A Comparison of the Effects of Prophylaxis Pastes on In Vitro Laser Fluorescence Caries Detection Measurements

Year 2010, Volume: 37 Issue: 2 - Volume: 37 Issue: 2, 61 - 66, 01.10.2010

Engin Ersöz Fatma Aytaç Fikret Yılmaz Ali Çağın Yücel

Abstract

It was the aim of this study to examine the effects of cleaning with prophylaxis pastes/powder and toothpaste on the DD readings of teeth with dentinal caries. A total of 42 extracted molar teeth were used in this study. All teeth selected had a light fluorescent DDV reading of >18 at one occlusal site. Teeth were randomly distributed into 6 groups Nupro-Denstply, Topex-Sultan Healthcare, Enamel Pro-Premier Dental Products, Alpha Pro-Dental Technologies, Total 12-Colgate, PROPHYpearls-KaVo . After obtaining baseline readings, pastes/powder and tooth paste were applied, tooth surfaces were rinsed with water using a air/water syringe for 3 s, and DD measurements were taken. Rinsing was performed for an additional 3 s, and DD measurements were repeated. The lowest DDV was observed in Nupro and PROPHYpearls group, which were not significantly different from each other in all time intervals. When comparing of rinsing time, there was statistically significantly difference between DDV of Topex, Enamel Pro, Alpha Pro, Total 12 groups at 0-3, 0-6 s time intervals and between DDV of Enamel Pro, Alpha Pro, Total 12 groups at 3-6 s time intervals. When using the laser fluorescence method dentists must take into account that there are potential factors that can change the readings. Prophylactic products used in practice and in home care could interfere with DDV

Keywords

Caries Detection, Dentin Caries, DIAGNOdent, Laser Fluorescence, Prophylaxis Pastes.

Çürük teşhisinde kullanılan lazer floresan cihazının ölçüm değerleri üzerine profilaksi patlarının etkilerinin in vitro olarak karşılaştırılması

Abstract

Bu çalışmanın amacı, dentin çürüğü olan dişleri profilaksi patları/tozu ve diş macunu ile temizlemenin DD değerlerine olan etkilerini incelemektir. Bu çalışmada 42 adet çekilmiş molar diş kullanıldı. Seçilen tüm dişlerin oklüzal yüzeyinden okunan DD değeri >18’di. Dişler rastgele olarak 6 gruba ayrıldı Nupro-Denstply, TopexSultan Healthcare, Enamel Pro-Premier Dental Products, Alpha Pro-Dental Technologies, Total 12-Colgate, PROPHYpearls-KaVo . Başlangıç okuma değerleri kaydedildikten sonra diş yüzeylerine profilaksi patları/tozu ve diş macunu uygulandı. Diş yüzeyleri hava/su spreyi ile 3 s yıkandı ve DD ölçümleri yapıldı. Yıkama işlemi 3 s daha yapıldı ve DD ölçümleri tekrarlandı. En düşük DD değerleri Nupro ve PROPHYpearls gruplarında izlendi ve bu iki grup arasında tüm zaman aralıklarında istatistiksel olarak anlamlı bir farklılık belirlenmedi. Topex, Enamel Pro, Alpha Pro ve Total 12 gruplarının DD değerleri 0-3, 0-6 s zaman aralıklarında ve Enamel Pro, Alpha Pro ve Total 12 gruplarının DD değerleri 3-6 zaman aralığında istatistiksel olarak anlamlı farklılıklar gösterdi. Diş hekimleri, lazer floresans metodunu kullanırken okuma değerlerini değiştirebilecek potansiyel faktörlerin olabileceğini göz önünde bulundurmalıdır. Profesyonel ve ev bakımında kullanılan profilaktik ürünler DD değerlerini etkileyebilir.

Keywords

Çürük teşhisi, Dentin Çürüğü, DIAGNOdent, Lazer Floresans, Profilaksi Patları.

References

• Manton DJ, Messer LB. Pit and fissure sealants: another major cornerstone in preventive dentistry. Aust Dent J 1995; 40: 20-9.
• Wenzel A, Larsen MJ, Fejerskov O. Detec- tion of occlusal caries without cavitation by visial inspection, film radiographs, xerora-diographs, and digitized radiographs. Caries Res 1991; 25: 365-71.
• Lussi A. Validity of diagnostic and treat- ment decisions of fissure caries. Int Dent J 1991; 25: 296-303.
• Lussi A. Comparison of different methods for the diagnosis of fissure caries without cavita- tion. Caries Res 1993; 27: 409-16.
• Lussi A. Impact of including or excluding cavitated lesions when evaluating methods fort he diagnosis of occlusal caries. Caries Res 1996; 30: 389-93.
• Ferreira Zandona AG, Analoui M, Sche- mehorn BR, Eckert GJ, Stookey GK. Laser fluores- cence detector of demineralization in artificial oc- clusal fissures. Caries Res 1998; 32: 31-40.
• Lussi A,Hibst R, Paulus R: DIAGNOdent: An optical method for caries detection. J Dent Res 2004; 35: 80-3.
• Hosoya Y, Matsuzaka K, Inoue T, Mar- shall GW. Influence of tooth-polishing pastes and sealants on DIAGNOdent values. Quintessence Int 2004; 35: 605-11.
• Atrill DC, Ashley PF. Occlusal caries de- tection in primary teeth: A comparison of DIAG- NOdent with conventiobal methods. Br Dent J 2001; 190: 440-3.
• Lussi A, Megert B, Longbottom C, Reich E, Francescut P. Clinical performance of laser fluo- rescence device for detection of occlusal caries le- sions. Eur J Oral Sci 2001; 109: 14-9.
• Anttonen V, Seppa L, Hausen H. Clinical study of the use of laser fluorescence device DI- AGNOdent for detection of occlusal caries in chil- dren. Caries Res 2003; 37: 17-23
• Anttonen V, Seppa L, Hausen H. A fol- low-up study of the use of DIAGNOdent for moni- toring fissure caries in children. Community Dent Oral Epidemiol 2004; 32: 312-8.
• Anttonen V, Seppa L, Hausen H. Clinical study on the effect of professional cleaning of oc- clusal tooth surfaces on laser fluorescence meas- urements. Caries Res 2005; 39: 280-3.
• Costa AA, Paula LM, Bezerra ACB. Use of DIAGNOdent for diagnosis of non-cavitated oc- clusal dentin caries. J Appl Oral Sci 2008; 16: 18- 23.
• Lussi A, Imwinkelried S, Pitts N, Longbot- tom C, Reich E. Performance and reproducibilty of a laser fluorescence system for detection of occlusal caries in vitro. Caries Res 1999; 33: 261-6.
• Shi XQ, Welander U, Angmar-Mansson B. Occlusal caries detection with KaVo DIAGNOdent and radiography: An in vitro comparison. Caries Res 2000; 34: 151-8.
• Sheehy EC, Brailsford SR,Kıdd EAM, Beighton D, Zoı-Topoulos L. Comparison between visual examination and a laser fluorescence system for in vivo diagnosis of occlusal caries. Caries Res 2001; 35: 421-6.
• Mendes FM, Hissadomi M, Imparato JCP. Effects of drying time and the presence of plaque on the in vitro performance of laser fluorescence in occlusal caries of primary teeth. Caries Res 2004; 38: 104-8.
• Bamzahim M,Shi XQ, Angmar-Mansson B. Occlusal caries detection and quantification by DIAGNOdent and electronic caries monitor: In vi- tro comparison. Acta Odontol Scand 2002; 60: 360- 4.
• Costa AM, Yamaguti PM, De Paula LM, Bezerra AC. In vitro study of laser diode 655 nm diagnosis of occlusal caries. ASDC J Dent Child 2002; 69: 249-53.
• Cortes DF, Ellwood RP, Ekstrand KR. An in vitro comparison of combined FOTI/visual ex- amination of occlusal caries with other caries diag- nostic methods and the effect of stain on their diag- nostic performance. Caries Res 2003; 37: 8-16.
• Lussi A, Reich E. The influence of tooth- pastes and prophylaxis pastes on fluorescence measurements for caries detection in vitro. Eur J Oral Sci 2005; 113: 141-4.
• Ferreira Zandona AG, Analoui M, Sche- mehorn BR, Eckert GJ, Stookey GK. Laser fluores- cence detector of demineralization in artificial oc- clusal fissures. Caries Res 1998; 32: 31-40.
• Sultanov DJ. Diagnosis and treatment of dental caries: A microdentistry approach. Dent To- day 2001; 20; 68-71.
• Alwas-Danowska HM, Plasschaert AJM, Suliborski S, Verdonschot EH. Reliability and va- lidity issues of laser fluorescence measurements in occlusal caries diagnosis. J Dent 2002; 30: 129-34.
• Heinrich-Weltzien R, Weerheijm KL, Kuhnisch J, Oehme T, Stösser L. Clinical evalua- tion of visual, radiographic, and laser fluorescence methods for detection of occlusal caries. J Dent Child 2002; 69: 127-33.