Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2014, vol. 20, issue 1
Subject Collection: Oral and Dental Medicine
Pages: 514-516
DOI: 10.5272/jimab.2014201.514
Published online: 30 June 2014

J of IMAB 2014 Jan-Jun;20(1):514-516
Mirela Marinova-Takorova1 Corresponding Autor, Radostina Anastasova2, Vladimir E. Panov2, Spartak Yanakiev3.
1) Department of conservative Dentistry, Faculty of Dental medicine, Medical University - Sofia,
2) Department of Conservative dentistry and Oral pathology, Faculty of Dental medicine, Medical University - Varna,
3) Medical Colledge “Y. Filaretova”, Medical University - Sofia, Bulgaria.

Aim: The aim of the presented study is to compare the effectiveness of the diagnosis with a dental microscope, laser fluorescence (DIAGNOcam) and X-ray examination in proximal caries diagnosis.
Material and methods: Thirty-eight adult patients were examined. They were first examined with a dental mirror and a probe, under magnification 6.4 times. After that a diagnosis with DIAGNOcam was performed. Bitewing X-ray images were administered. The data from the three diagnostic methods was compared using SPSS 16 package of Windows. The lesions that were diagnosed as involving dentin were then excavated which served as a confirmation of the diagnosis.
Results: The results of the study showed that dentinal lesions were detected with a high degree of correlation with all three diagnostic methods. The visual examination seriously underestimated lesions involving only enamel. In these cases there was a good correlation between laser fluorescence and X-ray data.
Conclusions: Based on the conducted study we could conclude that the diagnosis of proximal caries with DIAGNOcam is equivalent to X-ray, both being more accurate in cases with early lesions, compared to visual diagnosis.

Key words: early caries detection, laser fluorescence,

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Please cite this article as:
Marinova-Takorova M, Anastasova R, Panov VE, Yanakiev S. Comparative evaluation of the effectiveness of three methods for proximal caries diagnosis – a clinical study. J of IMAB. 2014 Jan-Jun;20(1):514-516. doi: 10.5272/jimab.2014201.514.

Correspondence to: Dr. Mirela Marinova-Takorova, Department of Conservative dentistry, Faculty of Dental medicine, Medical University – Sofia; 1, Georgi Sofiyski blvd, 1431 Sofia, Bulgaria; E-mail:

1. Kudiyirickal MG, Ivančaková R. Early enamel lesion. Part II. Histo-morphology and prevention. ActaMedica (Hradec Kralove). 2008 Mar;51(3):151-6. [PubMed]
2. Dalli M, Çolac H, Mustafa Hamidi M. Minimal intervention concept: a new paradigm for operative dentistry. J Investig Clin Dent. 2012 Aug;3(3):167-75. [PubMed] [CrossRef]
3. Frencken JE, Peters MS, Manton DJ, Leal SC, Gordan VV, Eden E. Minimal intervention dentistry (MID) for managing dental caries – a review: report of a FDI task group. Int Dent J. 2012 Oct;62(5):223-43. [PubMed] [CrossRef]
4. Bader JD, Shugars DA, Bonito AJ. A systematic review of the performance of methods for identifying carious lesions. J Public Health Dent. 2002 Fall;62(4):201-213. [PubMed]
5. Stookey GK, Gonzalez-Cabezas C. Emerging methods of caries diagnosis. J Dent Educ. 2001 Oct;65(10):1001-6. [PubMed]
6. Maia AM, Karlsson L, Margulis W, Gomes AS. Evaluation of two imaging techniques: near-infrared transillumination and dental radiographs for the detection of early approximalenamel caries. Dentomaxillofac Radiol. 2011 Oct;40(7):429-33. [PubMed] [CrossRef]
7. Amaechi BT. Emerging technologies for diagnosis of dental caries: The road so far. J Appl Phys. 2009 May;105:102047. [CrossRef]
8. Pitts NB. Are we ready to move from operative to non-operative/preventive treatment of dental caries in clinical practice? Caries Res. 2004 May-Jun;38(3):294-304. [PubMed] [CrossRef]
9. Astvaldsdottir A, Ahlund K, Holbrook WP, de Verdier B, Tranæus S. Approximal Caries Detection by DIFOTI: In Vitro Comparison of Diagnostic Accuracy/Efficacy with Film and DigitalRadiography. Int J Dent. 2012; 2012:326401 [PubMed] [CrossRef]
10. Young DA, Featherstone JD. Digital imaging fiber optic trans-illumination, F-speed radiographic film and depth of approximal lesions. J Am Dent Assoc. 2005 Dec;136(12): 1682-1687. [PubMed] [CrossRef]
11. Shinderman A, Elbaum M, Shultz T, Keem S, Greenebaum M, Driller J. Assessment of dental caries with Digital Imaging Fiber-Optic Transillumination (DIFOTI): in vitro study. Caries Res. 1997 Feb;31(2):103-110. [PubMed]

Received: 29 April 2014
Published online: 30 June 2014

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