Application of Contemporary Magnifying Methods in the Diagnostics of Occlusal Carious Lesions on First Permanent Molars in Children

Autor: Maya Rashkova, Ralitsa Bogovska-Gigova, Hristina Tankova, Natalia Gateva, Nadezhda Mitova, Krasimir Hristov
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Folia Medica, Vol 62, Iss 3, Pp 585-591 (2020)
Druh dokumentu: article
ISSN: 1314-2143
DOI: 10.3897/folmed.62.e47751
Popis: Introduction: Dental operating microscopes (DOM) enable dentists to examine, with the aid of magnification and photodocumentation in clinical conditions, the occlusal anatomy of newly erupted permanent molars and to detect any early carious lesions more precisely.Aim: To determine the advantages of magnifying technology in detecting early occlusal carious lesions in newly erupted permanent first molars.Materials and methods: We examined 176 first molars of 44 children divided into two age groups: 7-8 and 9-10 years. The surfaces of each of the teeth were examined after they were cleaned with a brush without paste. The diagnoses were first made using only illumination and a clinical examination. These were followed by a visual examination of the occlusal surface using a DOM at ×8 magnification. A photo of the occlusal surface was then taken with a camera at the respective magnification for the purposes of photodocumentation.Results: This study demonstrated that dental operating microscopes increased by 7% the rate of successful detection of early caries lesions on the occlusal surfaces. There was also a significant increase of the number of diagnosed cavitated caries in the dentine in comparison with those detected with naked eye. Using DOMs in pediatric dentistry facilitates the more detailed and precise diagnosing of early stage carious lesions and/or cavitations in the fissures.Conclusion: The use of a DOM facilitates differential diagnosing between deep fissures and early carious lesions, which is a key point in the assessment of occlusal surfaces of newly erupted permanent molars, necessary for their preventative sealing and micro-invasive treatment.
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