Current Issues of Pharmacy and Medical Sciences

Selected caries diagnostic methods

Curr Issues Pharm Med Sci., Vol. 27, No. 3, Pages 195-198

Ewa Kuchta1, Jolanta Szymańska2*

Doctoral  student, Medical University of Lublin, Poland

Research supervisor, Chair and Department of Paedodontics, Medical University of Lublin, Poland

DOI: 10.1515/cipms-2015-0014


Standard caries diagnostic methods include a visual tactile method, as well as several radiographic methods. The former is a subjective method, while bitewing radiographs and digital radiographs (radiovisiography) enable detection of caries lesions only after 30% of hard dental tissue mineral substances have been lost. The paper presents methods based on electrical and optical phenomena that allow early caries diagnosis. Strengths and weaknesses of each presented method are discussed, basing this on recent literature review. The methods of caries detection generally used in daily clinical practice, combined with alternative methods, make it possible to significantly increase the effectiveness of dental caries diagnosis.




dental caries, caries detection, diagnostic methods 


  1. Abrams S.H.: Detecting caries at the margin of restorations with the Canary System. Dental Tribune, 6, 14, 2012.
  2. Braga M.M., Mendes F.M., Ekstrand K.R.: Detection activity assessment and diagnosis of dental caries lesions. Dent. Clin. N.Am., 54: 479, 2010.
  3. Chałas R. et al.: AC-impedance spectroscopy and caries detection. Curr. Issues Pharm. Med. Sci., 26, 344, 2013.
  4. Chałas R. et al.: Usefulness of AC-impedance spectroscopy technique in occlusal caries detection – own investigations. Curr. Issues Pharm. Med. Sci., 26, 440, 2013.
  5. Chu C.H., Lo E.C.M., You D.S.: Clinical diagnosis of fissure caries with conventional and laserinduced fluorescence techniques. Laser Med. Sci., 25, 355, 2010.
  6. Costa A.M., Paula L.M., Bezerra A.C.B.: Use of DIAGNOdent for diagnosis of non-cavitated occlusal dentin caries. J. Appl. Oral Sci., 16, 18, 2008.
  7. Diniz M.B. et al.: The efficacy of laser fluorescence to detect in vitro demineralization and remineralization of smooth enamel surfaces. Photomed. Laser. Surg., 27, 1, 2009.
  8. Drabarczyk M., Kacprzak M., Mielczarek M.: Nowa metoda diagnostyczna w stomatologii – tomografia optyczna. Stomatol. Współcz., 7, 34, 2000.
  9. Gutknecht N. et al.: Lasers in pediatric dentistry – a review. J. Oral. Laser Appl., 5, 207, 2005.
  10. Kouchaji C.: Comparison between a laser fluorescence device and visual examination in the detection of occlusal caries in children. Saudi Dent. J., 24, 169, 2012.
  11. Kühnisch J. et al.: Development, methodology and potential of the new Universal Visual Scoring System (UniViSS) for caries detection and diagnosis. Int. J. Environ. Res. Public Health., 6, 2500, 2009.
  12. Mielczarek A. et al.: Ocena porównawcza wykorzystania fluorescencji różnicowej i systemu ICDAS II w diagnostyce próchnicy badania in vitro. Nowa Stomatol., 4, 103, 2009.
  13. Mielczarek A., Kwiatkowska A.: Aktualne koncepcje diagnostyki próchnicy. Stomatol. Wpółcz., 12, 11, 2005.
  14. Mirska-Miętek M.: Diagnozowanie zmian próchnicowych na powierzchniach stycznych zębów stałych. Ann. Acad. Med. Stetin.,56, 70, 2010.
  15. Nokhbatolfoghahaie H. et al.: Evaluation of accuracy of DIAGNOdent in diagnosis of primary and secondary caries in comparison to conventional methods. J. Laser. Med. Sci., 4, 159, 2013.
  16. Oancea R. et al.: In vitro evaluation of laser fluorescence devices for caries detection through stereomicroscopic imaging. Rom. J. Morphol. Embryol., 54, 333, 2013.
  17. Pinheiro I.V.A. et al.: Use of laser fluorescence (DIAGNOdent) for in vivo diagnosis of occlusal caries: a systematic review. J. Appl. Oral Sci., 12, 177, 2004.
  18. Ranga R.: Performance of a new fluorescence diagnostic device in early carious lesion detection. OHDMBSC., 6, 21, 2007.
  19. Rechmann P. et al.: Performance of laser fluorescence devices and visual examination for the detection of occlusal caries in permanent molars. J. Biomed. Opt., March 2012; 17 (3). (PDF 3,6 MB ). 2012 Mar;17(3):036006. doi: 10.1117/1.JBO.17.3.036006. 09.08.2014.
  20. Rodakowska E., Waszkiel D.: Ocena porównawcza wzrokiem oraz za pomocą aparatu Diagnodent występowania próchnicy pierwszych zębów trzonowych. J. Stomatol., 64, 385, 2011.
  21. Shamsa S. et al.: Porównanie skuteczności wybranych metod diagnostycznych w wykrywaniu i ocenie stopnia zaawansowania wczesnych zmian próchnicowych na powierzchniach żujących pierwszych zębów trzonowych stałych u dzieci. Nowa Stomatol., 2, 61, 2013.
  22. Sridhar N., Tandon S., Rao N.: A comparative evaluation of DIAGNOdent with visual and radiography for detection of occlusal caries: an in vitro study. Indian J. Dent. Res., 20, 326, 2009.
  23. Tanasiewicz Marta. Próchnica zębów. Wybrane problemy diagnostyki, leczenia i zapobiegania. Wydawnictwo Elamed, Katowice, 2009.
  24. Virajsilp V. et al.: Comparison of proximal caries detection in primary teeth between laser fluorescence and bitewing radiography. Pediatr. Dent., 27, 493, 2005.
  25. Wędrychowicz-Welman A., Prymas A., Lewandowski P.: Diagnostyka próchnicy powierzchni żujących zębów bocznych metodą fluorescencji laserowej. Dent. Med. Probl., 44, 207, 2007.
  26. Woźniak J. et al.: Powtarzalność pomiarów fluorescencji za pomocą aparatu Diagnodent na powierzchniach żujących zębów trzonowych w warunkach in vitro. Dent. Med. Probl., 45, 255, 2008.


April 2020

Mon Tue Wed Thu Fri Sat Sun
    01 02 03 04 05
06 07 08 09 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30