Initial Proximal Caries
Conditions
Brief summary
The aim of the study will be to make a comparison in vivo of the following techniques: DIAGNOcam, DIAGNOcam in combination with indocyanine and bitewing radiography, analyzing the ability to detect cavitation in initial proximal caries in posterior teeth using visual separation with tactile exploration as a gold standard. Methodology: During a period of 2 years, patients with initial proximal caries will be evaluated in the facilities of the clinic belonging to the Fundación de la Clínica Universitaria of the Rey Juan Carlos University (Madrid, Spain). Those subjects where a minimum of a proximal carious lesion (E1, E2 or D1) is diagnosed in posterior teeth will be candidates for the study. The exploration of proximal caries will be carried out in four phases: radiographic exploration, exploration with DIAGNOcam, exploration with DIAGNOcam and Indocyanine and visual-tactile exploration with separation. Once the visual-tactile examination with separation has been completed, the caries lesions will be treated. Depending on whether the lesion is cavitated or not, a non-invasive procedure or an operative treatment will be chosen.
Interventions
DEVICERadiographic examination
Standardized bitewing radiographs will be performed by the principal investigator
DEVICEScanning with DIAGNOcam
The surface of the selected teeth will be examined under near infrared light using the DIAGNOcam device
DEVICEScan with DIAGNOcam and Indocyanine
One the dye has been applied, a new series of images will be taken with Diagnocam
DIAGNOSTIC_TESTVisual-tactile exploration with separation
The point of contact will be open in the corresponding proximal area of the lesion using an elastic orthodontic separator
Sponsors
Universidad Rey Juan Carlos
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* E1, E2 and D1 proximal carious lesions in permanent posterior teeth (E1: outer half of enamel; E2: inner half of enamel; D1: outer half of dentin)
Exclusion criteria
* estructural abnormalities * visible clinical cavitation * restorations on the proximal surfaces * open contact points * overlapping structures on the X-ray that prevent a clear view of the proximal area
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Near infrared transillumination | 2 years | Ability to detect cavitation in initial proximal caries of DIAGNOcam in combination with indocyanine |
Countries
Spain
Outcome results
None listed