Detection activity assessment and diagnosis of dental caries lesions

Dental Clinics of North America
Mariana Minatel BragaK R Ekstrand

Abstract

This article reviews the current methods for detection and assessment of caries lesions focusing on applicability for daily clinical practice. The end point is to arrive at a diagnosis for each caries lesion. Visual inspection aided by a ball-ended probe is essential for caries lesions assessment and the method must be used for all patients. Use of indices, for example, the International Caries Detection and Assessment System (ICDAS), can improve the performance of this method. Using visual inspection, the clinician must decide about the presence, severity and activity of lesions. After this process, additional methods could aid the dentist in reaching a more appropriate treatment decision in some cases. The ICDAS, including the activity assessment system or the Nyvad system, seems to be the best option to reach final diagnoses for managing lesions. The radiographic method is the most recommended additional method available for daily clinical practice.

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Citations

Jun 15, 2013·Photomedicine and Laser Surgery·Esin BozdemirAli Murat Aktan
Feb 10, 2012·Journal of Investigative and Clinical Dentistry·Mehmet DalliM Mustafa Hamidi
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