Journal of Conservative Dentistry
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ORIGINAL ARTICLE
Year : 2015  |  Volume : 18  |  Issue : 5  |  Page : 364-368

Comparative clinical evaluation of the efficacy of a new method for caries diagnosis and excavation


Department of Restorative Dentistry, Faculty of Dentistry, Ege University, Izmir, Turkey

Correspondence Address:
Dr. Cem Peskersoy
Department of Restorative Dentistry, Faculty of Dentistry, Ege University Campus, Erzene Road, Izmir - 35040
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-0707.164032

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Aim: The purpose of this study is to compare the efficiency of fluorescence-aided caries excavation (FACE) to remove carious dentin primary teeth with that of conventional methods. Methods and Materials: After caries excavation was carried out, dentin surfaces were conventionally inspected using visual tactile criteria and 415 cavities which were classified as caries-free, re-inspected with Face-Light and caries detector dye (CDD) methods. Orange-red fluorescing areas classified as carious dentin, as well as stained carious dentin. All the data were recorded according to localization of the caries and determination efficiency of the methods. X 2 test was used to compare the mean values of both Face-Light and dye applications, while Wilcoxon test performed to evaluate the effectiveness for each diagnostic method. Results: A total of 273 patients with 415 Class II (OM/OD) cavities (1.65 ± 0.52 teeth per patient) with carious lesions in molar and premolar teeth, were examined. Out of 415 teeth, in 149 teeth (35.9%) no caries findings had been illustrated. While FACE detected remaining carious or partially removed areas in 237 teeth (57.2%), CDD stained only 29 teeth by itself (P < 0.05). Conclusion: In conclusion, FACE has a higher detectability compared to visual inspection and caries detector dye in diagnosis and removal of carious dentin.


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