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- W3201505064 abstract "Dental caries is a highly prevalent disease which dental practitioners face daily. One of the key aspects of managing this disease when prevention has failed is diagnosis and being able to spot the caries; traditional methods include visual examination and probing for soft tissue. Three modern technologies: optical coherence tomography (OCT), fibre-optic transillumination (FOTI) and near-infrared transillumination (NIR), have been developed and sold by manufacturers to practitioners to aid the process of caries detection, but just how good are these technologies and are they accurate enough to be used in clinical practice? This article summarises the latest research on each of the methods, determines the positives and negatives of each instrument and determines the ability for them to detect caries. The key findings were that NIR has a similar ability to detect caries to bitewing X-rays and could be considered as an alternative to radiographs; FOTI is better for elimination of healthy teeth rather than detecting teeth with caries; and OCT is most sensitive but is not readily available for general practice and can have problems with penetration depth. In summary, all three technologies should be used to supplement traditional methods and not be stand-alone methods of caries detection. The most accessible and useful device currently seems to be NIR but all the devices have different applications outside of caries detection which need to be researched further so that clinicians can best choose which devices they want to use and for which applications." @default.
- W3201505064 created "2021-09-27" @default.
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- W3201505064 date "2021-09-17" @default.
- W3201505064 modified "2023-09-25" @default.
- W3201505064 title "Shining a light on caries: evaluating the evidence for diagnostic test accuracy of different illumination tests for the detection and diagnosis of enamel caries" @default.
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- W3201505064 doi "https://doi.org/10.1038/s41407-021-0716-7" @default.
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