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CARIES CHALLENGE

Take the caries diagnosing challenge

Most dentists will agree that the accurate detection of early caries lesions is highly subjective, and that is because active demineralization and arrested or remineralized lesions both have a similar clinical appearance.

Currently, we rely on visual and tactile information for our clinical assessment of the occlusal and smooth surfaces of the teeth, and whilst radiographs are effective are determining dentinal caries, they don’t provide any information regarding the earlier stages, and whilst reversible.

Can you differentiate between active and inactive lesions?

GET STARTED
IMAGE 1
Can you differentiate?
3
MODERATE
Quiz Image Overlay Overlay
Prevention/Treatment Pathway Options

If no or minimal signs of dentinal caries involvement on radiography or transillumination – Fissure Sealant;

if signs of moderate dentinal caries, fissurotomy exploration and Sealant or Sealant-restoration;

Assess all other molars with Calcivis Imaging.

Supported by:

  • Fluoride for prevention (all teeth)
  • OHI/Education
  • Regular screening with Calcivis Imaging
Please observe that the mesial of this tooth has a bioluminescence signal but no obvious demineralization on the tooth surface.
IMAGE 2
Can you differentiate?
0
SOUND
Quiz Image Overlay Overlay
Prevention/Treatment Pathway Options

Low Caries Risk – Baseline Prevention

Medium to High Risk – Fissure sealant

Supported by:

  • Fluoride for prevention (all teeth)
  • OHI/Education
  • Regular screening with Calcivis Imaging
This tooth has a developmental anomaly and is hypoplastic; therefore, applying a fissure sealant could be an option to remove plaque retention sites and thus reduce the patient’s caries risk.
IMAGE 3
Can you differentiate?
0
SOUND
Quiz Image Overlay Overlay
Prevention/Treatment Pathway Options

Low Caries Risk – Regular Fluoride and monitoring

Medium to High Risk – Fissure sealant or silver diamine fluoride

Supported by:

  • Fluoride for prevention (all teeth)
  • OHI/Education
  • Regular screening with Calcivis Imaging
The staining in the fissures is either arrested or remineralized or it is staining, and whilst it is not showing any caries activity, you may opt to intervene based on the patient’s caries risk or level of compliance.
IMAGE 4
Can you differentiate?
2
EARLY
Quiz Image Overlay Overlay
Prevention/Treatment Pathway Options

High Risk or Poor Patient Compliance – Fissure Seal

Low to Medium Risk – Fissure seal or Consider Curodont or Silver Diamine Fluoride

Supported by:

  • Fluoride for prevention (all teeth)
  • OHI/Education
  • Closely monitor the sealant or review the lesion with Calcivis
  • Shorter recall
This is a classic pattern of demineralization where the established lesion has a strong bioluminescent signal accompanied by a lower signal on the mildly stained fissures.
IMAGE 5
Can you differentiate?
0
SOUND
Quiz Image Overlay Overlay
Prevention/Treatment Pathway Options

Low Caries Risk – Regular Fluoride and monitoring

Medium to High Risk – Fissure sealant or silver diamine fluoride

Supported by:

  • Fluoride for prevention (all teeth)
  • OHI/Education
  • Regular screening with Calcivis Imaging
This heavily stained fissure can be commonly observed, and even the world’s leading cariologists can have differing opinions on the activity status.  Knowing the activity status can provide you with confidence in your decision-making.

The Calcivis imaging system is revolutionising a new value in preventive dentistry and in building the patient experience in the hygiene room. Learn how to optimize the prevention workflow.

Restart Quiz
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Dental caries is the most prevalent non-communicable preventable disease in the world.  

Calcivis’ world-first bioluminescence technology can eliminate subjectivity by accurately determining the activity status of an early caries lesion.  The system captures free calcium ions released in active demineralization.

The clinical confidence gained, as well as high-impact visual images to convey powerful educational messages to the patient, are both positive elements of a modern caries prevention strategy

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