Detecting Short-Term Changes in the Activity of Caries Lesions with the Aid of New Technologies

Veen, Monique H. van der

doi:10.1007/s40496-015-0050-2

Cited by 6 publications

(3 citation statements)

References 77 publications

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“…[28][29][30][31] Moreover, OCT overcomes the drawbacks of superimposed imaging with ionizing radiation and enables the observation of short-term progression in carious dental hard tissue. 32,33 Since the decision for or against invasive treatment is dependent on the progress of a lesion, this information could be of great value for the clinician. 34 On the other hand, the application of OCT is limited by the relatively low penetration depth, compared to the radiographic imaging.…”

Section: Introductionmentioning

confidence: 99%

In vivo imaging in the oral cavity by endoscopic optical coherence tomography

et al. 2018

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The common way to diagnose hard and soft tissue irregularities in the oral cavity is initially the visual inspection by an experienced dentist followed by further medical examinations, such as radiological imaging and/or histopathological investigation. For the diagnosis of oral hard and soft tissues, the detection of early transformations is mostly hampered by poor visual access, low specificity of the diagnosis techniques, and/or limited feasibility of frequent screenings. Therefore, optical noninvasive diagnosis of oral tissue is promising to improve the accuracy of oral screening. Considering this demand, a rigid handheld endoscopic scanner was developed for optical coherence tomography (OCT). The novelty is the usage of a commercially near-infrared endoscope with fitting optics in combination with an established spectral-domain OCT system of our workgroup. By reaching a high spatial resolution, in vivo images of anterior and especially posterior dental and mucosal tissues were obtained from the oral cavity of two volunteers. The convincing image quality of the endoscopic OCT device is particularly obvious for the imaging of different regions of the human soft palate with highly scattering fibrous layer and capillary network within the lamina propria.

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Section: Introductionmentioning

confidence: 99%

In vivo imaging in the oral cavity by endoscopic optical coherence tomography

et al. 2018

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“…In addition, VistaCam was shown, in a recent in vivo study, to be effective in assessing and monitoring enamel demineralization under a clear sealant over a 12-month period of follow-up [15]. No data are available on VistaCam use in detecting secondary caries under filling restorative materials; in these cases, radiographic examination and laser fluorescence are the best diagnostic standards [18,19]. No data are present in the literature about the usefulness of a fluorescence-based method when applied to the new scaffold and biomimetic materials [20,21].…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Drama. Use of ICDAS II and Fluorescence-Based Intraoral Camera in Early Occlusal Caries Detection: A Clinical Study

Mazur

Jedliński

Ndokaj

et al. 2020

IJERPH

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Background: Early diagnosis of occlusal caries is of paramount importance for a minimally invasive approach in dentistry. The aim of the present in vivo clinical prospective study was to compare the diagnostic outcomes of visual subjective evaluation between the International Caries Detection and Assessment System (ICDAS-II) and an intraoral fluorescence-based camera (VistaCam iX Proof, Dürr Dental, Bietigheim-Bissingen, Germany) for the detection of pits and fissures in early caries lesions of posterior teeth. Methods: The study included 1011 posterior teeth in 255 patients aged 13–20 years (mean age 16 ± 2.2 years). Two blinded operators evaluated all the occlusal surfaces and the first assigned an ICDAS-II code, while the second assessed the VistaCam score: sound enamel (score 0–1.2); initial enamel decay (score 1.2–1.5); dentine caries (score 1.5–3). Results: Some 283 (28%) of the assessed teeth were ICDAS-II code 0; 334 (33%) code 1; 189 (18.7%) code 2; 176 (17.4%) code 3; and 29 (2.9%) code 4. The level of agreement between the two procedures was expressed by using Cohen’s and Fleiss’ kappa statistics and performing McNemar’s test. VistaCam assessed in 513 (50.7%) sound enamel; in 292 (28.9%) initial enamel decay; and in 206 (20.4%) dentine caries. Conclusions: This comparative study showed a poor agreement between the two diagnostic methods, especially between ICDAS-II 0, 1 and 2 codes and fluorescence assessments.

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“…These non-invasive early caries detection methods involve the use of different wavelengths and technologies to detect caries. A few examples include laser fluorescence devices, electrical caries monitoring, photo-thermal radiometry, fiber-optic transillumination, and near-infrared transillumination and reflectance [5,7,55,70,[76][77][78].…”

Section: Light-based Caries Detection and Monitoring Methodsmentioning

confidence: 99%

Detection, Diagnosis, and Monitoring of Early Caries: The Future of Individualized Dental Care

Abdelaziz

2023

Diagnostics

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Dental caries remains a significant global health issue. It was highlighted by the World Health Organization’s 2022 reports that despite the efforts and scientific advancements in caries detection and management, the situation has only marginally improved over the past three decades. The persistence of this problem may be linked to outdated concepts developed almost a century ago but are still guiding dentists’ approach to caries management today. There is a need to reconsider professional strategies for preventing and managing the disease. Contemporary dentistry could benefit from embracing new concepts and technologies for caries detection and management. Dentists should explore, among others, alternative methods for caries detection such as optical-based caries detection. These tools have been established for over a decade and they align with current disease understanding and international recommendations, emphasizing early detection and minimally invasive management. This narrative review presents the current state of knowledge and recent trends in caries detection, diagnosis, monitoring, and management, offering insights into future perspectives for clinical applications and research topics.

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Detecting Short-Term Changes in the Activity of Caries Lesions with the Aid of New Technologies

Cited by 6 publications

References 77 publications

In vivo imaging in the oral cavity by endoscopic optical coherence tomography

In vivo imaging in the oral cavity by endoscopic optical coherence tomography

Diagnostic Drama. Use of ICDAS II and Fluorescence-Based Intraoral Camera in Early Occlusal Caries Detection: A Clinical Study

Detection, Diagnosis, and Monitoring of Early Caries: The Future of Individualized Dental Care

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