1 / 16

New caries diagnostic systems

Explore new caries diagnostic systems and decision-making trees according to Nyvad & Fejerskov (1997) for effective dental caries management. Learn about various diagnostic methods, surface treatments, and correlations between test outcomes and lesion depth. Discover how QLF, ECM, and laser systems play crucial roles in caries detection and treatment decisions. Enhance your understanding of residual caries and treatment options, including non-operative and operative approaches. Stay informed on the latest techniques and advancements for improved diagnosis and personalized care.

sdaryl
Download Presentation

New caries diagnostic systems

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. New caries diagnostic systems

  2. Decision-making tree for dental caries according to Nyvad and Fejerskov [1997] The status of tooth surface Sound Lesion

  3. 370 nm • 520 nm [Inspector Research Systems BV]

  4. Diagnostic Method Surface R* ECM Occlusal 0.62, 0.82 Quantitative FOTI Approximal 0.87, 0.92 QLF Buccal/lingual 0.78, 0.86 Correlation between Test Outcome and Lesion Depth in Studies Published Since 1992 [Verdenschot et al., 1999] * Spearman rank correlation coefficient

  5. QLF is more sensitive than ECM for measurements of shallow occlusal lesions • [Verdenschot & Angmar-Månsson, 2003] [Inspector Research Systems BV]

  6. Laser system showed higher sensitivity and specificity than ECM [Lussi et al., 1998] [KaVo]

  7. -(extracted teeth) QLF can improve early detection of secondary caries around amalgam restoration [Ando et al., 2004] -(artificial lesions) Composite resins and compomers increase, whereas amalgam, glass ionomer and Coltosol reduce fluorescence [Pretty et al., 2003] -(artificial lesions) Monitoring over time of the potential secondary caries lesion seem to be the most reasonable approach [González-Cabezas et al., 2003]

  8. How about residual caries?

  9. Decision-making tree for dental caries according to Nyvad and Fejerskov [1997] The status of tooth surface Sound Lesion Inactive (non-progressing) Active (progressing)

  10. Arrested lesion DD 55

  11. Dehydration for as little as 3 sec may be adequate to identify active early lesions in enamel [Stookey, 2004] FI Dehydration Time (seconds)

  12. Decision-making tree for dental caries according to Nyvad and Fejerskov [1997] The status of tooth surface Sound Lesion Inactive (non-progressing) Active (progressing) Treatment decision Non-Operative Treatment Operative Treatment

  13. True positive rate B Lower measurements: need of intervention A Positive measurements: monitor in time False positive rates

  14. Present caries (dmfs, DMFT, caries lesions in first molars)

  15. QLF increaments?

  16. The ultimate goal of making a diagnosis is always to select the best possible treatment [Nyvad, 2004]

More Related