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Related Experiment Videos

Advances in methods for diagnosing coronal caries--a review

B Angmar-Månsson1, J J ten Bosch

  • 1Department of Cariology, School of Dentistry, The Karolinska Institute, Huddinge, Sweden.

Advances in Dental Research
|August 1, 1993
PubMed
Summary

Early detection of coronal caries is crucial for effective treatment. While advanced diagnostic methods show promise, further clinical testing is needed to confirm their efficacy in detecting small changes and improving diagnostic accuracy.

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Area of Science:

  • Dentistry
  • Diagnostic Imaging
  • Biomedical Engineering

Background:

  • Current methods for diagnosing coronal caries include visual inspection, tactile examination, radiography, and fiber-optic transillumination (FOTI).
  • Early diagnosis is vital for initiating preventive measures and remineralization, and for optimizing clinical research timelines.
  • Quantitative diagnostic methods offer potential for reduced interexaminer variability and improved detection of subtle lesion progression or regression.

Purpose of the Study:

  • To review recent advancements in diagnostic methods for coronal caries.
  • To evaluate the potential of novel quantitative techniques in improving early caries detection and monitoring.

Main Methods:

  • Review of emerging diagnostic technologies including endoscopic methods, FOTI, light-scattering, laser fluorescence, UV illumination, dye and iodide penetration, electrical resistance, ultrasonic imaging, and enhanced radiography.

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  • Analysis of the suitability of specific methods for occlusal and approximal caries diagnosis.

    • Main Results:

    • Electrical resistance and radiography show utility for occlusal caries diagnosis, with digitized radiography offering incremental improvement.
    • Quantitative methods generally require further development and clinical validation for measuring small changes in caries activity.
    • Electrical resistance for occlusal surfaces and digitized radiography/fluorescent dye penetration for approximal surfaces warrant further investigation.

    Conclusions:

    • Numerous new diagnostic methods for coronal caries are under development.
    • All emerging methods require rigorous clinical testing and further refinement before widespread clinical adoption.
    • Quantitative methods, while promising, are not yet sufficiently validated for routine clinical use in detecting minor caries progression or regression.