scholarly journals A Comparative Evaluation of DIAGNOdent and Caries Detector Dye in Detection of Residual Caries in Prepared Cavities

2012 ◽  
Vol 13 (4) ◽  
pp. 515-520 ◽  
Author(s):  
Majid Akbari ◽  
Farzaneh Ahrari ◽  
Marzieh Jafari
Keyword(s):  
Comparative Evaluation ◽  
Laser Fluorescence ◽  
Dental School ◽  
Caries Detection ◽  
Restorative Dentistry ◽  
Mcnemar Test ◽  
Diagnodent Pen ◽  
Significant Difference ◽  
Residual Caries ◽  
Tooth Tissue

ABSTRACT Aim The objective of this study was to determine the association between DIAGNOdent laser and caries detector dye in detection of the remaining caries in restorative cavities. Materials and methods The sample consisted of 100 cavities prepared in patients referring to the Department of Restorative Dentistry of Mashhad Dental School. After confirming caries absence by tactile examination, the presence of any residual caries was determined by a laser fluorescence (LF) device (DIAGNOdent Pen) and then by caries detector dye. The data were analyzed through McNemar test. Results When the cut off value was considered as ≥13, both DIAGNOdent Pen and caries detector dye found 54 cavities as without caries and 12 cavities as carious. There were 32 teeth diagnosed as decayed only by the dye and two cases that were diagnosed as having residual caries only by the DIAGNOdent. The McNemar test revealed a significant difference in the diagnosis of residual caries between the two methods (p < 0.05), as well as significant differences between each method and tactile examination (p < 0.05). When the cut off value was set at ≥25, no significant difference was found between laser fluorescence and tactile examination in residual caries detection (p > 0.05). Conclusion Both DIAGNOdent Pen and caries detector dye can be considered as adjuncts for detecting residual caries in prepared cavities. However, the use of laser fluorescence device can provide results that are more consistent with tactile examination, while relying on caries detector dye may result in excessive removal of tooth tissue, and thus increase the risk of pulpal exposure. Clinical significance Incomparision with caries detector dye, Residual caries detection by DIAGNOdent Pen is more consistent with tactile examination. How to cite this article Akbari M, Ahrari F, Jafari M. A Comparative Evaluation of DIAGNOdent and Caries Detector Dye in Detection of Residual Caries in Prepared Cavities. J Contemp Dent Pract 2012;13(4):515-520.

scholarly journals Performance of Laser Fluorescence for Residual Caries Detection in Primary Teeth

2008 ◽  
Vol 02 (03) ◽  
pp. 176-184 ◽  
Author(s):  
Taskin Gurbuz ◽  
Yucel Yilmaz ◽  
Fatih Sengul
Keyword(s):  
Light Microscopy ◽  
Gold Standard ◽  
Primary Teeth ◽  
Polarized Light ◽  
Laser Fluorescence ◽  
Caries Detection ◽  
Sem Images ◽  
Significant Difference ◽  
Residual Caries ◽  
Cavity Floor

ABSTRACTObjectives: The aim of this study was to evaluate the performance of a visual-tactile examination and a laser fluorescence device for detecting residual dentinal caries after carious dentin removal with bur excavation, hand excavation and chemomechanical excavation (Carisolv™].Methods: Thirty extracted coronal caries primary second molars were used. The caries infected dentin has been removed. A blinded examiner checked all cavities for residual caries using a visualtactile examination and laser fluorescence. Then the teeth were sectioned through the prepared cavities andthe two halves of each tooth were processed for light microscopy and Scanning Electron Microscopy (SEM). The presence or absence of residual caries was verified using polarized light microscopy as the gold standard. The cavity floor dentin after removing carious dentin was examined using SEM.Results: In among all groups a significant difference is determined between visual-tactile examination and laser fluorescence (P<.05). There was an agreement between laser fluorescence or visual-tactile examination and histological gold standard (P>.05). In addition, SEM images of the surfaces with the caries removed have shown that a vast majority of the tubule openings is observed to be open in the samples of the Carisolv group in opposition to the other groups.Conclusions: The laser fluorescence system could be effective in checking the removal by other methods, such as bur or Carisolv and avoid excessive removal of the sound dentin. (Eur J Dent 2008;2:176-184)

scholarly journals Occlusal Caries Detection and Diagnosis Using Visual ICDAS Criteria, Laser Fluorescence Measurements, and Near-Infrared Light Transillumination Images

2019 ◽  
Vol 29 (1) ◽  
pp. 25-31 ◽  
Author(s):  
Melek Tassoker ◽  
Sevgi Ozcan ◽  
Said Karabekiroglu
Keyword(s):  
Near Infrared ◽  
Third Molar ◽  
Laser Fluorescence ◽  
Infrared Light ◽  
Caries Detection ◽  
Occlusal Caries ◽  
Fluorescence Measurements ◽  
Diagnodent Pen ◽  
Icdas Ii ◽  
Molar Teeth

Objective: Current diagnostic tools for non-cavitated occlusal caries are not very reliable. For this reason, newer systems need to be developed. The aim of this study was to compare the performance of visual inspection (ICDAS-II), laser fluorescence (DIAGNOdent pen), and the near-infrared transillumination technique (DIAGNOcam) in the detection of non-cavitated occlusal caries lesions under clinical and laboratory conditions in 90 third molar teeth planned for extraction. Materials and Methods:Ninety third molar teeth were firstly examined in clinical conditions, scored according to ICDAS-II criteria, and examined with DIAGNOdent pen and DIAGNOcam devices. After finishing the clinical examination, the teeth were re-evaluated shortly after the extractions with the same methods. Then, the teeth were sectioned for histological validation according to Downer’s criteria. Sensitivity, specificity, accuracy, and area under the receiver operating characteristic (ROC) curves were calculated based on the histological results. Results: For the D0–D1–4 threshold, the area under the ROC curve values ranged between 0.754 and 0.881 for all systems. Sensitivity values ranged between 80.5 and 96.1%, and specificity values ranged between 61.5 and 84.6% for the three caries detection methods. DIAGNOcam had the best correlation value (0.616) according to histological observations and demonstrated a sensitivity rate of 96.1%, a specificity rate of 61.5%, and an accuracy rate of 91.1%. Conclusions: DIAGNOcam was found to be the most effective method for the diagnosis of occlusal caries without cavitation in permanent molar teeth.

scholarly journals Laser fluorescence as an alternative for digital radiography in detecting caries lesions

2020 ◽  
Author(s):  
Lucila Massu Yoshizaki Akinaga Moreira ◽  
Bruna Cordeiro Amarante ◽  
Bruno Munhoz Marotta ◽  
Christyan Hiroshi Iida ◽  
Danielle Ayumi Nishimura ◽  
...  
Keyword(s):  
Diagnostic Method ◽  
Near Infrared ◽  
New Technologies ◽  
Assessment System ◽  
Laser Fluorescence ◽  
Infrared Light ◽  
Caries Detection ◽  
Complementary Method ◽  
Diagnodent Pen ◽  
Caries Lesions

Diagnosis of caries lesions consists of visual/tactile methods following the International Caries Detection and Assessment System (ICDAS) and radiographic methods (BW), however these methods have limitations for detecting caries at different depths and locations and is usually influenced by the examiner’s experience. New technologies have emerged to improve caries diagnosis methods, among these are methods that use optical principles to quantify differences between healthy and demineralized tissues, for example: quantitative light- -induced fluorescence (QLF), the “DIAGNOdent” caries detection pen, and VistaProof (fluorescence camera). This literature review aims to provide up-to-date information on the applicability of fluorescence-based methods in the diagnosis of caries. The results show that DIAGNOdent pen was the most effective method for diagnosing caries, wherein some authors indicate that it can be used as the only diagnostic method, but most recommend using it as a complementary method to ICDAS and BW. LFpen must be used in association with ICDAS and 2 articles indicate near-infrared light transillumination (NILT) as a substitute for BW, however there is still a need for further studies to reach a concrete decision. In conclusion, digital methods for the diagnosis of caries are efficient, but they do not replace visual/tactile methods and bitewing radiographs. Therefore, they should be used as a complementary diagnostic method to those already known and widely used and studied.

scholarly journals An In Vitro Comparison of Different Diagnostic Methods in Detection of Residual Dentinal Caries

2010 ◽  
Vol 2010 ◽  
pp. 1-8 ◽  
Author(s):  
Nimet Unlu ◽  
Rabia Banu Ermis ◽  
Sevgi Sener ◽  
Ebru Kucukyilmaz ◽  
Ali Riza Cetin
Keyword(s):  
Excellent Agreement ◽  
Repeated Measurements ◽  
Diagnostic Methods ◽  
Laser Fluorescence ◽  
Caries Detection ◽  
Perfect Agreement ◽  
Average Accuracy ◽  
Residual Caries ◽  
Good Agreement

The aim of this study was to investigate the efficiency of different diagnostic methods in detection of residual dentinal caries in excavated cavities. Fifty extracted molar with deep dentinal carious lesions were excavated using a slow-speed handpiece. All cavities were assessed by laser fluorescence(LF) device, electronic caries monitor(ECM), and caries detector dye(CDD) by three independent observers blindly. The measurements were repeated after two weeks. Specimens containing dentin slices 150 μm in thickness were prepared for histological analyses. The existence and absence of carious dentin was determined using a lightmicroscope. The average intraobserver accuracy was 1.00 (perfect agreement) for CDD, 0.86 (excellent agreement) for ECM, and 0.50 (good agreement) for LF. The average interobserver accuracy values were 0.92 (excellent agreement), (0.36 marginal agreement) and 0.48 (good agreement), for CDD, ECM, and LF, respectively. The average specificity was 0.60 for CDD, 73% for ECM, and 0.50 for LF. The average sensitivity was 0.55 for CDD, 0.85 for LF, and 0.47 for ECM. The average accuracy values were 0.53, 0.51, and 0.81 for CDD, ECM, and LF, respectively. LF had the greatest sensitivity and accuracy values of any of the methods tested. As a conclusion, LF device is appeared to most reliable method in detection of remain caries in cavity. However, because of its technical sensitivity it may susceptible to variations in measurements. To pay attention to the rule of usage and repeated measurements can minimize such variations in clinical practice. It was concluded that LF is an improvement on the currently available aids for residual caries detection.

scholarly journals In Vitro Comparison of Several Methods for Initial Proximal Caries Detection

Folia Medica ◽  
2020 ◽  
Vol 62 (2) ◽  
pp. 358-364
Author(s):  
Veselina Todorova ◽  
Ivan Filipov ◽  
Reneta Petrova
Keyword(s):  
Diagnostic Accuracy ◽  
Visual Inspection ◽  
Laser Fluorescence ◽  
Detection Methods ◽  
Caries Detection ◽  
Proximal Caries ◽  
Bitewing Radiography ◽  
Diagnodent Pen ◽  
In Vitro Comparison

Introduction: Initial proximal caries is both diagnostic and therapeutic challenge. The disadvantages of the conventional methods for caries detection and the development of technologies led to the creation of contemporary optical devices for early caries detection. Aim: In vitro comparison of the diagnostic accuracy of several methods for early proximal caries detection &ndash; visual-tactile, bitewing radiography and laser fluorescence device (DIAGNOdent pen). Materials and methods: Fifty-eight proximal surfaces of extracted human permanent premolars and molars were examined by two examiners using visual inspection, bitewing radiography, DIAGNOdent with proximal contact, and DIAGNOdent directly in the lesion. Results were compared with the histological gold standard. Statistical analysis with ROC curve, sensitivity, specificity and diagnostic accuracy of each detection method was performed. Analysis was conducted in 3 diagnostic thresholds &ndash; initial, developed and advanced demineralization. Results: Sensitivity of visual inspection was 16%&ndash;33%, specificity 93.3%&ndash;100%, sensitivity of bitewing radiography 54%&ndash;67%, speci&shy;ficity 93%&ndash;94%, sensitivity of DIAGNOdent with proximal surfaces in contact 88%&ndash;91%, specificity 79%&ndash;89%, sensitivity of DIAG&shy;NOdent directly 89%&ndash;92.5%, specificity 81.29%&ndash;93%. The highest diagnostic accuracy, increasing with the rise of the level of demin&shy;eralization, was shown by DIAGNOdent directly, followed by DIAGNOdent with proximal contact, bitewing radiography, and visual inspection with the lowest accuracy. Conclusion: The use of contemporary diagnostic devices significantly increases the possibility for early detection of proximal lesions. DIAGNOdent can be used as an adjunct to and increasing the diagnostic accuracy of the conventional caries detection methods.

The concerted use of SEM, TEM, and SCM for examination of resin-dentin interfaces

1994 ◽  
Vol 52 ◽  
pp. 476-477
Author(s):  
B. Van Meerbeek ◽  
L. J. Conn ◽  
E. S. Duke
Keyword(s):  
Surface Layer ◽  
Stress Distribution ◽  
Phosphoric Acid ◽  
Bonding Mechanism ◽  
Restorative Dentistry ◽  
Dental Adhesive ◽  
Low Viscosity ◽  
Dentin Adhesives ◽  
Acid Etch ◽  
Tooth Tissue

Restoration of decayed teeth with tooth-colored materials that can be bonded to tooth tissue has been a highly desirable property in restorative dentistry for many years. Advantages of such an adhesive restorative technique over conventional techniques using non-adhesive metal-based restoratives include improved restoration retention with minimal sacrifice of sound tooth tissue for retention purposes, superior adaptation and sealing of the restoration margins in prevention of caries recurrence, improved stress distribution across the tooth-restoration interface throughout the whole tooth, and even reinforcement of weakened tooth structures. The dental adhesive technology is rapidly changing. An efficient resin bond to enamel has already long been achieved. Its bonding mechanism has been fully elucidated and has proven to be a durable and reliable clinical treatment. However, bonding to dentin represents a greater challenge. After the failures of a dentin acid-etch technique in imitation of the enamel phosphoric-acid-etch technique and a bonding procedure based on chemical adhesion, modern dentin adhesives are currently believed to bond to dentin by a micromechanical hybridization process. This process is developed by an initial demineralization of the dentin surface layer with acid etchants exposing a collagen fibril arrangement with interfibrillar microporosities that subsequently become impregnated by low-viscosity monomers. Although the development of such a hybridization process has well been documented in the literature, questions remain with respect to parameters of-primary importance to adhesive efficacy.

scholarly journals A comparative evaluation of post placental intrauterine contraceptive device (IUCD) insertion between normal delivery and caesarean section

2018 ◽  
Vol 7 (9) ◽  
pp. 3826
Author(s):  
Sharmistha Sarkar ◽  
Dhruba Prasad Paul ◽  
Jayanta Ray
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Comparative Evaluation ◽  
P Value ◽  
Contraceptive Device ◽  
Government Medical College ◽  
Expulsion Rate ◽  
Medical College ◽  
Significant Difference ◽  
Post Placental

Background: Adverse maternal and perinatal outcomes are related to pregnancies spaced too closely together. Objective of present study was to compare the expulsion rate and complications between post placental IUCD insertion between caesarean section and vaginal delivery.Methods: This study was a prospective comparative study conducted in the department of Obstetrics and Gynecology, at Agartala Government Medical College over 1.5 Years (January 2016-June2017) All cases at term pregnancy delivering by caesarean section and vaginal delivery were divided into two different groups. Sample size of 105 in each group. Subjects recruited from-obstetrics OPD and casualty of Agartala Government Medical College (AGMC) and GB Pant Hospital expulsion rate and complications. Comparative evaluation of Expulsion rate and complications following post placental IUCD insertion between caesarean section and vaginal delivery at the end of six months, one year and one and half year.Results: There was no significant difference in either complications between the two groups (P value-.913) or outcomes (p value-.035). Expulsion rate 18.2% following vaginal delivery compared to those with intracaesarean insertion i.e 3.8%.Conclusions: The complications associated with postplacental Intrauterine device insertion is insignificant, still the awareness, acceptance and continuation are very low. Therefore Information, education Communication activity by the field workers must be enhanced to overcome this knowledge gap.

Evaluation of Polishing Systems for CAD/CAM Polymer-Infiltrated Ceramic-Network Restorations

2021 ◽  
Author(s):  
CA Jurado ◽  
A Tsujimoto ◽  
H Watanabe ◽  
NG Fischer ◽  
JA Hasslen ◽  
...  
Keyword(s):  
Surface Roughness ◽  
Computer Aided Design ◽  
Dental Students ◽  
Faculty Members ◽  
Dental School ◽  
Control Group ◽  
Significant Difference ◽  
Computer Aided ◽  
Cad Cam ◽  
A Company

SUMMARY Objective: The purpose of this study was to evaluate the effectiveness of five different polishing systems on a computer-aided design and computer-aided manufacturing (CAD/CAM) polymer-infiltrated ceramic-network restoration with nanoscale assessment using atomic force microscopy (AFM) and visual assessment performed by dental school senior students and faculty members. Method: Forty-eight full coverage crowns were milled out of polymer-infiltrated ceramic-network CAD/CAM blocks (Vita Enamic) for polishing with one company proprietary, two ceramic and two composite polishing systems. The prepared crowns were divided into six groups: (1) no polishing (control); (2) polishing with Vita Enamic Polishing Kit (VEna); (3) polishing with Shofu Porcelain Laminate Polishing Kit (SCer); (4) polishing with Brasseler Dialite Feather lite All- Ceramic Adjusting & Polishing System (BCer); (5) polishing with Shofu Composite Polishing Kit (SCom); and (6) polishing with Brasseler Composite Polishing Kit (BCom). The polished crown surface topography was observed, and surface roughness and area were measured with AFM. In addition, polished crowns were visually assessed by 15 senior dental students and 15 dental school faculty members. Results: All polishing treatments significantly reduced the surface roughness and area of the crown compared with the control. SCom and BCom showed significantly higher surface area than VEna, and the SCer and BCer groups were intermediate, showing no significant difference from either VEna or SCom and BCom. There were no significant differences in surface roughness between any of the systems. Dental students and faculty members classified the groups polished with VEna, SCer, and BCer groups as clinically acceptable, and they selected BCer group as the best polished restorations and the control group as the least polished restorations. Conclusions: Ceramic and composite polishing systems produced similar polishing results as that observed using a company proprietary polishing system. However, effectiveness for polishing using a company proprietary and ceramic polishing system tends to be higher than composite polishing systems.

scholarly journals Evaluation of Polymerization shrinkage of 2 types of posterior composite resins

2017 ◽  
Vol 07 (01) ◽  
pp. 025-028
Author(s):  
Lakshmi Nidhi Rao ◽  
Mithra N. Hegde ◽  
Aditya Shetty
Keyword(s):  
Clinical Outcome ◽  
T Test ◽  
Composite Resins ◽  
Restorative Material ◽  
Restorative Dentistry ◽  
Posterior Teeth ◽  
Polymerization Shrinkage ◽  
Glass Fibres ◽  
First Choice ◽  
Significant Difference

AbstractComposite resins represent a class of material widely used in restorative dentistry, not only for anterior aesthetics but also as the first choice to restore posterior teeth. However the key limitation in the use of composite resins as a restorative material is related to shrinkage during polymerization which leads to poor marginal seal, marginal staining, restoration displacement, tooth fracture and recurring caries [1].Polymerization shrinkage may affect negatively the clinical outcome of the restoration. Hence the present study evaluates the Polymerization shrinkage of 2 different posterior composites; Filtek Z350(3M) and everX Posterior(GC), using a pycnometer.Independent Sample T-Test was used to determine statistically significant difference in volumetric shrinkage among the tested composite resins. everX Posterior showed comparatively less shrinkage than Filtek Z350; which can be attributed to the presence of silanated e-glass fibres.

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