Abstract
This systematic review was conducted to assess the accuracy of laser fluorescence (DIAGNOdentTM) for diagnosis of occlusal caries in permanent teeth, using any sort of gold standard. The MEDLINE, LILACS, BBO and Cochrane library databases accessed by BIREME were searched for English, Spanish and Portuguese-language papers published between 1982 and 2003. Four works in English were selected. DIAGNOdentTM was found to be an accurate method for diagnosis of occlusal caries, mainly if employed simultaneously with visual inspection.
Highlights
Despite its decreasing prevalence in the Brazilian population, dental caries are still an important Public Health problem[2,16]
The areas most affected by dental caries are the occlusal surfaces, from which 50 to 60% are damaged by the disease.[6]
- DIAGNOdentTM can be useful as an aid to visual inspection. - Alone, DIAGNOdentTM is unable to distinguish between hypomineralized caries and stainings - DIAGNOdentTM values were found to be more similar to those provided by the manufacturer than those reported by Lussi, et al.[11] (1999)
Summary
Despite its decreasing prevalence in the Brazilian population, dental caries are still an important Public Health problem[2,16]. When compared to the others, occlusal surfaces are known to be the most susceptible surfaces to caries They are the most frequently restored and the most difficult to diagnose[4,12,15,18]. The methods traditionally employed for diagnosis of caries include clinical (visual) inspection, tactile examination by probing and bitewing radiographs[2,17]. Radiographic images, on the other hand, are useful to detect enamel proximal lesions and dentin occlusal lesions, but are usually unsuitable to identify occlusal caries restricted to enamel. Other methods such as fiber optic transillumination (FOTI), videoscopic exam have been under discussion and some have already been developed to help in the diagnosis of caries. The aim was to evaluate the diagnostic accuracy of such a device for occlusal caries
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