Abstract:

Caries detection on occlusal surfaces and its perfection are main object of scientific interest in dentistry. The initial assessment of hard tooth tissue is normally visual. Apart from purely visual diagnosis, there are other methods for the detection of caries on occlusal surfaces. Some of the modern and reliable methods for diagnosis are fluorescence-based methods. The case presented if of a six year-old girl R.V. from Plovdiv Bulgaria, whose first permanent molar’s occlusal surface was examined by visual diagnosis using the system ICDAS II, and laser-fluorescence with VistaCam iX proof. The enamel was sound, and the tooth was sealed, and monitored after 6 and 12 months. The laser-fluorescence diagnostic showed false positive results for initial caries, which was not found after the sealant removal. The sealant was reapplied. It was concluded that VistaCam is a reliable diagnostic method, a useful addition to visual diagnostics on the ICDAS system. Further studies should be performed for more precise results.