“Diagnostic Tools For Early Diagnosis Of White Spot Lesions”
European Journal of Molecular & Clinical Medicine,
2021, Volume 8, Issue 2, Pages 680-695
AbstractIn the recent years there has been an increase in the development of the newer technological methods to diagnose early demineralized lesion or white spot lesion. The diagnosis of white spot lesion is not always simple and might be subjective to the practitioner.
Aim: This review aims to present an overview of the various qualitative and quantitative methods of detecting white spot lesion, including the novel technologies
Methodology: The most common method of qualitative assessment includes visual assessment and Photographic examination. Other qualitative methods are Fibre-Optic Trans illumination and digital fibre optic transillumination (FOTI and DiFOTI) and DiagnoCam. The quantitative techniques based on autofluorescence such as Quantitative
light-induced fluorescence (QLF), Light Emitting Diode (LED) fluorescence and Laser fluorescence such as Diagnodent, electronductivity such as Electrical Caries Monitor (ECM) , Optical coherence tomography (OCT) and some emerging technologies are discussed along with their advantages and disadvantages.
Result: These technologies enables the practitioners to diagnose white spot lesion timely so that their progression to fully developed carious lesion can be prevented.
Conclusion: The quantitative methods with suitable levels of sensitivity and specificity should be the preferred method but should be correlated with the qualitative methods to obtain a valid diagnosis.
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