DIAGNOSTIC OF CARIES ADJACENT TO COMPOSITE RESINS RESTORATIONS USING CLINICAL AND OPTICAL METHODS

Abstract

The aim of study was to assess CARS criteria and two optical methods used in the detection of carious lesions adjacent to posterior composite resins restorations (DiagnoDent Pen, VistaCam ix). Material and Methods. Study group included 10 patients aged between 22-28 years with 15 composite resins restorations (Class I) located in molars, with suspicion of caries adjacent to restorations, were evaluated at 3-5 years post-treatment. A clinical evaluation of the aesthetic coronal restorations was performed clinically, establishing the CARS index values. Subsequently, a paraclinical evaluation was carried out using the DiagnoDent Pen (KaVo) and VistacamIX (Dürr Dental), following the protocol indicated for each device used. Initially, images of each evaluated tooth were captured using VistaCam with the intraoral camera tip, followed by an assessment of the fillings using the Proof tip of the same device. Afterward, the DiagnoDent Pen was used to evaluate each coronal restoration included in the study. Distribution of CARS scores, DiagnoDent Pen values and VistaCam IX values was calculated and exposed in Microsoft Excel graphs. Results. Most frequent CARS scores were 3.3. (46,62%), followed by 3.2 (40,06%), 3.4. (6,66%), 3.5 (6,66%). Most frequent DiagnoDent pen values were >25 (40%), followed by 20-25 (33,30%), 13-19 (20%), and <13 (6,66%). Mean value of DiagnoDent Pen scores was 24,6. Most frequent VistaCam ix codes was 2 (40%), followed by 1,5 (26,68%), 1 (20%), 2,5 (6,66%), and 0 (6,66%). Mean value of VistaCam scores was 14. Conclusion. Mean values of Diagnodent Pen and VistaCam IX values increased progressively related to CARS scores. The optical methods ensure accurate evaluations and precise diagnoses of caries adjacent to composite resin restorations, facilitating minimally invasive treatment plan.

Keywords

• caries
• composite restorations
• cars
• diagnodent pen
• vistacam ix