Issue One 2020
2020, Vol. 7, issue 1, (January)
Comparison between visual and laser-fluorescence diagnosis of occlusal surfaces of first permanent molars. Literature review and clinical cases
Introduction: Proper examination of occlusal surfaces is one of the main objects of scientific interest in dental medicine. A number of diagnostic methods have been established, which purpose is more accurate diagnostics, however, the accurate diagnosis of the occlusal surface of newly erupted first permanent molars is still a challenge for dental specialists.
Aim: The aim of this study is to provide information about the application of visual and laser-fluorescence methods for diagnosis of occlusal surfaces of newly erupted first permanent molars and to present personal clinical cases.
Materials and methods: Articles in Bulgarian and English language were selected and read in full. We have also conducted our own studies on the application of visual diagnosis and laser-fluorescence diagnosis with Vistacam. 46 newly erupted first permanent molars of 12 children from 5 to 8 years old are monitored.
Results: The results of the literature studies confirm Vistacam as a reliable auxiliary diagnostic method, a useful complement to visual diagnostics. Our studies confirm that there is a correlation between the results reported of a diagnosis with Vistacam and visual examination using ICDAS II system. The ICDAS II system used in visual diagnostics is reliable enough, and the application of laser-fluorescence confirms and visualizes the presence or absence of changes in the mineralization of hard dental tissues.
Conclusion: The data obtained from literature sources as well as from our own clinical cases will serve as a basis for future studies connected with assessment of occlusal surfaces of newly-erupted first permanent molars before and after silanization, previously diagnosed as sound using both methods.
Authors:Lilyana Shtereva; Assistant professor in the Department of Pediatric Dentistry, Faculty of Dental Medicine, Medical University – Plovdiv;
Veselina Kondeva; Associate professor in the Department of Pediatric Dentistry, Faculty of Dental Medicine, Medical University – Plovdiv;