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Interproximal initial carious lesions diagnosed and monitored with Overjet AI

  • 12
  • Anna Blake, RDH
  • USA
  • Product: Curodont Repair Fluoride Plus
Before
  • Figure 1: Initial carious lesion on #13 (mesial) and #12 (distal) ​
After
  • Figure 2: At the 6 month follow up, complete reduction in the sizes of the lesions seen, indicative of remineralization.​

Patient Presentation and examination: 

  • Personal information and relevant dental history: 17-year-old male, with a history of poor oral hygiene maintenance
  • Routine radiographic examination: Small radiolucencies were observed in the enamel of #12 (distal) and #13 (mesial). This was confirmed using an artificial intelligence software (Overjet) (Figure 1) 

Diagnosis: 

  • #12: Initial caries extending to the inner half of enamel (E2) on the distal surface
  • #13: Initial caries extending to the outer half of enamel (E1) on the mesial surface

Treatment: 

  • The lesions were treated with Curodont Repair Fluoride Plus.
  • Oral hygiene instructions were reinforced. 

Follow-up: At the 6-month follow-up post-treatment, the following observations were made, confirmed also with the AI software: (Figure 2)

  • The oral hygiene of the patient did not show much improvement
  • Reduction of the size of the treated lesions to E0, indicative of complete remineralization.

Take-away: Interproximal initial carious lesions are a common occurrence.* Being asymptomatic, routine radiographs as part of regular oral hygiene recalls are good opportunities to detect these lesions. The use of artificial intelligence software, such as Overjet in this case, helps diagnose these lesions, which can then be treated in the same appointment and in a non-invasive manner with Curodont Repair Fluoride Plus. 

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

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