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Clinical Cases Partners Curodontists Clinics

Interproximal early carious lesion in a high caries risk patient

  • Dr. Brandon Leickly
  • USA
  • Product: Curodont Repair Fluoride Plus
Before
  • Figure 1: Interproximal early carious lesions on #4 mesial and #5 distal
After
  • Figure 2: At the 6 month follow up, reduction of the lesion sizes on #4 and #5 to E0 and E2, respectively

Patient Presentation and examination: 

Personal information and relevant history: 29-year-old female patient, with a personal history of frequent consumption of coffee with sugar and past dental history of multiple caries-affected teeth.

Routine radiographic examination: Small radiolucencies on the mesial surface of #4 and distal surface of #5. (Figure 1), confirmed with AI.

Diagnosis: Based on the AI-enhanced radiographic examination, the diagnoses were as follows:

#4 (mesial): Early caries extending to the inner half of the enamel (E2) 

#5 (distal): Early caries extending to the outer third of dentin (D1)

Treatment: 

  • The lesions were treated with one application of Curodont Repair Fluoride Plus, followed by fluoride varnish. 
  • Oral hygiene instructions were reinforced. 

Follow-up: At the 6-month follow up, the following observations were made: (Figure 2)

#4: Complete reduction in the size of the lesion to E0

#5: Reduction in the size of the lesion to E2. 

Take-away: Patients with caries experience and/or with sugar-rich diet are at a high risk of developing new carious lesions. Diagnosis of such lesions while they are still non-cavitated, made easier with the help of AI, can help clinicians provide patients the non-invasive treatment with Curodont Repair Fluoride Plus.

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