engleski

Visual - tactile caries detection in comparison with laser fluorescence

Modern concepts in caries treatment require highly specific and sensitive methods of caries detection opposed to the conventional visual – tactile method. Unnecessary removal of sound dental tissue is quite often due to false – positive caries diagnosis. On the other hand, lesion can be undetected for a long period of time. DIAGNOdent (KaVo, Dental GmbH, Germany), a laser fluorescence – based device, presents an important turnover in diagnostic procedure. DIAGNOdent reading is highly accurate, repeatable, simple, safe, and ensures a long-term lesion monitoring because the result is quantified. The purpose of the study was the comparison of visual - tactile method of caries detection with laser fluorescence. Out of 960 teeth, caries was diagnosed in 90 teeth (9, 4%) by DIAGNOdent. Using the visual – tactile method, dental caries was diagnosed in 58 teeth (6%). Absolute disagreement was found in 3, 54% cases. More than half of lesions that have remained undetected were in the category of enamel surface caries (DIAGNOdent values 14-20). McNemar’ s test showed statistically significant differences between DIAGNOdent based caries detection and visual – tactile method.

Dental Caries; Lasers

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