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Updated: Jun 27, 2026

08:47
Mimicking and Measuring Occlusal Erosive Tooth Wear with the "Rub&Roll" and Non-contact Profilometry
Published on: February 2, 2018
[Occlusal caries - early detection in school-based dental screenings]
1Fachbereich Soziales & Gesundheitdes Ennepe-Ruhr-Kreises, Schwanenmarkt 5-7, 58452 Witten. I.Goddon@en-kreis.de
Summary
School screenings for childhood caries need improvement. Visual tactile screenings miss many early lesions on molars, requiring enhanced diagnostic methods for effective preventive dental care.
Area of Science:
- Pediatric Dentistry
- Dental Diagnostics
- Caries Prevention
Context:
- Caries predominantly affects occlusal surfaces of permanent molars in children and adolescents.
- Current WHO (1997) visual tactile screenings are insufficient for detecting non-cavitated lesions.
- Modern dentistry emphasizes early prevention and minimal intervention to avoid extensive restorations.
Purpose:
- To evaluate the effectiveness of school-based visual screenings for early caries detection.
- To compare diagnostic accuracy of WHO standards with additional visual and laser optical methods.
- To determine the suitability of laser fluorescence diagnostics in school screenings.
Summary:
- A study on 8- to 12-year-olds revealed that WHO standard screenings identified fewer occlusal lesions than advanced methods.
- Additional visual and laser optical diagnostics showed a significant need for preventive (43%) and operative (30%) treatment in seemingly sound surfaces.
- Laser fluorescence diagnostics provided limited information and is not recommended for school-based screenings.
Impact:
- Highlights the limitations of current school-based caries screening methods.
- Suggests the need for improved visual diagnostic techniques in school dental programs.
- Emphasizes the importance of early detection and intervention for managing pediatric dental caries.
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