Document Detail

A new concept in restorative dentistry: light-induced fluorescence evaluator for diagnosis and treatment. Part 1: Diagnosis and treatment of initial occlusal caries.
MedLine Citation:
PMID:  20020086     Owner:  NLM     Status:  MEDLINE    
AIM: The objective of this in vivo experiment is to propose an innovative therapeutic concept using a light-induced fluorescence evaluator for diagnosis and treatment (LIFEDT) that is based on the imaging and autofluorescence of dental tissues. BACKGROUND: Processes with the aim of diagnosing carious lesions in the initial stage with optimum sensitivity and specificity employ a wide variety of technologies, but like the conventional diagnosis tools, they remain either inefficient or too subjective. TECHNIQUE: This experiment evaluated a fluorescence light-induced camera that illuminates tooth surfaces within an excitation radiation band of light with a wavelength of 450 nm and facilitates a high magnification image. CONCLUSION: An analysis of 50 occlusal grooves revealed three clinical forms of enamel caries: (1) enamel caries on the surface, (2) suspicious grooves with a positive autofluorescent red signal, and (3) suspicious grooves with a neutral fluorescent dark signal. Two decision-making diagrams were proposed in accordance with international recommendations for preventive dentistry, but modified as a result of the accurate information obtained with this new LIFEDT device. CLINICAL SIGNIFICANCE: The lighting of suspect occlusal grooves with the SoproLife camera enables observation of any variations in the optical properties to refine a caries diagnosis and facilitates more than a 50x magnification of occlusal groove anatomy to provide additional information on the carious potential of the tooth surface.
Elodie Terrer; Stephen Koubi; Alexandro Dionne; Gauthier Weisrock; Caroline Sarraquigne; Alain Mazuir; Herv? Tassery
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article     Date:  2009-11-01
Journal Detail:
Title:  The journal of contemporary dental practice     Volume:  10     ISSN:  1526-3711     ISO Abbreviation:  J Contemp Dent Pract     Publication Date:  2009  
Date Detail:
Created Date:  2009-12-18     Completed Date:  2010-04-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101090552     Medline TA:  J Contemp Dent Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E086-94     Citation Subset:  D; IM    
Department of Restorative Dentistry, Marseille Dental School, University of the Mediterranean.
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MeSH Terms
Decision Trees*
Dental Caries / classification,  diagnosis*,  radiography,  therapy
Dental Caries Activity Tests / instrumentation,  methods*
Fluorometry / instrumentation
Radiography, Dental
Reproducibility of Results
Sensitivity and Specificity
Severity of Illness Index
Surgical Procedures, Minimally Invasive / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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