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Assessment of the Mouth

Assessment of the Mouth

A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.

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A novel LED-based device for occlusal caries detection.

Ali Murat Aktan¹, Mehmet Ata Cebe, Mehmet Ertuğrul Ciftçi

¹Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Gaziantep University, Gaziantep, Turkey. alimurataktan@yahoo.com

Lasers in Medical Science

|November 15, 2011

Summary

This in-vitro study compared laser-based and LED-based caries detectors for detecting occlusal caries. The laser device was more accurate in identifying caries-free teeth, while the LED device detected more caries presence.

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Area of Science:

Dentistry
Dental Diagnostics
Caries Detection Technology

Background:

Accurate detection of occlusal caries is crucial for timely intervention.
Various diagnostic tools, including laser-based and LED-based devices, are available for caries detection.

Purpose of the Study:

To compare the diagnostic performance of a laser-based caries detector (DIAGNOdent) and an LED-based caries detector (Midwest Caries I.D.) in identifying occlusal caries in permanent molars.

Main Methods:

An in-vitro study involving 129 pits/fissures in 82 extracted human molars.
Examination using both laser-based and LED-based caries detectors by two trained examiners.
Histological evaluation via stereomicroscopy served as the gold standard for comparison.

Main Results:

The LED-based device demonstrated higher sensitivity in detecting occlusal caries compared to the laser-based device.
The laser-based device showed higher specificity, indicating better accuracy in identifying caries-free surfaces.
Inter-examiner reliability was substantial for the laser device (Kappa=0.74) and almost perfect for the LED device (Kappa=0.89).

Conclusions:

The DIAGNOdent laser pen was more accurate in identifying teeth free of occlusal caries.
The Midwest Caries I.D. LED-based device was more effective in detecting the presence of occlusal caries.
Both devices show potential for caries detection, with distinct strengths in sensitivity and specificity.