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Interproximal initial carious lesion interpreted with AI

  • 9
  • Dr. Rebecca Pounds
  • USA
  • Product: Curodont Repair Fluoride Plus
Before
  • Figure 1: Initial carious lesions on #13 (distal) and #20(distal) ​
After
  • Figure 2: At the 7 month follow up, reduction in lesion sizes observed, and confirmed with AI.​

Patient Presentation and examination: ​

  • Personal information: 32-year-old male​
  • Routine radiographic examination: Small radiolucencies in the enamel of #13 (distal) and #20 (distal) were observed. This was highlighted well by an AI software (Videa Health AI) (Figure 1)​

Diagnosis: ​

#13: Initial caries extending to the outer half of enamel (E1) on the distal surface​

#20: Initial caries extending to the outer half of the enamel (E1) on the distal surface.​

Treatment: ​

  • The lesions were treated with Curodont Repair Fluoride Plus in the same appointment.​
  • Oral hygiene instructions were reinforced. ​

Follow-up: At the 7-month follow-up post-treatment, the following observations were made, confirmed also by the AI software: (Figure 2)​

  • Reduction in lesion sizes to E0, indicative of complete remineralization. ​

Take-away: The early stages of caries can be remineralized when diagnosed in time and treated with Curodont Repair Fluoride Plus, along with improved oral hygiene. A majority of these are on the proximal tooth surfaces* and the use of AI can facilitate their detection on bite-wing x-rays. ​

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

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