Download Detection, Assessment, Diagnosis and Monitoring of Caries by Nigel Pitts PDF

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By Nigel Pitts

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Extra resources for Detection, Assessment, Diagnosis and Monitoring of Caries

Example text

Ellwoodb и A. B. Pittsc a Department of Preventive, Restorative and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland; bDental Health Unit, Dental School, University of Manchester, Manchester, cDental Health Services and Research Unit, University of Dundee, Dundee, UK Abstract Lesion detection aids ideally aim at increasing the sensitivity of visual caries detection without trading off too much in terms of specificity. The use of a dental probe (explorer), bitewing radiography and fibre-optic transillumination (FOTI) have long been recommended for this purpose.

In some countries and systems, modern methods and approaches to clinical visual lesion detection to enable preventionorientated caries management are well established. In other (often well-developed) countries and systems, the barriers to implementation are complex and remain strong. This area is itself a research priority as, at present in many countries, the dental profession can be accused of ‘preferring to treat rather than prevent oral diseases’ [61]. Implementation activities should be focussed on the different needs of the dental and public/stakeholder communities involved with caries, its prevention and management in the domains of clinical practice, research, public health and education.

Code 1: Pits and Fissures Some code 1 lesions in the pits and fissures show no evidence of any change in colour attributable to caries when viewed wet, but after prolonged air-drying (approx. 5 s is suggested to adequately dehydrate a carious lesion in enamel), a carious opacity of discolouration (brown or white lesions) becomes visible with an appearance which is not consistent with sound enamel. Other code 1 lesions, which have picked up staining from the oral environment, can be seen even when the tooth is wet.

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