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Case Report on Caries Assessment Using Intraoral Scanner Compared with Bitewing Radiographs
Bernard Siew1, Joachim Enax2, Frederic Meyer2
1Smilefocus, Camden Medical Centre, Singapore, Singapore.
European Journal of Dentistry
|May 3, 2024
Summary
Near-infrared imaging (NIRI) and bitewing radiography can detect and monitor early-stage dental caries. Hydroxyapatite oral care products effectively remineralize and halt caries progression, improving dental health.
Area of Science:
- Dentistry
- Dental Diagnostics
- Caries Research
Background:
- Dental caries is a prevalent oral health issue requiring regular diagnostics and treatment.
- Current diagnostic methods (visual inspection, bitewing radiography) have limitations in regular checkups.
- Near-infrared imaging (NIRI) offers a potential alternative for regular dental caries diagnostics.
Purpose of the Study:
- To evaluate the efficacy of NIRI and bitewing radiography in detecting and monitoring incipient caries lesions.
- To assess the remineralization and caries arresting effects of hydroxyapatite-based oral care products.
Main Methods:
- A case report involving a patient with incipient caries lesions.
- Diagnosis using visual inspection, bitewing radiography, and NIRI.
- Treatment with hydroxyapatite toothpaste and gel.
- Follow-up over 6 months with regular checkups using visual inspection and NIRI.
- Final assessment including bitewing radiographs.
Main Results:
- NIRI and bitewing radiography successfully detected and followed the progression of incipient caries lesions.
- Hydroxyapatite-containing products demonstrated the ability to arrest and remineralize the caries process.
- The study provides initial evidence for the combined diagnostic and therapeutic approach.
Conclusions:
- NIRI is a viable tool for the regular detection and monitoring of early dental caries.
- Hydroxyapatite oral care products are effective in managing incipient caries lesions.
- This case report highlights a promising approach for non-invasive caries management and prevention.

