Fluorescence-aided caries excavation (FACE), caries detector, and conventional caries excavation in primary teeth.

Abstract:

PURPOSE:The purpose of this paper was to compare the ability of fluorescence-aided caries excavation (FACE) to remove infected dentin in primary teeth with that of conventional methods. METHODS:Sixty-six extracted carious primary teeth were divided according to lesion size into 3 groups of 22 teeth. Caries excavation was carried out with a slow-speed handpiece and round burs for all groups. In the first group, caries was excavated conventionally using visual tactile criteria. In the second group, a caries detector dye was used to detect carious dentin. In the FACE group, cavities were excited with violet light (370-420 nm) and observed through a 530 nm highpass filter. Orange-red fluorescing areas were removed. Undecalcified thin slices were prepared, stained with Giemsa, and examined for presence of infected dentin using light microscopy. Four samples were lost during processing. RESULTS:Histology showed infected dentin in significantly less FACE samples (3 of 22) compared to conventional excavation (9 of 20; P=.03), but not significantly less compared to caries detector (5 of 20; P=.35). CONCLUSIONS:Within the limitations of this in vitro study, it can be concluded that fluorescence-aided caries excavation is more effective than conventional excavation in removal of infected primary dentin.

journal_name

Pediatr Dent

journal_title

Pediatric dentistry

authors

Lennon AM,Attin T,Martens S,Buchalla W

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

316-9

issue

4

eissn

0164-1263

issn

1942-5473

journal_volume

31

pub_type

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