You are on the vVARDIS site dedicated to US dental professionals. If you are interested in our consumer products instead, click here.
Clinical Cases Clinics ProShop

Interproximal initial carious lesions diagnosed and monitored with Videa AI

  • 16
  • Dr. Rebecca Pounds
  • USA
  • Product: Curodont Repair Fluoride Plus
Before
  • Figure 1: Initial carious lesion on #11 (distal), #12 (distal), and #13 (mesial).
After
  • Figure 2: At the 6 month follow up, reduction in lesion sizes on #12 & #13 to E0, and of that on #11 to E1

Patient Presentation and examination: 

  • Personal information and relevant medical history: 42-year-old male, with a history of gout 
  • Past dental history: 
    • Multiple carious teeth, for which patient underwent appropriate restorative and prosthetic treatment
    • Usage of different topical remineralizaing agents, such as those containing CPP-ACP, 5000 PPM fluoride, etc. at home
  • Routine radiographic examination: Small radiolucencies were observed in the enamel of #11 (distal), #12 (distal) and #13 (mesial). This was confirmed using an artificial intelligence software (Videa Health AI) (Figure 1) 

Diagnosis: 

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

Treatment: 

  • The initial caries lesions were treated with one application of Curodont Repair Fluoride Plus and followed up with an application of fluoride varnish (5% sodium fluoride).
  • Oral hygiene instructions were reinforced. 

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

#11: Reduction in the size of the treated lesion to E1, indicative of partial remineralization. 
#12, #13: Reduction in the sizes of the lesions to E0, indicative of complete remineralization.

Take-away: Patients with a history of having multiple teeth with caries and restorations are at a high risk for developing new carious lesions. These patients can be assessed closely with frequent recalls to help diagnose these lesions in time, with the help of aids like artificial intelligence when possible. Non-invasive and timely treatment with Curodont Repair Fluoride Plus, along with thorough counselling and motivation on improving oral hygiene and diet, can help prevent progression of these lesions into cavities. 

* Caries risk assessment and management

Back