scholarly journals Detection and diagnosis of the early caries lesion

2015 ◽  
Vol 15 (S1) ◽  
Author(s):  
J Gomez
Author(s):  
Tanya Walsh ◽  
Richard Macey ◽  
Philip Riley ◽  
Anne-Marie Glenny ◽  
Falk Schwendicke ◽  
...  

2016 ◽  
Vol 40 (4) ◽  
pp. 270 ◽  
Author(s):  
Ae-Ok Kim ◽  
Seong-Soog Jeong ◽  
Da-Eun Kim ◽  
Won-Ho Ha ◽  
Kyo-tae Moon ◽  
...  
Keyword(s):  

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Frank Lippert

This study aimed to investigate the effect of enamel caries lesion baseline severity on fluoride dose-response under pH cycling conditions. Early caries lesions were created in human enamel specimens at four different severities (8, 16, 24, and 36 h). Lesions were allocated to treatment groups (0, 83, and 367 ppm fluoride as sodium fluoride) based on Vickers surface microhardness (VHN) and pH cycled for 5 d. The cycling model comprised 3 × 1 min fluoride treatments sandwiched between 2 × 60 min demineralization challenges with specimens stored in artificial saliva in between. VHN was measured again and changes versus lesion baseline were calculated (ΔVHN). Data were analyzed using two-way ANOVA (p<0.05). Increased demineralization times led to increased surface softening. The lesion severity×fluoride concentration interaction was significant (p<0.001). Fluoride dose-response was observed in all groups. Lesions initially demineralized for 16 and 8 h showed similar overall rehardening (ΔVHN) and more than 24 and 36 h lesions, which were similar. The 8 h lesions showed the greatest fluoride response differential (367 versus 0 ppm F) which diminished with increasing lesion baseline severity. The extent of rehardening as a result of the 0 ppm F treatment increased with increasing lesion baseline severity, whereas it decreased for the fluoride treatments. In conclusion, lesion baseline severity impacts the extent of the fluoride dose-response.


2007 ◽  
Vol 330-332 ◽  
pp. 1347-1350 ◽  
Author(s):  
M.Y. Kim ◽  
H.K. Kwon ◽  
Choong Ho Choi ◽  
B.I. Kim

A previous study reported that many supplements have been added to NaF mouthrinses to improve the remineralization potential. Nano-hydroxyapatite (nano-HA) might also be suitable to this purpose because these nano-size particles can penetrate the enamel pores. Moreover, hydroxyapatite is similar to the inorganic component of teeth and is both bioactive and biocompatible. The aim of this study was to evaluate the combined effects of a nano-HA and fluoride mouthrinse on an early caries lesion in human enamel using an in vitro cycle remineralization and treatment model. Forty-eight human enamel specimens, which had a Vickers Hardness Number (VHN) of 25~45 were artificially demineralized for 48h. There were 8 treatment groups (0%, 1%, 5%, 10% nano-HA in distilled water and the same concentrations of nano-HA in a 0.05% NaF solution). The specimens were incubated in an in vitro remineralization model. After immersing the specimens into the treatment and remineralization solution for 12 hours each, the VHN of each specimen was evaluated for total 24 hours. This step was repeated once again for total 48 hours. The enamel surfaces of all specimens were examined by Confocal Laser Scanning Microscopy (CLSM) and SEM. The statistical significance of the data was identified by one-way ANOVA followed by a Duncan’s studentized range test. A p value < 0.05 was considered significant. The results showed that the degree of remineralization, as revealed by the VHN values, was higher in the NaF groups than in the distilled water groups. The VHNs of the remineralized enamel specimens for 48 hours were higher than after the 24 hours treatment. In addition, the level of remineralization increased with increasing concentration of nano-HA and was more pronounced in the NaF groups than the distilled water groups (p<0.05). The CLSM and SEM images nano-sized particles attached to the enamel in the nano-HA treated groups. Nano-HA might play a synergistic role in remineralization with a fluoride mouthrinse. However, more study will be needed to determine the optimal condition of nano-HA and NaF mouthrinse for human use. In conclusion, nano-HA in a 0.05% NaF mouthrinse can help remineralize an early caries lesion.


2018 ◽  
Vol 34 ◽  
pp. e41
Author(s):  
A.N.S. Rastelli ◽  
A.C.P. Barros ◽  
M.T. Souza ◽  
O. Peitl ◽  
E.D. Zanotto
Keyword(s):  

2013 ◽  
Vol 3 (1) ◽  
pp. 20-24
Author(s):  
Deepti Agarwal ◽  
Priyanka Sambhajirao Machale ◽  
Sahana Hegde-Shetiya

ABSTRACT Caries lesion progression is highly dynamic process characterized by alternating periods of dissolution and redeposition of minerals in the dental hard tissue. When outcome of these processes overtime is a net loss of mineral, a caries lesion develops or progresses. However, when redeposition of mineral predominates, the result may be arrest of lesion progression or remineralization. Clinical observations suggest that caries lesion can be arrested at any stage of lesion development provided that clinically plaque-free conditions are maintained. Hence, the profession must become aware of the importance of identifying the early evidence of disease. The effective dentistry requires early identification of disease, early identification of individual at high risk of developing caries so that they may receive early preventive intervention. The profession needs understand pattern of disease distribution and its determinants and should put efforts for its early caries detection and preventive management strategies. How to cite this article Machale PS, Hegde-Shetiya S, Agarwal D. The Incipient Caries. J Contemp Dent 2013;3(1): 20-24.


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