Clinical protocol for the registration of individual translucent zones of frontal teeth

Rangel Todorov,Stefan Zlatev,Georgi Todorov

doi:10.12688/f1000research.12651.1

Rangel Todorov, Stefan Zlatev + Show 1 more

Open Access

https://doi.org/10.12688/f1000research.12651.1

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Abstract

In contemporary dentistry, a successful restoration should not only restore the shape and function of the impaired dentition, but also contribute to the overall aesthetic appearance. In order to achieve this goal, the dental team should possess complete information about the different optical dimensions of the tooth structure. Besides the standard properties of the color, it is important to define, register and interpret the shape and position of the individual translucent zone.With the help of a device and software developed by the authors, a five step clinical protocol has been developed by the authors for individual translucent zone registration, with the help of trans-illumination. The translucent areas are then shown in a digital photograph of the teeth, analyzed and interpreted. The translucent zone is finally visualized as a ‘translucent map’, which is clearly defined, and is easily interpreted and used by the dental team.

Highlights

The term trans-illumination depicts tissue diagnostics with a high intensity light beam projected through an object
Trans-illumination is a well-known diagnostic concept used in dentistry
If a tooth is illuminated with sufficient intensity, those clinical findings would appear as dark spots surrounded by light, healthy tooth substance[3,4]

Summary

Introduction

The term trans-illumination depicts tissue diagnostics with a high intensity light beam projected through an object. Trans-illumination is a well-known diagnostic concept used in dentistry. If a tooth is illuminated with sufficient intensity, those clinical findings would appear as dark spots surrounded by light, healthy tooth substance[3,4]. Using this method fractures lines and orifices of molars, and premolars can be visualized[5,6]. These are among the reasons why trans-illumination is most frequently applied in operative dentistry. The two devices commonly used are FOTI (fiber-optical trans-illumination) and DIFOTI (digital fiber-optic trans-illumination)[7,8]

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