor.ro/evaluation-of-the-occlusal-composite-resin-restorations-based-on-cars-criteria-and-optical-methods-a-cross-sectional-study/
spellingShingle R. Brânzan
Angela Ghiorghe
Claudiu Topoliceanu
Andrei Georgescu
N. Tofan
Sorin Andrian
EVALUATION OF THE OCCLUSAL COMPOSITE RESIN RESTORATIONS BASED ON CARS CRITERIA AND OPTICAL METHODS: A CROSS-SECTIONAL STUDY
Romanian Journal of Oral Rehabilitation
title EVALUATION OF THE OCCLUSAL COMPOSITE RESIN RESTORATIONS BASED ON CARS CRITERIA AND OPTICAL METHODS: A CROSS-SECTIONAL STUDY
title_full EVALUATION OF THE OCCLUSAL COMPOSITE RESIN RESTORATIONS BASED ON CARS CRITERIA AND OPTICAL METHODS: A CROSS-SECTIONAL STUDY
title_fullStr EVALUATION OF THE OCCLUSAL COMPOSITE RESIN RESTORATIONS BASED ON CARS CRITERIA AND OPTICAL METHODS: A CROSS-SECTIONAL STUDY
title_full_unstemmed EVALUATION OF THE OCCLUSAL COMPOSITE RESIN RESTORATIONS BASED ON CARS CRITERIA AND OPTICAL METHODS: A CROSS-SECTIONAL STUDY
title_short EVALUATION OF THE OCCLUSAL COMPOSITE RESIN RESTORATIONS BASED ON CARS CRITERIA AND OPTICAL METHODS: A CROSS-SECTIONAL STUDY
title_sort evaluation of the occlusal composite resin restorations based on cars criteria and optical methods a cross sectional study
url https://rjor.ro/evaluation-of-the-occlusal-composite-resin-restorations-based-on-cars-criteria-and-optical-methods-a-cross-sectional-study/
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