souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •caries...

78

Upload: others

Post on 25-Dec-2019

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Aethiology

bull Infectious disease

- Microbs

- Fermentable sugars

Antony van Leeuwenhoek

First who observed microbs of oral cavity 17ct

1889Die Mikroorganismen der MundhoumlhleldquoThe Micro-

Organisms of Human mouthldquo

Explained dental caries as a reslut of decalcification (acids from microbial metabolism)

Willoughby Dayton Miller (1853 -1907)

Green Vardiman Black (1836 ndash 1915)

When we will well understand reasons of dental caries we will be able to heal it (GV Black 1900)

Microbiom

Human body 1014 Living cells 10 Cells of human body Mikcobiom Oral microbiom

Dental biofilm

bull PeliclendashProtektivniacute efekt bull Peliclendashmonomolekular proteinicl ayerrich on prolin and

phosphatea and glycoprotein rich on sulphate

bull Bind to Ca2+ ions of enamel

bull Protective effect

- Erosion

‐ Dentin hypersensitivity

‐ Key role by remineralization

Biofilm

bull Adherence

bull Adhezins

bull Fimbries

Biofilm

- colonization

‐ multiplication

‐ koagregation

Biofilm

bull Maturation

lenkaroubalikovatiscalicz 11

Biofilm

Higher metabolic activity Higher resistency (CHX 300x AF 75x) Hihger virulency Good conditions for survival

Cariogenicity

bull Streptococci mutans sanguis mitis sobrinus

bull Laktobacil

bull Production of acids (acidogenity)

bull ‐ Production of extra aand intracelullar polysacharids

bull ‐ Survival in acidic environment (aciduricity)

Acidobasic dynamic in biofilm

Glykolysis

bull Lactic acid and other acids

Base production

bull NH4

bull Sugars 20 ndash 40 - tendency to acid puacuteroduction and decalfication

Metabolic procedures in dental biofilm

lenkaroubalikovatiscalicz 14

pH

0 50 min

50

Stephan Critical pH HA 57 FA 46

Mikrobs

Hard dental tissues

Sugar

Time

lenkaroubalikovatiscalicz 16

Ca2+

PO43-

F-

Ca2+

PO4 3-

Ca10(PO4)6(OH)2

Ca10(PO4)6F2

OH-

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 2: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Antony van Leeuwenhoek

First who observed microbs of oral cavity 17ct

1889Die Mikroorganismen der MundhoumlhleldquoThe Micro-

Organisms of Human mouthldquo

Explained dental caries as a reslut of decalcification (acids from microbial metabolism)

Willoughby Dayton Miller (1853 -1907)

Green Vardiman Black (1836 ndash 1915)

When we will well understand reasons of dental caries we will be able to heal it (GV Black 1900)

Microbiom

Human body 1014 Living cells 10 Cells of human body Mikcobiom Oral microbiom

Dental biofilm

bull PeliclendashProtektivniacute efekt bull Peliclendashmonomolekular proteinicl ayerrich on prolin and

phosphatea and glycoprotein rich on sulphate

bull Bind to Ca2+ ions of enamel

bull Protective effect

- Erosion

‐ Dentin hypersensitivity

‐ Key role by remineralization

Biofilm

bull Adherence

bull Adhezins

bull Fimbries

Biofilm

- colonization

‐ multiplication

‐ koagregation

Biofilm

bull Maturation

lenkaroubalikovatiscalicz 11

Biofilm

Higher metabolic activity Higher resistency (CHX 300x AF 75x) Hihger virulency Good conditions for survival

Cariogenicity

bull Streptococci mutans sanguis mitis sobrinus

bull Laktobacil

bull Production of acids (acidogenity)

bull ‐ Production of extra aand intracelullar polysacharids

bull ‐ Survival in acidic environment (aciduricity)

Acidobasic dynamic in biofilm

Glykolysis

bull Lactic acid and other acids

Base production

bull NH4

bull Sugars 20 ndash 40 - tendency to acid puacuteroduction and decalfication

Metabolic procedures in dental biofilm

lenkaroubalikovatiscalicz 14

pH

0 50 min

50

Stephan Critical pH HA 57 FA 46

Mikrobs

Hard dental tissues

Sugar

Time

lenkaroubalikovatiscalicz 16

Ca2+

PO43-

F-

Ca2+

PO4 3-

Ca10(PO4)6(OH)2

Ca10(PO4)6F2

OH-

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 3: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

1889Die Mikroorganismen der MundhoumlhleldquoThe Micro-

Organisms of Human mouthldquo

Explained dental caries as a reslut of decalcification (acids from microbial metabolism)

Willoughby Dayton Miller (1853 -1907)

Green Vardiman Black (1836 ndash 1915)

When we will well understand reasons of dental caries we will be able to heal it (GV Black 1900)

Microbiom

Human body 1014 Living cells 10 Cells of human body Mikcobiom Oral microbiom

Dental biofilm

bull PeliclendashProtektivniacute efekt bull Peliclendashmonomolekular proteinicl ayerrich on prolin and

phosphatea and glycoprotein rich on sulphate

bull Bind to Ca2+ ions of enamel

bull Protective effect

- Erosion

‐ Dentin hypersensitivity

‐ Key role by remineralization

Biofilm

bull Adherence

bull Adhezins

bull Fimbries

Biofilm

- colonization

‐ multiplication

‐ koagregation

Biofilm

bull Maturation

lenkaroubalikovatiscalicz 11

Biofilm

Higher metabolic activity Higher resistency (CHX 300x AF 75x) Hihger virulency Good conditions for survival

Cariogenicity

bull Streptococci mutans sanguis mitis sobrinus

bull Laktobacil

bull Production of acids (acidogenity)

bull ‐ Production of extra aand intracelullar polysacharids

bull ‐ Survival in acidic environment (aciduricity)

Acidobasic dynamic in biofilm

Glykolysis

bull Lactic acid and other acids

Base production

bull NH4

bull Sugars 20 ndash 40 - tendency to acid puacuteroduction and decalfication

Metabolic procedures in dental biofilm

lenkaroubalikovatiscalicz 14

pH

0 50 min

50

Stephan Critical pH HA 57 FA 46

Mikrobs

Hard dental tissues

Sugar

Time

lenkaroubalikovatiscalicz 16

Ca2+

PO43-

F-

Ca2+

PO4 3-

Ca10(PO4)6(OH)2

Ca10(PO4)6F2

OH-

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 4: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Green Vardiman Black (1836 ndash 1915)

When we will well understand reasons of dental caries we will be able to heal it (GV Black 1900)

Microbiom

Human body 1014 Living cells 10 Cells of human body Mikcobiom Oral microbiom

Dental biofilm

bull PeliclendashProtektivniacute efekt bull Peliclendashmonomolekular proteinicl ayerrich on prolin and

phosphatea and glycoprotein rich on sulphate

bull Bind to Ca2+ ions of enamel

bull Protective effect

- Erosion

‐ Dentin hypersensitivity

‐ Key role by remineralization

Biofilm

bull Adherence

bull Adhezins

bull Fimbries

Biofilm

- colonization

‐ multiplication

‐ koagregation

Biofilm

bull Maturation

lenkaroubalikovatiscalicz 11

Biofilm

Higher metabolic activity Higher resistency (CHX 300x AF 75x) Hihger virulency Good conditions for survival

Cariogenicity

bull Streptococci mutans sanguis mitis sobrinus

bull Laktobacil

bull Production of acids (acidogenity)

bull ‐ Production of extra aand intracelullar polysacharids

bull ‐ Survival in acidic environment (aciduricity)

Acidobasic dynamic in biofilm

Glykolysis

bull Lactic acid and other acids

Base production

bull NH4

bull Sugars 20 ndash 40 - tendency to acid puacuteroduction and decalfication

Metabolic procedures in dental biofilm

lenkaroubalikovatiscalicz 14

pH

0 50 min

50

Stephan Critical pH HA 57 FA 46

Mikrobs

Hard dental tissues

Sugar

Time

lenkaroubalikovatiscalicz 16

Ca2+

PO43-

F-

Ca2+

PO4 3-

Ca10(PO4)6(OH)2

Ca10(PO4)6F2

OH-

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 5: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Microbiom

Human body 1014 Living cells 10 Cells of human body Mikcobiom Oral microbiom

Dental biofilm

bull PeliclendashProtektivniacute efekt bull Peliclendashmonomolekular proteinicl ayerrich on prolin and

phosphatea and glycoprotein rich on sulphate

bull Bind to Ca2+ ions of enamel

bull Protective effect

- Erosion

‐ Dentin hypersensitivity

‐ Key role by remineralization

Biofilm

bull Adherence

bull Adhezins

bull Fimbries

Biofilm

- colonization

‐ multiplication

‐ koagregation

Biofilm

bull Maturation

lenkaroubalikovatiscalicz 11

Biofilm

Higher metabolic activity Higher resistency (CHX 300x AF 75x) Hihger virulency Good conditions for survival

Cariogenicity

bull Streptococci mutans sanguis mitis sobrinus

bull Laktobacil

bull Production of acids (acidogenity)

bull ‐ Production of extra aand intracelullar polysacharids

bull ‐ Survival in acidic environment (aciduricity)

Acidobasic dynamic in biofilm

Glykolysis

bull Lactic acid and other acids

Base production

bull NH4

bull Sugars 20 ndash 40 - tendency to acid puacuteroduction and decalfication

Metabolic procedures in dental biofilm

lenkaroubalikovatiscalicz 14

pH

0 50 min

50

Stephan Critical pH HA 57 FA 46

Mikrobs

Hard dental tissues

Sugar

Time

lenkaroubalikovatiscalicz 16

Ca2+

PO43-

F-

Ca2+

PO4 3-

Ca10(PO4)6(OH)2

Ca10(PO4)6F2

OH-

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 6: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Dental biofilm

bull PeliclendashProtektivniacute efekt bull Peliclendashmonomolekular proteinicl ayerrich on prolin and

phosphatea and glycoprotein rich on sulphate

bull Bind to Ca2+ ions of enamel

bull Protective effect

- Erosion

‐ Dentin hypersensitivity

‐ Key role by remineralization

Biofilm

bull Adherence

bull Adhezins

bull Fimbries

Biofilm

- colonization

‐ multiplication

‐ koagregation

Biofilm

bull Maturation

lenkaroubalikovatiscalicz 11

Biofilm

Higher metabolic activity Higher resistency (CHX 300x AF 75x) Hihger virulency Good conditions for survival

Cariogenicity

bull Streptococci mutans sanguis mitis sobrinus

bull Laktobacil

bull Production of acids (acidogenity)

bull ‐ Production of extra aand intracelullar polysacharids

bull ‐ Survival in acidic environment (aciduricity)

Acidobasic dynamic in biofilm

Glykolysis

bull Lactic acid and other acids

Base production

bull NH4

bull Sugars 20 ndash 40 - tendency to acid puacuteroduction and decalfication

Metabolic procedures in dental biofilm

lenkaroubalikovatiscalicz 14

pH

0 50 min

50

Stephan Critical pH HA 57 FA 46

Mikrobs

Hard dental tissues

Sugar

Time

lenkaroubalikovatiscalicz 16

Ca2+

PO43-

F-

Ca2+

PO4 3-

Ca10(PO4)6(OH)2

Ca10(PO4)6F2

OH-

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 7: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Biofilm

bull Adherence

bull Adhezins

bull Fimbries

Biofilm

- colonization

‐ multiplication

‐ koagregation

Biofilm

bull Maturation

lenkaroubalikovatiscalicz 11

Biofilm

Higher metabolic activity Higher resistency (CHX 300x AF 75x) Hihger virulency Good conditions for survival

Cariogenicity

bull Streptococci mutans sanguis mitis sobrinus

bull Laktobacil

bull Production of acids (acidogenity)

bull ‐ Production of extra aand intracelullar polysacharids

bull ‐ Survival in acidic environment (aciduricity)

Acidobasic dynamic in biofilm

Glykolysis

bull Lactic acid and other acids

Base production

bull NH4

bull Sugars 20 ndash 40 - tendency to acid puacuteroduction and decalfication

Metabolic procedures in dental biofilm

lenkaroubalikovatiscalicz 14

pH

0 50 min

50

Stephan Critical pH HA 57 FA 46

Mikrobs

Hard dental tissues

Sugar

Time

lenkaroubalikovatiscalicz 16

Ca2+

PO43-

F-

Ca2+

PO4 3-

Ca10(PO4)6(OH)2

Ca10(PO4)6F2

OH-

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 8: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Biofilm

- colonization

‐ multiplication

‐ koagregation

Biofilm

bull Maturation

lenkaroubalikovatiscalicz 11

Biofilm

Higher metabolic activity Higher resistency (CHX 300x AF 75x) Hihger virulency Good conditions for survival

Cariogenicity

bull Streptococci mutans sanguis mitis sobrinus

bull Laktobacil

bull Production of acids (acidogenity)

bull ‐ Production of extra aand intracelullar polysacharids

bull ‐ Survival in acidic environment (aciduricity)

Acidobasic dynamic in biofilm

Glykolysis

bull Lactic acid and other acids

Base production

bull NH4

bull Sugars 20 ndash 40 - tendency to acid puacuteroduction and decalfication

Metabolic procedures in dental biofilm

lenkaroubalikovatiscalicz 14

pH

0 50 min

50

Stephan Critical pH HA 57 FA 46

Mikrobs

Hard dental tissues

Sugar

Time

lenkaroubalikovatiscalicz 16

Ca2+

PO43-

F-

Ca2+

PO4 3-

Ca10(PO4)6(OH)2

Ca10(PO4)6F2

OH-

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 9: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Biofilm

bull Maturation

lenkaroubalikovatiscalicz 11

Biofilm

Higher metabolic activity Higher resistency (CHX 300x AF 75x) Hihger virulency Good conditions for survival

Cariogenicity

bull Streptococci mutans sanguis mitis sobrinus

bull Laktobacil

bull Production of acids (acidogenity)

bull ‐ Production of extra aand intracelullar polysacharids

bull ‐ Survival in acidic environment (aciduricity)

Acidobasic dynamic in biofilm

Glykolysis

bull Lactic acid and other acids

Base production

bull NH4

bull Sugars 20 ndash 40 - tendency to acid puacuteroduction and decalfication

Metabolic procedures in dental biofilm

lenkaroubalikovatiscalicz 14

pH

0 50 min

50

Stephan Critical pH HA 57 FA 46

Mikrobs

Hard dental tissues

Sugar

Time

lenkaroubalikovatiscalicz 16

Ca2+

PO43-

F-

Ca2+

PO4 3-

Ca10(PO4)6(OH)2

Ca10(PO4)6F2

OH-

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 10: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

lenkaroubalikovatiscalicz 11

Biofilm

Higher metabolic activity Higher resistency (CHX 300x AF 75x) Hihger virulency Good conditions for survival

Cariogenicity

bull Streptococci mutans sanguis mitis sobrinus

bull Laktobacil

bull Production of acids (acidogenity)

bull ‐ Production of extra aand intracelullar polysacharids

bull ‐ Survival in acidic environment (aciduricity)

Acidobasic dynamic in biofilm

Glykolysis

bull Lactic acid and other acids

Base production

bull NH4

bull Sugars 20 ndash 40 - tendency to acid puacuteroduction and decalfication

Metabolic procedures in dental biofilm

lenkaroubalikovatiscalicz 14

pH

0 50 min

50

Stephan Critical pH HA 57 FA 46

Mikrobs

Hard dental tissues

Sugar

Time

lenkaroubalikovatiscalicz 16

Ca2+

PO43-

F-

Ca2+

PO4 3-

Ca10(PO4)6(OH)2

Ca10(PO4)6F2

OH-

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 11: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Cariogenicity

bull Streptococci mutans sanguis mitis sobrinus

bull Laktobacil

bull Production of acids (acidogenity)

bull ‐ Production of extra aand intracelullar polysacharids

bull ‐ Survival in acidic environment (aciduricity)

Acidobasic dynamic in biofilm

Glykolysis

bull Lactic acid and other acids

Base production

bull NH4

bull Sugars 20 ndash 40 - tendency to acid puacuteroduction and decalfication

Metabolic procedures in dental biofilm

lenkaroubalikovatiscalicz 14

pH

0 50 min

50

Stephan Critical pH HA 57 FA 46

Mikrobs

Hard dental tissues

Sugar

Time

lenkaroubalikovatiscalicz 16

Ca2+

PO43-

F-

Ca2+

PO4 3-

Ca10(PO4)6(OH)2

Ca10(PO4)6F2

OH-

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 12: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Acidobasic dynamic in biofilm

Glykolysis

bull Lactic acid and other acids

Base production

bull NH4

bull Sugars 20 ndash 40 - tendency to acid puacuteroduction and decalfication

Metabolic procedures in dental biofilm

lenkaroubalikovatiscalicz 14

pH

0 50 min

50

Stephan Critical pH HA 57 FA 46

Mikrobs

Hard dental tissues

Sugar

Time

lenkaroubalikovatiscalicz 16

Ca2+

PO43-

F-

Ca2+

PO4 3-

Ca10(PO4)6(OH)2

Ca10(PO4)6F2

OH-

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 13: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Metabolic procedures in dental biofilm

lenkaroubalikovatiscalicz 14

pH

0 50 min

50

Stephan Critical pH HA 57 FA 46

Mikrobs

Hard dental tissues

Sugar

Time

lenkaroubalikovatiscalicz 16

Ca2+

PO43-

F-

Ca2+

PO4 3-

Ca10(PO4)6(OH)2

Ca10(PO4)6F2

OH-

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 14: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Mikrobs

Hard dental tissues

Sugar

Time

lenkaroubalikovatiscalicz 16

Ca2+

PO43-

F-

Ca2+

PO4 3-

Ca10(PO4)6(OH)2

Ca10(PO4)6F2

OH-

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 15: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

lenkaroubalikovatiscalicz 16

Ca2+

PO43-

F-

Ca2+

PO4 3-

Ca10(PO4)6(OH)2

Ca10(PO4)6F2

OH-

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 16: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

lenkaroubalikovatiscalicz 17

Decalc

ific

ati

on

Time

Cavitated lesion

Non cavitated lesion

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 17: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Biofilm

Non specific hypothesis

bull Plaque is always the reason

bull Specific hypothesis

bull Only pathogenic plaque is the causal factor

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 18: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Saliva and dental caries 700 ndash80ml (03ml) stimulated(1ml)0

bull Product of salivary glands 700 ndash 800 ml Klidovaacute (03ml) stimulovanaacute (1ml)

Clearence

- Microbs

- Rests of food

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 19: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Saliva and dental caries

bull Minerals

bull Calcium and phosphates ndash oversaturated solution remineralization

bull Proteins

bull Glykoproteins ‐ pelicle barrier against overgrowing of crystala on the surface

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 20: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Buffer capacity of saliva

bull Bicarbonatesystem

bull Phosphate system

bull In saliva not in plaque

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 21: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Slina

bull Kliacutečovaacute role v maturaci skloviny

bull V remineralizaci iniciaacutelniacutech kazivyacutech leacuteziacute

bull V remineralizaci demineralizovanyacutech okrsků skloviny

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 22: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Inicial lesion

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 23: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Superficial zone 5 Body of lesion 25 Dark zone 2 ndash4 Translucent zone 1 Normal enamel 01

Porosity

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 24: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Histology x mikroradiography x BW

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 25: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Diagnosis

bull Vizual inspection (ICDAS)

bull Radiography

bull Photography

bull Optical nonfluorescent methods

bull Optical fluorescent methods

bull Transilumination bull Measurement of electrical impedancy

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 26: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Visual inspection magnification dry surface

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 27: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Photography

bull Good documentation and evaluation of lesion

bull Flash and light can misrepresent

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 28: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Radiography

Bite wing

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 29: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Radiography

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 30: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Sedelmayer

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 31: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Optical non fluorescent methods

bull Distorsion og lihgt (OCM)

Non invasive various results

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 32: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Optical fluorescent methods

bull Principle

Absorption and irradiation back

bull DIAGNOdent DIAGNOdent pen QLF Vista Proof

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 33: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Infračervenaacute laserovaacute fluorescence

bull DIAGNOdent DIAGNOdent pen

bull Toto fluoreskujiacuteciacute zaacuteřeniacute se zobrazuje jako aktuaacutelniacute a rovněž jako maximaacutelniacute hodnota (peak)

bull Hodnoty vyššiacute než 24 (DIAGNOdent) vyššiacute než 17 (DIAGNO dent pen) ndash kaz

bull Falešně pozitivniacute vyacutesledky při nedokonale očištěneacutem zubu

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 34: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

DIAGNODENT

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 35: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Quantitative Light ndash i n d u c e d F l u o r e s c e n c y QLF

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 36: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Vista Proof bull Intraoraacutelniacute kamera využiacutevajiacuteciacute princip fluorescence bull Karieacutezně změněneacute plošky emitujiacute červeneacute světlo zdraveacute zubniacute tkaacuteně

zeleneacute světlo bull Software vyhodnotiacute poměr červeneacuteho a zeleneacuteho spektra ndash zdravaacute

sklovina a karieacutezniacute leacuteze se barevně a čiacuteselně znaacutezorniacute (škaacutela 0-4) ndash sledovaacuteniacute vyacutevoje demineralizace + zaacuteznam

bull Lze znaacutezornit i zubniacute plak (neniacute nutneacute použiacutet dalšiacutech prostředků) bull Novinky ndash Vista Cam iX ndash kamera s dvěma vyměnitelnyacutemi

koncovkami (intraoraacutelniacute X fluorescenčniacute)

bull SoproLife ndash zhodnoceniacute zubniacuteho kazu v diagnostickeacutem modu + rozlišeniacute mezi zdravou a karieacutezniacute tkaacuteniacute v ošetřovaciacutem modu

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 37: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Vista Proof

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 38: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Vista Cam iX

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 39: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

SoproLife

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 40: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

FOTI ndash fibre optic transillumination

Proximal caries lesion

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 41: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

DIFOTI (D i g i t a l F i b r e O p t i c T r a n s ndash I l l u m i n a t i o n)

bull j biacuteleacuteho světla ndash kamera s CCD senzorem ndash počiacutetač ndash zobrazeniacute jako obraacutezek

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 42: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

DIAGNOCam

bull DIFOTI (Digital Imaging Fiber Optic Transillumination)

bull light(700‐1400nm)

bull Caries lesions and cracsndashlight absorptionndashdark spots

bull (higher content of mwater in caries lesions ndash higher absorption of light)

bull Documentation

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 43: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

DIAGNOCam- klasifikace naacutelezu bull 0 ndash

bull 1

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 44: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

DIAGNOCam- klasifikace naacutelezu bull 2- caries in enamel

bull 3 - caries in enamel and dentin

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 45: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

DIAGNOCam- klasifikace naacutelezu bull 4 - kaz ve sklovině zasahujiacuteciacute do dentinu ndash použiacutet minimaacutelně

invazivniacute metodu

bull 5 ndash kaz rozšiacuteřenyacute do dentinu ndash použiacutet invazivniacute metodu

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 46: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

DIAGNOCam

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 47: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Diagnocam Bitewing

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 48: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Transiluminace pomociacute optickeacuteho vlaacutekna- FOTI

bull Přiacutestroje k diagnostice aproximaacutelniacutech kazů (KaVo DIAlux probe)

bull + vyššiacute senzitivita než RTG sniacutemek a opakovatelnost vyšetřeniacute

bull - necitlivost přiacutestroje na leacuteze kolem vyacuteplniacute a nemožnost zhotovovat sniacutemky a dokumentovat stav

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 49: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Measurement of electrical resistancy

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 50: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Pit and fissure caries

bull Class I acc to Black

Caries danger area

Special morphology

Special sructure of enamel

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 51: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Diagnosis

ICDASndashINTERNATIONAL CARIES DETECTION AND ASSESMENT SYSTEacuteM

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 52: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

ICDASndashINTERNATIONAL CARIES

DETECTION AND ASSESMENT SYSTEM

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 53: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

bull ICDAS(2002)ndash6 code later ICDAS ndashII ndash4code bull 1048707Caries lesionsin pit and fissures smooth surfaces

roots and enext to fillings ndashCARS (Caries Associated with Restoration and Sealants

bull Blunt probe

bull Clean and dry surfaces time of observation 5 s

bull httpwwwicdasorgcoursesenglishindexhtml

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 54: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

ICDAS

Before assesment

Clean and dry teeth surfaces

Blunt probe

5 seconds observation

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 55: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

ICDAS ndash kriteacuteria

bull 0 no changes observed

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 56: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

ICDAS - kriteacuteria

bull 1- first visual changes observed on dry surface only (opaque white brown)

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 57: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

ICDAS - kriteacuteria

bull 2 ndash first visual changes on wett surfaces

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 58: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

ICDAS - kriteacuteria

bull 3 ndash enamel is still present zone of decalcification is out of fissure dentin is affected

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 59: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

ICDAS - kriteacuteria

bull 4 ndash dark colour around the fissure (grey blue brown) enamel can be broken

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 60: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

ICDAS - kriteacuteria

bull 5 ndash cavitated lesion

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 61: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

ICDAS - kriteacuteria

bull 6 ndash large cavitation

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 62: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

ICDAS - kriteacuteria

bull KOacuteD 6 ndash rozsaacutehlaacute kavitace přičemž dentin je v hloubce i šiacuteřce naprosto zřetelnyacute minimaacutelně poloviny zubniacute plošky je postiženaacute kazem pulpa může byacutet zasažena

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 63: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

ICDAS II - modification

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 64: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

UniViss ndash universal scoring systeacutem (occlusal surface)

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 65: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

UniViss (smooth surface)

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 66: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 67: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 68: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Classification acc to Black

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 69: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Classification acc to Black

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 70: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Classification acc to Black

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 71: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Classification of dental caries Mount and Hume

bull Location bull 1Occlusal bull 2 Proximal bull 3Cervical

bull Size

bull 1Small bull 2 Medium bull 3 Big bull 3Large

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 72: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Occlusal caries

bull ICDAS 0 ndash 1 observation

bull ICDAS 2 observation or preventive filling

bull ICDAS 3 ndash 4 filling therapy

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface

Page 73: Souasné trendy v diagnostice, neinvazivní a miniinvazivní ...•light(700‐1400nm) •Caries lesions and cracs–light absorption–dark spots •(higher content of mwater in caries

Preparation

bull Preparation is an instrumental treatment of carious tooth that that leaves the rest of the tooth that is restorable resistent and that prevent the origin of dental caries at the same surface