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2011, Number 3

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Rev ADM 2011; 68 (3)

Caries visualization with fluorescent technology

Cedillo VJJ, Elías TMU

Language: Spanish
References: 26
Page: 140-147
PDF size: 192.99 Kb.


ABSTRACT

Without a doubt, the new minimally-invasive methods for diagnosing and treating oral diseases will one day become a regular feature of dental appointments around the world. More and more clinicians are now turning to dental treatments based on non-invasive methods in response to the growing demand from patients for less aggressive therapy.
Minimal Intervention Dentistry is a discipline founded on evidence, and deals with conservative oral cavity procedures, both in hard and soft tissues, its ultimate goal being to improve quality of life through real and long-lasting oral health.
The optimum state of health of any tooth involves the preservation of as much healthy tissue as possible, since every invasive procedure required to restore a tooth implies its becoming weaker, especially if we remove more tissue than is necessary.
One of the objectives of this new trend in dentistry is to detect initial-stage demineralized lesions; it has been shown that conventional X-rays reveal lesions only once the dentin-pulp complex has already been considerably affected, meaning procedures must be performed in the traditional way, thus placing the integrity of the tooth at risk.
This article shows one of the newest systems for diagnosing caries in their early stages, one which enables us to restore using conservative procedures.
The system consists of fluorescence technology that detects bacteria and demineralized lesions by highlighting them in red, showing healthy enamel in green. Similarly, it marks each area precisely and reliably by using colors and numbers to indicate the depth of the lesion.


REFERENCES

  1. Fejerskov O. Concepts of dental and their consecuence for understanding the disease. Dent Oral Epidem 1997; 25:5-12.

  2. Featherstone JD. Caries prevention and reversal based on the caries balance. Pediatr. Dent. 2006;28(2):128-32.

  3. Angmar-Mansson B, Ten Bosch JJ. Advices in methods for diagnosing coronal caries – a review. Adv Dent Res 1993; 7: 70-9

  4. Lussi A. Comparison of different methods for the diagnosis of fissure caries without cavitation. Caries Res 1993; 27: 409-16

  5. Nyvad B, Machiulskiene V, Baelum V. Construct and predictive validity of clinical caries diagnostic criteria assessing lesion activity. J Dent Res 2003; 82: 117-22.

  6. Thylstrup A, Fejerskov O. Características clínicas e patológicas da cárie dentária. In: Thylstrup A, Fejerskov O. Cariología clínica. 2 ed. São Paulo: Ed. Santos; 1995. p. 111-57.

  7. Wenzel A. New caries diagnostic methods. J Dent Educ 1993; 57: 428-32

  8. Horowitz HS. Pit and fissure sealants in private practice and public health programmes: analysis of cost effectiveness. Int Dent J 1980; 30:117-26

  9. Garcìa AFG, Araújo FB, Tovo MF. Estudo dos métodos visual, radiográfico interproximal e a laser no diagnóstico de cárie. Rev Assoc Paul Cir Dent 2000; 54: 384-9

  10. Lussi A, Megert B, Longbottom C, Reich E, Francescut P. Clinical performance of a laser fluorescence device for detection of occlusal caries lesions, Eur J Oral Sci 2001; 109; 14-9.

  11. Pardi V, Mialhe FL, Pereira AC, Meneghim MC. Avallaҫӓo in vitro do aparelho DIAGNOdent para diagnóstico oclusal. Pesqui odontol Bras 2000; 14: 372-7.

  12. Sheehy EC, Brailsford SR, Kidd EA, Beighton D, Zoitopoulos L. Comparison between visual examination and a laser fluorescence system for in vivo diagnosis of occlusal caries. Caries Res 2001; 35: 421-6.

  13. Pitts NB. Diagnostic methods for caries: what is appropriate when? J Dent 1991; 19: 377-82.

  14. Cedillo VJ, Treviño BE. Tecnología en el diagnóstico de caries Rev. ADM 2007; 64 (5): 211-214.

  15. Longbottom C, Pitts NB. Initial comparison between endoscopic and conventional methods of caries diagnosis. Quintessence Int 1990; 21: 531-40.

  16. Wenzel A, Pitts N, Verdonschot EH, Kalsbeek H. Developments in radiographic caries diagnosis. J Dent 1993; 21: 131.

  17. Jaeschke R, Guaytt GH, Sackett DL. User´s guides to the medical literature III. How to use an article about a diagnostic test. A. Are the results of the study valid? J Am Med Assoc 1994; 271 ; 389-91.

  18. Mialhe FL, Pardi V, Pereira AC, Meneguim MC, Flório Fm,

  19. Ambrosano GMB. Comparaҫão in vitro de quatro métodos de diagnóstico para cárie oclusal: visual, videoscópico, FOTI e laser fluorescente. RPG Rev Pós Grad 2000; 7: 125-32.

  20. Lain A. Pretty. Caries detection and diagnosis: Novel technologies Review Article, Journal of Dentistry 2006; 34(10): 727-739.

  21. Anderson MH et al. Modern management of dental caries the cutting edge is not the dental bur. JADA 1993; 124(6): 37-44.

  22. Barranco J et al. Examen y diagnóstico en cariología. Operatoria Dental. 3era edición. Editorial Médica Panamericana. 1999. P 281-312.

  23. Loesche WJ. Chemotherapy of dental plaque infections. Oral Sci Res 1976;9:65-107.

  24. Navazesh M, Christensen C, Brightman V. Clinical criteria for the diagnosis of salivary gland hypofuction. J Dent Res. 1992;71:1363–1369.

  25. Featherstone JDB, Adair SM, Anderson MH, Berkowitz RJ, Bird WF, Crall JJ. Et (2003) Caries management by risk assessment: consensus statement, California Dental Association (CDA) Journal 2002; 31, 257-269.

  26. Cedillo VJ, Lugo FA, Iónomero de vidrio recargable como restauración definitiva (equia). Rev ADM 2010;67: 85–91.




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