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Relevance. The question of diagnosing tooth decay and, thus, determining treatment methods is still very topical. There is a large number of techniques available for the diagnosis of dental caries in modern dentistry.Objective. The study aimed to compare different caries diagnosis methods to determine the most effective carious lesion detection.Material and methods. We examined in total 45 subjects, 1248 permanent teeth and 5700 tooth surfaces. The dental examination included three diagnostic techniques for each patient: visual-tactile, ICDAS II and quantitative light-induced fluorescence (QLF). The data were processed and presented graphically using Statistica 12.0 (Stat-Soft) and Microsoft Office Excel 2017 software.Results. According to the DMFS index, in the visual-tactile group, the "D" (decayed) was 3.00 ± 0.02 and the "F" (filled) was 1.93 ± 0.02. Caries intensity in this study group was 6.27 ± 0.58. The ICDAS II examination detected the average caries intensity of 6.93 ± 0.56 (p1-2 < 0.001). There were 3.47 ± 0.02 (p1-2 < 0.001) carious lesions. The "F" score was 2.13 ± 0.01 (p1-2 = 0.024). The QLF diagnostic method showed 7.44 ± 0.54 (p1-3 < 0.001, p2-3 = 0.006) as the mean intensity of caries in permanent teeth; there were 3.84 ± 0.02 (p1-3 < 0.001, p2-3 = 0.015) carious lesions and the "F" was 2.27 ± 0.01 (p1-3 = 0.018, p2-3 = 0.520). The "M" score was 0.27 ± 0.01 (p1-2 = 0.999, p1-3 = 0.999, p2-3 = 0.999), according to all applied techniques.Conclusion. The QLF method had the highest sensitivity and was superior to the visual-tactile method and ICDAS II.
Relevance. The question of diagnosing tooth decay and, thus, determining treatment methods is still very topical. There is a large number of techniques available for the diagnosis of dental caries in modern dentistry.Objective. The study aimed to compare different caries diagnosis methods to determine the most effective carious lesion detection.Material and methods. We examined in total 45 subjects, 1248 permanent teeth and 5700 tooth surfaces. The dental examination included three diagnostic techniques for each patient: visual-tactile, ICDAS II and quantitative light-induced fluorescence (QLF). The data were processed and presented graphically using Statistica 12.0 (Stat-Soft) and Microsoft Office Excel 2017 software.Results. According to the DMFS index, in the visual-tactile group, the "D" (decayed) was 3.00 ± 0.02 and the "F" (filled) was 1.93 ± 0.02. Caries intensity in this study group was 6.27 ± 0.58. The ICDAS II examination detected the average caries intensity of 6.93 ± 0.56 (p1-2 < 0.001). There were 3.47 ± 0.02 (p1-2 < 0.001) carious lesions. The "F" score was 2.13 ± 0.01 (p1-2 = 0.024). The QLF diagnostic method showed 7.44 ± 0.54 (p1-3 < 0.001, p2-3 = 0.006) as the mean intensity of caries in permanent teeth; there were 3.84 ± 0.02 (p1-3 < 0.001, p2-3 = 0.015) carious lesions and the "F" was 2.27 ± 0.01 (p1-3 = 0.018, p2-3 = 0.520). The "M" score was 0.27 ± 0.01 (p1-2 = 0.999, p1-3 = 0.999, p2-3 = 0.999), according to all applied techniques.Conclusion. The QLF method had the highest sensitivity and was superior to the visual-tactile method and ICDAS II.
Relevance. Quantitative light-induced fluorescence (QLF) is widely used to diagnose the enamel condition during various dental interventions and allows for quick, objective and noninvasive assessment of the patient's oral hygiene status and follow-up of enamel de- and remineralization level.Materials and methods. The QLF technique used by the study increases the visual contrast between sound and diseased oral tissues when various (organic) substances in the mouth absorb light of a certain wavelength (different colours) and then re-emit the absorbed energy at a different wavelength. Filtration of illuminating light gives a fluorescent image or a QLF image. In a clinical setting, we used a QLF equipment set, namely, the Q-ray clinical software; Qraycam pro camera for full-arch imaging; Qraypen C intraoral camera; Qscan plus.Results. QLF was an additional tool for a practising dentist or dental hygienist, which allowed for the detection of the pathological process at the earliest stage, assisting in the diagnosis of the dental enamel condition, the detection of plaque without disclosing agents and assessment of its exact amount, contributing to the identification of hidden foci of enamel demineralization and carious lesions, cracks, tartar and oral hygiene evaluation.The analyzed data show the very high efficiency of the performed therapy with the 'R.O.C.S. medical 0+' remineralizing gel. The objective QLF data fully confirm the external elimination of white spots, and their almost complete disappearance is noted.Conclusion. Quantitative light-induced fluorescence and its parameters are essential not only for understanding the effectiveness of the applied techniques for bleaching, microabrasion, remineralization and other manipulations but also for their safety for dental enamel.
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