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Interproximal initial carious lesion interpreted with AI

  • E3
  • Dr. Michael Failer
  • Switzerland
  • Product: Curodont Repair
Before
  • Figure 1: The pre-operative bite-wing x-ray, and its AI interpretation with Pearl Second Opinion, revealed an early carious lesion extending to the inner half of enamel on the distal surface of 25. (March 2023)​
After
  • Figure 2: The 1-year follow up x-ray (March 2024) revealed complete regression of the lesion, which was confirmed with AI.​

Patient Presentation and examination: 

  • Personal information: 40-year-old male
  • Routine radiographic examination: A small radiolucency noticed on the distal surface of 25. This was confirmed using an artificial intelligence (AI) software (Pearl Second Opinion).(Figure 1)

Diagnosis: 

  • 25: Initial carious lesion extending to the inner half of enamel (E2) on the distal surface

Treatment: 

  • The lesion was treated with one application of Curodont Repair in the same appointment.
  • Oral hygiene instructions were reinforced.

Follow-up: At the 1-year post-treatment follow-up, a bite-wing x-ray revealed complete regression of the lesion to E0, confirmed also with AI. (Figure 2)

Take-away: A majority of initial carious lesions are on interproximal surfaces and are asymptomatic.* These can be diagnosed on bite-wing x-rays, with the use of AI as confirmation. Treating these lesions with Curodont Repair, along with improvement in oral hygiene maintenance and diet, may help with lesion regression.

*Jacobsen ID et al. Eur Arch Paediatr Dent 2019;20:73-78

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