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KMID : 0362720110490080461
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Journal of the Korean Dental Association
2011 Volume.49 No. 8 p.461 ~ p.471
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Use of laser fluorescence device ’DIAGNODent®’for detecting caries
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Lee Byung-Jin
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Abstract
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The detection of carious lesions is a key point to apply appropriate preventive measures or operative treatment of dental caries. A laser fluorescence device DIAGNOdent® (KaVo, Biberach, Germany) has also been shown to be of additional clinical value in the detection of initial caries. This report focus on the DIAGNOdent® for caries detection.
DIAGNOdent® irradiate visible red light at a wavelength of 655 nm to elicit near-infrared fluorescence from caries lesion. This device is known as a reproducible method for caries detection, with good sensitivity and specificity especially for caries detection on occlusal and accessible smooth surfaces.
DIAGNOdent® tended to be more sensitive method of detecting occlusal dentinal caries, however, showed more false-positive diagnoses than the visual inspection. So Clinician should not use the device as a clinician? primary diagnostic method and it is recommended that the device should be used in the decision-making process in relation to the diagnosis of caries as a second opinion in cases of doubt after visual inspection.
The trend of modern dentistry would be a preventive approach rather than invasive treatment of the disease. This is possible only with early detection and respective preventive measures, DIAGNOdent® can help the changes.
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KEYWORD
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caries prevention, dental caries, DIAGNOdent, diagnosis, laser fluorescence, sensitivity and specificity
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