Images for reliable caries diagnosis

Images for reliable caries diagnosis

Clinical example Diagnocam Dr. Moussally, France

This is a case of occlusal dental caries, which can be detected with the naked eye, enlarged toward the lingual side Productinfo|Examples DrMoussally-Situation-initiale - KaVo DiagnoCam

The x-ray images do not enable the extension of the dental caries to be shown precisely Productinfo|Examples DrMoussally-005 - KaVo DiagnoCam

The DIAGNOcam allows the lingual extension of the dental caries to be shown Productinfo|Examples DrMoussally-46-situation-initiale - KaVo DiagnoCam

The removal of the decayed tissue confirms the extent of the damage determined by means of the DIAGNOcam Productinfo|Examples DrMoussally-Eviction-des-tissus-caries - KaVo DiagnoCam

The final result following direct restoration by means of a composite filling Productinfo|Examples DrMoussally-Resultat-final - KaVo DiagnoCam

The examination of the restored tooth with the DIAGNOcam shows that a restoration with composite neither influences the functioning nor the capacity of the system Productinfo|Examples DrMoussally-46-apres-soin - KaVo DiagnoCam

DIAGNOcam Examples

DIAGNOcam: Secondary caries Productinfo|Examples sekundaerkaries - KaVo DiagnoCam

DIAGNOcam: Occlusal caries Productinfo|Examples Okklusalkaries - KaVo DiagnoCam

DIAGNOcam: Cracks Productinfo|Examples cracks - KaVo DiagnoCam

DIAGNOcam: Proximal caries Productinfo|Examples karies - KaVo DiagnoCam

Productinfo|Examples platzhalter_bildslider_rechts_01 - KaVo DiagnoCam

Productinfo|Examples platzhalter_bildslider_rechts_03 - KaVo DiagnoCam

Productinfo|Examples platzhalter_bildslider_rechts_02 - KaVo DiagnoCam

Photos of Dr. Severin Holl, Geislingen

DIAGNOcam Photos of Dr. Severin Holl: Proximal caries Productinfo|Examples Approximalkaries-Aufnahmen-Dr-Holl - KaVo DiagnoCam

DIAGNOcam Photos of Dr. Severin Holl: Occlusal caries Productinfo|Examples Okklusalkaries-Aufnahmen-Dr-Holl - KaVo DiagnoCam

DIAGNOcam Photos of Dr. Severin Holl: Secondary caries Productinfo|Examples Sekundaerkaries-Aufnahmen-Dr-Holl - KaVo DiagnoCam

Diagnosis of interproximal caries in a permanent premolar

A) The clinical situation indicates a caries-free premolar. When the DIAGNOcam procedure is used caries can be diagnosed both on the mesial and the distal surface Productinfo|Examples approxi-a - KaVo DiagnoCam

B) When the DIAGNOcam procedure is used caries can be diagnosed both on the mesial and the distal surface; in neither case is the dentine-enamel junction implicated. Productinfo|Examples approxi-b - KaVo DiagnoCam

C) Although the corresponding bitewing X-ray image cannot be evaluated due to the projection conditions, the image of the distal surface points to enamel caries. Productinfo|Examples approxi-c - KaVo DiagnoCam

D) The further procedure is to include preventative support of caries monitoring, which is eminently possible with the DIAGNOcam procedure. In addition, the indication for caries infiltration can be identified. Productinfo|Examples approxi-d - KaVo DiagnoCam

Source: created by the Ludwig-Maximilian University Munich, Department of Conservative Dentistry, 2012.

Diagnosis of interproximal caries in a permanent premolar

A) Apart from occlusal browning, a clinical investigation of premolar 15 does not identify any other signs of carious processes. Productinfo|Examples approxi2-a - KaVo DiagnoCam

B) In contrast, the DIAGNOcam image points out extensive distal shadowing, which has already extended to the dentine-enamel junction. Productinfo|Examples approxi2-b - KaVo DiagnoCam

C) The associated bitewing X-ray picture points to a carious process reaching into the inner half of the dentine. Productinfo|Examples approxi2-c - KaVo DiagnoCam

D) After exposure of the carious process in the context of filling therapy the extent of the lesion correlates with the DIAGNOcam image (enamel caries) and the bitewing X-ray picture (dentine caries). Productinfo|Examples approxi2-d - KaVo DiagnoCam

Source: created by the Ludwig-Maximilian University Munich, Department of Conservative Dentistry, 2012.

Occlusal diagnosis in a permanent molar (hidden caries)

A) A visual investigation of the occlusal surface of tooth 46 does not provide any definite proof of a carious discoloration etc. Productinfo|Examples okklusal-a - KaVo DiagnoCam

B) In the DIAGNOcam image a shadow can be identified in the central fissure area. Productinfo|Examples okklusal-b - KaVo DiagnoCam

C) A shadow can be identified in the central fissure area which also shows up clearly in the X-ray image as a light patch. Productinfo|Examples okklusal-c - KaVo DiagnoCam

D) When the carious process is opened up carious dentine can be seen. Productinfo|Examples okklusal-d - KaVo DiagnoCam

Source: created by the Ludwig-Maximilian University Munich, Department of Conservative Dentistry, 2012.

Occlusal diagnosis in a permanent molar (hidden caries)

A) Tooth 37 shows an established occlusal carious lesion with several localized enamel breaches. Productinfo|Examples okklusal2-a - KaVo DiagnoCam

B) Demineralization is apparent around the mesiobuccal cusp, which stands out in the DIAGNOcam image as a dark shadow. Productinfo|Examples okklusal2-b - KaVo DiagnoCam

C) The corresponding X-ray image shows up an advanced dentine lesion. Productinfo|Examples okklusal2-c - KaVo DiagnoCam

D) When the carious process is opened up, the active lesion character and the undermining expansion of the caries can be seen. Productinfo|Examples okklusal2-d - KaVo DiagnoCam

Source: created by the Ludwig-Maximilian University Munich, Department of Conservative Dentistry, 2012.

Diagnosis of interproximal caries in two primary molars

A) A clinical examination of the proximal space between 74 and 75 only provides evidence of a carious process on the distal side of 74. Productinfo|Examples approxi3-a - KaVo DiagnoCam

B) In the DIAGNOcam image shadowing can be seen involving the dentine-enamel junction both mesially on 75 and distally on 74. Due to the very thin enamel layer and the restricted transillumination due to reabsorption processes can hinder diagnosis of milk teeth. Productinfo|Examples approxi3-b - KaVo DiagnoCam

C) In the X-ray image a carious process involving the dentine on both teeth can be identified. Productinfo|Examples approxi3-c - KaVo DiagnoCam

Source: created by the Ludwig-Maximilian University Munich, Department of Conservative Dentistry, 2012.

Fissure sealing and composite filling in a permanent molar

A) Extensive fissure sealing can be seen on 36. In addition a composite filling on the mesiolingual cusp shows up. Productinfo|Examples Fissuren-1 - KaVo DiagnoCam

B) Extensive fissure sealing can be seen on 36, which in the DIAGNOcam image appears as clearly defined, opaque shadowing. A composite filling on the mesiolingual cusp shows up, which also clearly shows up in the DIAGNOcam image as a well defined shadow. Productinfo|Examples Fissuren-2 - KaVo DiagnoCam

Source: created by the Ludwig-Maximilian University Munich, Department of Conservative Dentistry, 2012.

Ceramic inlays

A) A ceramic inlay has been installed distally on 14 while 15 has a mesial ceramic inlay. Productinfo|Examples keramisch-1 - KaVo DiagnoCam

B) On the DIAGNOcam image the fillings are clearly defined against the enamel as opaque, well delineated areas, whereby the transillumination effects are significantly reduced. In addition, an initial mesial lesion can be clearly seen on 14. Productinfo|Examples keramisch-2 - KaVo DiagnoCam

Source: created by the Ludwig-Maximilian University Munich, Department of Conservative Dentistry, 2012.

Proximal caries in an upper molar

A) Clinical examination of an upper molar does not provide any evidence for the presence of carious processes in the mesial contact zone. Productinfo|Examples approxi4-a - KaVo DiagnoCam

B) In contrast, the DIAGNOcam image indicates an extensive shadow zone, which has already extended to the enamel-dentine boundary. Productinfo|Examples approxi4-b - KaVo DiagnoCam

C) A bitewing image reveals only an extremely faint lightness of this area. Productinfo|Examples approxi4-c - KaVo DiagnoCam

D) After opening, a carious process is revealed. Productinfo|Examples approxi4-d - KaVo DiagnoCam

E) After opening, a carious process is revealed, which - after excavation and preparation - is treated with the SONICfill system. Productinfo|Examples approxi4-e - KaVo DiagnoCam

Source: Dr. Severin Holl, Geislingen

Occlusal caries in a lower molar

A) The initial clinical situation shows areas of the central fissure discoloured by caries. Productinfo|Examples okklusal3-a - KaVo DiagnoCam

B) They appear as shadows of indistinct demarcation on the DIAGNOcam image. Productinfo|Examples okklusal3-b - KaVo DiagnoCam

C) An x-ray image does not give any indications for carious lesions. Productinfo|Examples okklusal3-c - KaVo DiagnoCam

D) After opening, a carious process is clearly visible. Productinfo|Examples okklusal3-d - KaVo DiagnoCam

E) Restoration by dental composite. Productinfo|Examples okklusal3-e - KaVo DiagnoCam

Source: Dr. Severin Holl, Geislingen

Secondary caries in a lower molar

A) A DIAGNOcam image of a filling in need of renewal reveals shadows in the lingual region (red arrows) that appear markedly darker against the dentine's buccal grey shades (blue arrow). In addition, a crack between the two lingual cusps can be identified (black arrow). Productinfo|Examples sekundaer-a - KaVo DiagnoCam

B) In contrast, an x-ray image does not reveals any abnormal findings. Productinfo|Examples sekundaer-b - KaVo DiagnoCam

C) After opening of the cavity a carious lesion of partial undercutting extents is revealed. Productinfo|Examples sekundaer-c - KaVo DiagnoCam

D) Comparison of the suspect carious areas in the DIAGNOcam image (red arrows) with a post excavation image provides good indication that they correspond well with the clinical extent. Productinfo|Examples sekundaer-d - KaVo DiagnoCam

E) The lesion was repaired using the SonicFill system. Productinfo|Examples sekundaer-e - KaVo DiagnoCam

Source: Dr. Severin Holl, Geislingen