The influence of the calibration mode of a laser fluorescence device on caries detection

The aim of the present study was to assess the influence of the calibration mode of a laser fluorescence measurement device on caries detection. While positioning the probe on an occlusal carious lesion or stained fissure using a clamp, the occlusal surface of each of 62 teeth was covered with a light-body silicone impression material to facilitate a reproducible probe position. Then, measurements of the occlusal lesions were performed after standard and individual calibration at four non-carious areas on the buccal surface of each tooth. Mean laser fluorescence values of the occlusal reading point following standard calibration were about 4-5 units higher compared to values measured after individual calibration. After 1 week, readings after both standard and individual calibration were not different from baseline values (p > 0.05). During individual calibration, a mean range of about 2 units could be observed when comparing the readings of the occlusal reading point with respect to the four different areas of each buccal surface. The present study indicates that laser fluorescence readings are dependent on the mode of calibration. Moreover, for individual calibration, the probe position has to be recorded carefully. It is suggested that the same mode of calibration should always be used, when employing laser fluorescence measurements for longitudinal caries monitoring.