Carious lesion detection technologies: factual clinical approaches

Minimal intervention dentistry is now accepted as the contemporary approach for caries management. The development of adjunctive technologies to assist early lesion detection has led to widespread marketing of various devices over the past two decades. A thorough understanding of the clinical releva...

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Bibliographic Details
Published in:British dental journal 2020-10, Vol.229 (7), p.432-442
Main Authors: Slimani, Amel, Terrer, Elodie, Manton, David J., Tassery, Hervé
Format: Article
Language:English
Subjects:
Biofilms
Cavitation
Clinical
Decision making
Dental Care
Dental caries
Dental Caries - diagnosis
Dental Caries - therapy
Dentistry
Dentists
Disease prevention
Electronic equipment
Enamel
Human health and pathology
Humans
Lesions
Life Sciences
Professional Role
Radiography
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Summary:Minimal intervention dentistry is now accepted as the contemporary approach for caries management. The development of adjunctive technologies to assist early lesion detection has led to widespread marketing of various devices over the past two decades. A thorough understanding of the clinical relevance and limitations of such devices is required to make valid interpretation of their results. This paper will discuss the most common commercially available carious lesion detection technologies in order to give dental practitioners clear information about the devices' scientific principles, advantages and limitations within a clinical context. Key points Early detection and diagnosis of carious lesions allows timely intervention to minimise damage (minimal intervention). The use of magnification when visualising teeth improves detection and characterisation of early lesions. The appropriate use and interpretation of electronic devices/technologies can improve detection and monitoring of carious lesions.
ISSN:0007-0610
1476-5373
DOI:10.1038/s41415-020-2116-3