Received 05.08.2023
DOI: 10.35556/idr-2023-3(104)10-14
Optical methods for caries detection and determination of caries removal end points.
1Turkina A.Yu., ORCID ID: 0000-0003-2852-0051, 1Kochmareva A.S., ORCID ID: 0000-0003-3362-4111, 1Nikolashvili N.I., ORCID ID: 0000-0001-8349-9991, 1Vlasova N.N., ORCID ID: 0000-0003-3665-1916, 1Samusenkov V.O., ORCID ID: 0000-0001-6266-0555, 2Shelemetieva G.N., ORCID ID: 0000-0003-2746-2443, 1Monakhov I.S., ORCID ID: 0009-0000-3040-7029
1I.M. Sechenov First Moscow State Medical Universi-ty (Sechenov University), E.V. Borovsky Institute of Dentistry, Department of Therapeutic Dentistry
119991, Russia, Moscow, Trubetskaya St., 8, Bld. 2
2Private dental practice
675009, Russia, Blagoveshchensk, Kuznechnaya St., 65
E-mail address: cochmaryova@gmail.com

Summary
The modern standard in dentistry requires minimally invasive treatment, as it allows preserving the teeth vitality. The purpose of this study was to evaluate the possibility of laser spectroscopy and quantitative light-induced fluorescence to determine the caries removal end point. Materials and methods: the study was conducted on ten third molars extracted for medical reasons. Measurements were carried out at different stages of preparation of the carious cavity using laser spectroscopy (DIAGNOdent-pen) and quantitative light-induced fluorescence (Qraypen). Results: both methods were effective in differentiating affected and infected dentin. The following indicators of carious tissues were obtained. DIAGNOdent-pen: carious enamel — 28.8±8; soft dentin — 68.3±14; firm dentin (pigmented and non-pigmented) — 23.7±8 and 9.2±3 respectively; healthy dentin (hard) — 4.7±3. For Qraypen: carious enamel — ΔF=25.7±9, ΔR=26; soft dentin — ΔF=26.6±9 ΔR=28.75; firm dentin — ΔF=18.4±9, ΔR=0—10 (no difference between pigmented and non-pigmented was observed); healthy dentin (hard) — ΔF=13.7±8, ΔR=0. Conclusion: methods of laser spectroscopy and quantitative light-induced fluorescence can be used for diagnostics and to assess the quality of preparation of carious cavities, effectively detect fissure caries and selectively remove infected dentin.

Keywords: dentine caries, minimally-invasive treatment, laser spectroscopy, quantitative light-induced fluorescence.

For citation: Turkina A.Yu., Kochmareva A.S., Nikolashvili N.I., Vlasova N.N., Samusenkov V.O., Shelemetieva G.N., Monakhov I.S. Optical methods for caries detection and determination of caries removal end points. Stomatology for All / Int. Dental Review. 2023; no.3(104): 10-14 (In Russian). doi: 10.35556/idr-2023-3(104)10-14
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