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Detection and Diagnosis of Carious Lesions

  • Hervé Tassery
  • David J. MantonEmail author
Chapter

Abstract

The early detection and diagnosis of the carious lesion are a primary consideration of the minimal intervention dentistry (MID) concept. Detection is the identification of a demineralized lesion, while diagnosis is an iterative process using further information from the patient to identify the lesion as carious in nature. Traditionally, visual, tactile, and radiographic methods are used to detect carious lesion; however, recently tactile detection, especially using a sharp explorer, is not recommended apart from the delicate detection of enamel surface integrity/roughness. Use of simple devices such as loupes for magnification of the clean surface can improve detection validity. Advances in technology have led to many different devices being released onto the market to assist in the detection and quantification of carious lesions. Fluorescence of the tooth structure using different wavelengths of light can provide information about lesion extent and area and whether dentine is involved, and several commercial systems are available such as DIAGNOdent®, QLF®, and Soprocare/Soprolife®. It is important to follow standardized procedures with all of these detection techniques, as the validity and reproducibility of the results are highly dependent on this. Electrical impedance and photothermal radiometry have been promoted as alternatives to light-based technologies; however, evidence for these devices is still somewhat limited. All of these traditional and new detection methods will be discussed in the context of minimal intervention dentistry and their potential value to the clinician and patient.

Keywords

Tooth Surface Carious Lesion Enamel Surface Caries Detection Caries Process 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Preventive and Restorative DepartmentMarseille Dental School, Aix-Marseille UniversityMarseilleFrance
  2. 2.Laboratory EA 4203Montpellier UniversityMontpellierFrance
  3. 3.Elsdon Storey Chair of Child Dental Health, Growth and Development SectionMelbourne Dental School, University of MelbourneParkvilleAustralia

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