Diagnosis of Occlusal Carious Lesions Using KaVo DIAGNOdent 2095

Abstract

Svrha je ovoga rada pojasniti način uporabe i utvrditi prednosti KaVo DIAGNOdent 2095 uređaja u kliničkoj detekciji raznih demineralizaciskih promjena u caklini okluzalnih ploha zuba, koje se podrazumjevaju inicijalnom karijesnom lezijom. Znatna prednost KaVo DIAGNOdent laserskoga uređaja temelji se na mogućnosti registracije i vrjednovanja fluorescentnoga zračenja, na načelu emisije pulsirajuće zrake valne duljine 655 nm. Na taj je način omogućen pristup sićušnim područjima okluzalnih caklinskih ploha koje nisu dostupne primjenom drugih dijagnostičkih metoda. Specifičnost i polivalentnost u uporabi temelje se i na mogućnosti dijagnoze dentalnoga plaka, diskoloracija i zubnoga kamenaca. Jednostavnost u rukovanju te pouzdanost i objektivnost kliničkoga nalaza (> 90 %) upućuju na prednosti u usporedbi s kliničkim radiografskim metodama. Ima veliku važnost za postavljanje dijagnoze u planiranju neinvanzivnih postupaka liječenje. Zato se preporučuje češća uporaba uređaja u svakodnevnoj kliničkoj dijagnostici karijesa zbog manje invanzivnoga pristupa u restorativnoj stomatologiji koji omogućuje da se maksimalno očuva zdravo zubno tkivo.The aim of the study was to explain in detail the usage of KaVo DIAGNOdent 2095 and to determine its advantages in clinical detection of early demineralisation of oclusal enamel surfaces, pronounced as initial occlusal caries lesins. The great advantage in diagnosis offered by KaVo DIAGNOdent laser based on its ability to register and evaluate fluorescent emission of the pulsed beam of the 655 nm wavelength. It enables access to the most minute occlusal routes, otherwise unreachable by other means of diagnosing techniques. Specificity and multidimensional approach is based on the pssibility of diagnosin dental plaque, discoloration and calculus. Simplicity and the ability to produce a reliable and objective clinical diagnosis (> 90 %) are the advantages in comparison with classical radiographic methods and inspection using a probe. It is of great importance in planning noninvasive and preventive conservative treatments. It is recommended for use more frequently in everyday clinical diagnosis of caries lesions, because of it’s less invasive approach in restorative dentistry, which leads to preservation of healthy tooth tissue