Abstract
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.
References
Marthaler TM. Changes in dental caries 1953–2003. Caries Res. 2004;38:173–81.
Zandona AF, Zero DT. Diagnostic tools for early caries detection. J Am Dent Assoc. 2006;137:1675–84. (quiz 730).
Weerheijm KL, Kidd EA, Groen HJ. The effect of fluoridation on the occurrence of hidden caries in clinically sound occlusal surfaces. Caries Res. 1997;31:30–4.
Bader JD, Shugars DA. A systematic review of the performance of a laser fluorescence device for detecting caries. J Am Dent Assoc. 2004;135:1413–26.
Rodrigues JA, Diniz MB, Josgrilberg EB, Cordeiro RC. In vitro comparison of laser fluorescence performance with visual examination for detection of occlusal caries in permanent and primary molars. Lasers Med Sci. 2009;24:501–6.
Ricketts D, Kidd E, Weerheijm K, de Soet H. Hidden caries: what is it? Does it exist? Does it matter? Int Dent J. 1997;47:259–65.
Lussi A. Validity of diagnostic and treatment decisions of fissure caries. Caries Res. 1991;25:296–303.
Lussi A. Comparison of different methods for the diagnosis of fissure caries without cavitation. Caries Res. 1993;27:409–16.
Bergman G, Linden LA. The action of the explorer on incipient caries. Sven Tandlak Tidskr. 1969;62:629–34.
Yassin OM. In vitro studies of the effect of a dental explorer on the formation of an artificial carious lesion. ASDC J Dent Child. 1995;62:111–7.
Bader JD, Shugars DA, Bonito AJ. A systematic review of the performance of methods for identifying carious lesions. J Public Health Dent. 2002;62:201–13.
Shi XQ, Welander U, Angmar-Mansson B. Occlusal caries detection with KaVo DIAGNOdent and radiography: an in vitro comparison. Caries Res. 2000;34:151–8.
Tranaeus S, Lindgren LE, Karlsson L, Angmar-Mansson B. In vivo validity and reliability of IR fluorescence measurements for caries detection and quantification. Swed Dent J. 2004;28:173–82.
Hamilton JC, Gregory WA, Valentine JB. DIAGNOdent measurements and correlation with the depth and volume of minimally invasive cavity preparations. Oper Dent. 2006;31:291–6.
Lussi A, Megert B, Longbottom C, Reich E, Francescut P. Clinical performance of a laser fluorescence device for detection of occlusal caries lesions. Eur J Oral Sci. 2001;109:14–9.
Thoms M. Detection of occlusal caries by laser fluorescence: basic and clinical investigations. Med Laser Appl. 2006;16:205–13.
Lussi A, Hibst R, Paulus R. DIAGNOdent: an optical method for caries detection. J Dent Res. 2004;83 Spec No C:C80-3.
Rodrigues Jde A, de Vita TM, Cordeiro Rde C. In vitro evaluation of the influence of air abrasion on detection of occlusal caries lesions in primary teeth. Pediatr Dent. 2008;30:15–8.
Lussi A, Reich E. The influence of toothpastes and prophylaxis pastes on fluorescence measurements for caries detection in vitro. Eur J Oral Sci. 2005;113:141–4.
Lussi A, Longbottom C, Gygax M, Braig F. Influence of professional cleaning and drying of occlusal surfaces on laser fluorescence in vivo. Caries Res. 2005;39:284–6.
Hibst R, Paulus R, Lussi A. Detection of occlusal caries by laser fluorescence: basic and clinical investigations. Med Laser Appl. 2001;16:205–13.
Pretty IA. Caries detection and diagnosis: novel technologies. J Dent. 2006;34:727–39.
Rodrigues JA, Hug I, Diniz MB, Lussi A. Performance of fluorescence methods, radiographic examination and ICDAS II on occlusal surfaces in vitro. Caries Res. 2008;42:297–304.
De Benedetto MS, Morais CC, Novaes TF, et al. Comparing the reliability of a new fluorescence camera with conventional laser fluorescence devices in detecting caries lesions in occlusal and smooth surfaces of primary teeth. Lasers Med Sci. 2011;26:157–62.
Krause F, Braun A, Eberhard J, Jepsen S. Laser fluorescence measurements compared to electrical resistance of residual dentine in excavated cavities in vivo. Caries Res. 2007;41:135–40.
Ardu S, Perroud R, Krejci I. Extended sealing of interproximal caries lesions. Quintessence Int. 2006;37:423–7.
Ghaname ES, Ritter AV, Heymann HO, et al. Correlation between laser fluorescence readings and volume of tooth preparation in incipient occlusal caries in vitro. J Esthet Restor Dent. 2010;22:31–9.
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Betrisey, E., Rizcalla, N., Krejci, I. et al. Caries diagnosis using light fluorescence devices: VistaProof and DIAGNOdent. Odontology 102, 330–335 (2014). https://doi.org/10.1007/s10266-013-0105-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10266-013-0105-6