DIAGNOdent: An Optical Method for Caries Detection

Lussi, Adrian; Hibst, Raimund; Paulus, Robert

doi:10.1177/154405910408301s16

Cited by 282 publications

(209 citation statements)

References 16 publications

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“…with the progression of caries (7,13). In the present study, significant differences were observed between the Diagnodent readings for caries in enamel and dentin, with higher values of fluorescence related to dentin.…”

Section: Discussionmentioning

confidence: 55%

“…In the 1990's, good perspectives on the use of laser fluorescence for the diagnosis of caries were presented and this technology was proven able of detecting early demineralization, especially when a fluorescent dye is added to the mineralized surface (7).…”

Section: Introductionmentioning

confidence: 99%

“…If this surface has some form of structural change, it will emit a fluorescent light that is captured back by the probe and the device will display values ranging from 0 to 99 (9). Diagnodent has been tested extensively, including for detection of occlusal and smooth surface caries, comparing its results with visual inspection, histology, radiography and quantitative light-induced fluorescence (7,9).…”

Section: Introductionmentioning

confidence: 99%

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Use of laser fluorescence in dental caries diagnosis: a fluorescence x biomolecular vibrational spectroscopic comparative study

et al. 2013

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The aim of this work was to verify the existence of correlation between Raman spectroscopy readings of phosphate apatite (~960 cm -1 ), fluoridated apatite (~575 cm -1 ) and organic matrix (~1450 cm -1 ) levels and Diagnodent ® readings at different stages of dental caries in extracted human teeth. The mean peak value of fluorescence in the carious area was recorded and teeth were divided in enamel caries, dentin caries and sound dental structure. After fluorescence readings, Raman spectroscopy was carried out on the same sites. The results showed significant difference (ANOVA, p<0.05) between the fluorescence readings for enamel (16.4 ± 2.3) and dentin (57.6 ± 23.7) on carious teeth. Raman peaks of enamel and dentin revealed that ~575 and ~960 cm -1 peaks were more intense in enamel caries. There was significant negative correlation (p<0.05) between the ~575 and ~960 cm -1 peaks and dentin caries. It may be concluded that the higher the fluorescence detected by Diagnodent the lower the peaks of phosphate apatite and fluoridated apatite. As the early diagnosis of caries is directly related to the identification of changes in the inorganic tooth components, Raman spectroscopy was more sensitive to variations of these components than Diagnodent.

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Section: Discussionmentioning

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Use of laser fluorescence in dental caries diagnosis: a fluorescence x biomolecular vibrational spectroscopic comparative study

et al. 2013

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“…[11][12][13] The device emits a red laser beam at a wavelength of 655 nm (1 mW maximum power) and measures the lesion's fluorescence (at 720-750 nm), produced by microbial metabolic products, the porphyrins. 14 Although the device functions with the same principle as the old one, its main difference is at the tip, which is rotatable around its long axis to facilitate use in approximal areas. A laser light is sent to the tooth through a single sapphire fiber tip, which at the same time collects the reflected light and filters the ambient and the fluorescent light entering the tip.…”

Section: Introductionmentioning

confidence: 99%

Comparative In Vitro Validation of VistaProof and DIAGNOdent Pen for Occlusal Caries Detection in Permanent Teeth

Seremidi¹,

Lagouvardos²,

Kavvadia³

2012

Operative Dentistry

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Laser/light fluorescence devices were highly reliable for occlusal caries diagnosis in permanent teeth but not superior in accuracy to visual methods. SUMMARYPurpose: Current caries diagnostic tools are neither very accurate nor very reliable for the detection of carious lesions of different depths. Thus, the development of new devices and techniques is needed. The aim of this in vitro study was to validate a newer fluorescence device, VistaProof (VP), and compare it with DIAGNOdent Pen (DP), direct visual (DV) and indirect visual methods (IDV), with respect to accuracy and reliability for the detection of occlusal caries in permanent teeth.Methods and Materials: One hundred seven sites on 41 occlusal surfaces of recently extracted premolars were selected and classified into lesion categories according to Ekstrand's clinical criteria, by direct and indirect visual examination. The fluorescence of the sites was also measured by the two devices, and the teeth were ground through the sites for histological evaluation of their lesion depth. One calibrated examiner of high reliability (intraclass correlation coefficient [ICC].0.85) made all of the evaluations. Sensitivity, specificity, and accuracy of each detection method were estimated based on histological examination as the reference method, estimated using cutoff limits calculated on the basis of best agreement between the devices' values and histological examination. McNemar tests and receiver operating characteristic (ROC) curve , 2012, 37-3, 234-245 analyses were used to compare the validity measures of all detection methods at a=0.05, while the ICC was used to test the reproducibility of the methods based on a second measurement one week after the first.Results: There was no statistically significant difference (p.0.05) between the accuracy of DP and VPs for both enamel and dentin lesions. The areas under the ROC curves (AUC) for the two devices were also found not to be different (p.0.05). The reliability of DP was statistically significantly better than VP (p,0.05).Conclusion: The validity of both fluorescence devices were not found to be significantly different and not better than visual methods for the detection of noncavitated carious lesions.

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“…They also allow monitoring of lesions over time. This ability is of great importance in the field of ultra-conservative dentistry because it enables dentists to quantitatively identify progressing lesions, which is impossible with conventional tools [17].…”

Section: Discussionmentioning

confidence: 99%

Caries diagnosis using light fluorescence devices: VistaProof and DIAGNOdent

et al. 2013

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The modern concept of minimally invasive dentistry encompasses early detection of incipient carious lesions and their treatment. Due to the low sensitivity of visual inspection and radiography in the detection of occlusal hidden carious lesions under a macroscopically sound surface, several devices have been developed to increase detection accuracy. DIAGNOdent is one of the tools used for that purpose and VistaProof is a new device recently introduced into the market. They both use light fluorescence to detect incipient carious lesions. DIAGNOdent is based on the fact that carious lesions show higher level of fluorescence than sound tissues when excited by light at specific wavelength. Vistaproof is based on the same principle, but it uses a different wavelength of excitation than DIAGNOdent and a video camera for the detection of fluorescence. The aim of this article was to compare these two devices and present their clinical use.

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DIAGNOdent: An Optical Method for Caries Detection

Cited by 282 publications

References 16 publications

Use of laser fluorescence in dental caries diagnosis: a fluorescence x biomolecular vibrational spectroscopic comparative study

Use of laser fluorescence in dental caries diagnosis: a fluorescence x biomolecular vibrational spectroscopic comparative study

Comparative In Vitro Validation of VistaProof and DIAGNOdent Pen for Occlusal Caries Detection in Permanent Teeth

Caries diagnosis using light fluorescence devices: VistaProof and DIAGNOdent

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