Diagnostic tools for early caries detection

Andréa Ferreira Zandoná, Domenick Zero

Research output: Contribution to journalArticle

71 Citations (Scopus)

Abstract

Background. Management of dental caries demands early detection of carious lesions. This article provides an overview of the state-of-the-art methodologies for the detection and assessment of early carious lesions. Types of Studies Reviewed. The authors reviewed MEDLINE for available literature on new caries detection methodology and tools, using terms such as "early caries detection," "fluorescence" and "transillumination." Their review was not a systematic review of the literature. They included in their review in vitro, in situ, in vivo and clinical studies, as well as position papers, editorials and consensus conferences statements published in English. Results. Each early caries detection tool has advantages and disadvantages; some perform better on certain surfaces than others. Therefore, their performance threshold and the operator's influence on performance must be considered. Not all methods accurately detect early lesions, and false positives and false negatives may occur. Detecting early lesions in combination with assessing activity status is essential for establishing the prognosis and threshold required for preventive intervention. Clinically useful tools to help make such decisions are under development. Clinical Implications. Early caries detection methods should be an adjunct to clinical decision making, supporting preventive treatment planning in conjunction with caries risk assessment but not justifying premature restorative intervention.

Original languageEnglish (US)
Pages (from-to)1675-1684
Number of pages10
JournalJournal of the American Dental Association
Volume137
Issue number12
StatePublished - Dec 2006

Fingerprint

Transillumination
Dental Caries
MEDLINE
Fluorescence
In Vitro Techniques
Clinical Decision-Making
Clinical Studies

Keywords

  • Caries
  • Enamel, evidence-based dentistry
  • Fluorescence
  • Preventive dentistry
  • Radiograph

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Diagnostic tools for early caries detection. / Zandoná, Andréa Ferreira; Zero, Domenick.

In: Journal of the American Dental Association, Vol. 137, No. 12, 12.2006, p. 1675-1684.

Research output: Contribution to journalArticle

Zandoná, Andréa Ferreira ; Zero, Domenick. / Diagnostic tools for early caries detection. In: Journal of the American Dental Association. 2006 ; Vol. 137, No. 12. pp. 1675-1684.
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