CARIES DETECTION

ENTANGLEMENT OF ACCUSTOMED & NEOTERIC METHOD.

PRESENTED BY ;RINKU YADAV. LEENA GARG.

.

DEFINITION
Diagnosis is the science of recognizing disease by means of signs symptoms and tests.

VISUAL INSPECTION

1.Assemble facts
Chief complaint Medical & Dental history History of the present condition

Subjective sym.

2. Screen & interpret the assembled clues (Oral Exam) 3. Differential Diagnosis

4. Operational or working diagnosis (Final diagnosis)

History of Present Illness

SUBJECTIVE INFORMATION
History of pain Stimulus of pain Frequency of pain Severity of pain Duration of pain Spontaneity of pain Location of pain Character of pain Alleviation of pain

OBJECTIVE INFORMATION
Visual examination Percussion and palpation Caries and fractured restorations Sinus tracts Tooth fractures Extensive restoration Exposed dentin, wear facets Periodontal disease, mobility
COMPARATIVE TESTING
Thermal tests Electric pulp tests Anesthetic test, test cavity Transillumination

RADIOGRAPHIC ASSESSMENT

Tooth length, no. of roots Calcifications, orifice location Number of canals, radiolucencies Resorptions, fractures

ASSESSMENT OF PULP AND PERIRADICULAR TISSUES PLAN OF TREATMENT

TACTILE EXAMINATION
Explorer and Floss Right angle probe Back action probe Shepherds crook Cow horn with curved ends

Increasing knowledge about the limitations of conventional caries diagnostic methods and changes in lesion morphology act as a spur to the development of new diagnostic aids..

INTRA ORAL DENTAL XERORADIOGRAPHY

Xerographic copying Record images No wet processing Uses photoconductors or semiconductors

DYES IN CARIES DETECTION

Widespread use in medicine, biology & dentistry Discrimination & easy identification of objects

CARIOUS ENAMEL DETECTION

DETECTION OF CARIOUS DENTIN

Infected Vs Affected Dentin

FIBER OPTIC TRANSILLUMINATION

In medicine since 1960s Used for surgical retraction in dentistry, caries detection, calculus, soft tissue lesions Especially proximal lesions Ease & flexibility

Alternative for bite wing

THE UNIT

DIAGNOSTIC PROCEDURE

DIFOTI

USE OF LASER FLUORESCENCE

PRINCIPLE

DIAGNODENT
Chairside, battery-powered quantitative diode laser fluorescence device 655nm light beam Changes assigned a numeric value, which is displayed on the monitor

OPERATION

DIAGNODENT VALUES
Between 5 and 25 - initial lesions in the enamel Greater than this range indicate early dentinal caries Advanced dentin caries is said to yield values greater than 35

ELECTRONIC RESISTANCE MEASUREMENTS

Depth dependent gradient of enamel solubility or permeability- unique pattern of demineralization

PRINCIPLE & OPERATION

CARIES METER
Electronic caries detector Solid Probe on dried occlusal surface Green- sound surface Yellow- enamel caries Orange- Dentinal caries Red- Pulpal involvement

ULTRASONIC CARIES DETECTOR

THANK YOU

CARIES DETECTION ENTANGLEMENT OF ACCUSTOMED & NEOTERIC METHOD Dental Caries a destructive process causing decalcification of the tooth enamel and leading to continued destruction of enamel and dentin, and cavitation of the tooth. CONVENTIONAL METHODS
VISUAL INSPECTION

RECENT METHODS
ILLUMINATION

TACTILE EXAMINATION ENDOSCOPY

DYES IN CARIES DETECTION INTRAORAL TELEVISION CAMERA

ILLUMINATION ELECTRICAL CONDUCTANCE MEASUREMENT

RADIOGRAPHY

GUIDED BY:- PRESENTED BY:DR. PRASHANT RINKU YADAV (MDS, READER) LEENA GARG (BDS 4th YEAR)

RADIOGRAPHY