Clinical validation of the use of fluorescence for the early detection of dental caries

George K. Stookey; Roger L. Isaacs; Andrea G. Ferreira Zandona; Masatoshi Ando D.D.S.; Carlos Gonzalez; Melissa S. Mau; Sue A. Kelly; Mostafa Analoui

doi:10.1117/12.348343

19 May 1999 Clinical validation of the use of fluorescence for the early detection of dental caries

George K. Stookey, Roger L. Isaacs, Andrea G. Ferreira Zandona, Masatoshi Ando D.D.S., Carlos Gonzalez, Melissa S. Mau, Sue A. Kelly, Mostafa Analoui

Author Affiliations +

Proceedings Volume 3593, Lasers in Dentistry V; (1999) https://doi.org/10.1117/12.348343
Event: BiOS '99 International Biomedical Optics Symposium, 1999, San Jose, CA, United States

Abstract

A clinical investigation was conducted in children to validate the use of fluorescence for the early detection of dental caries. A total of 150 children were examined for the presence of dental caries at baseline and at 4-month intervals for one year using conventional visual-tactile with and without a dental explorer, electrical conductivity and light fluorescence methods on the occlusal, buccal and lingual tooth surfaces. Interproximal tooth surfaces were examined using conventional film and direct digital radiography at baseline and 12 months. Validation of the clinical methods was performed by the histologic examination of exfoliated primary teeth. The results indicate that visual-tactile examinations with an explorer detected more carious lesions than similar examinations without an explorer. The use of quantitative light fluorescence permitted the detection of a substantially greater number of enamel lesions or demineralized areas than the conventional visual-tactile-radiographic diagnostic procedure. Further, the use of the quantitative light fluorescence permitted the monitoring of both the progression of regression of early carious lesions.

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George K. Stookey, Roger L. Isaacs, Andrea G. Ferreira Zandona, Masatoshi Ando D.D.S., Carlos Gonzalez, Melissa S. Mau, Sue A. Kelly, and Mostafa Analoui "Clinical validation of the use of fluorescence for the early detection of dental caries", Proc. SPIE 3593, Lasers in Dentistry V, (19 May 1999); https://doi.org/10.1117/12.348343

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