Caries diagnosis

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Description

A peer-reviewed article written by Gregori M. Kurtzman, DDS, MAGD, FACD, FPFA, DICOI, DADIA, DIDIA

Abstract

Identification of dental caries is the basis of restorative dentistry and key to preventive dental care. Caries has traditionally been diagnosed based on either visual identification or radiographic evidence of decay. Unfortunately, these methods are not definitive until caries has progressed extensively in the tooth. Identification of caries at its earliest stages allows better preservation of tooth structure and improves the long-term prognosis of the tooth. Newer methods and technologies allow for earlier caries identification, allowing better intervention at an earlier stage, thus preserving tooth structure as well as keeping treatment costs lower for the patient.

Educational objectives

At the conclusion of this educational activity, participants will be able to:

1. Describe the limitations of caries identification radiographically

2. Describe the limitations and potential problems using an explorer for identification of incipient lesions

3. Describe the limitations of caries indicator dyes for identification of carious dentin

4. Evaluate the different technologies available for caries identification and how they can be incorporated into the practice


Gregori M. Kurtzman,DDS, MAGD, FACD, FPFA, DICOI, DADIA, DIDIA, is in private general dental practice in Silver Spring, Maryland, and is a former assistant clinical professor at University of Maryland in the departments of Restorative Dentistry and Endodontics. He is a former AAID Implant Maxi-Course assistant program director at Howard University College of Dentistry. Dr. Kurtzman has lectured internationally on the topics of restorative dentistry, endodontics, implant surgery and prosthetics, removable and fixed prosthetics, and periodontics. He has more than 680 published articles and several eBooks and textbook chapters. He has earned fellowship in the AGD, American College of Dentists (ACD), International Congress of Oral Implantology (ICOI), Pierre Fauchard Academy, ADI, mastership in the AGD and ICOI, and diplomat status in the ICOI, American Dental Implant Association (ADIA), and International Dental Implant Association (IDIA). He is also a consultant and evaluator for multiple dental companies. Dr. Kurtzman has been honored to be included in the “Top Leaders in Continuing Education”by Dentistry Today annually since 2006 and was featured on their June 2012 cover.  He can be reached at dr_kurtzman@maryland-implants.com.