Sidekick - West - Volume 2, 2017 - 43

Putting Caries Detection to Use

Encouraging patients to participate in
their dental care is not easy, so I like
to educate them with technologies
that offer a visual representation. For

RICHARD J. STUART,
DDS

"Our digital
radiography,
intraoral camera,
and CariVu create
a whole package
that makes a
huge difference
for our patients'
comprehensive
dental care."

example, when patients can see dental caries on
their teeth, they understand why I recommend
certain restorative procedures. DEXIS CariVu™
caries detection device offers a no-radiation,
highly accurate, visual option for caries
detection and patient education.
CariVu gives an impressive visual image of
caries similar to an X-ray. The enamel appears
transparent, and caries shows up as dark areas
that are easy to see and understand. CariVu,
with its broad use for occlusal, interproximal,
and recurrent carious lesions and cracks, offers
99% accuracy. We use it on any patient not
yet due for radiographs or who is reluctant to
allow radiographs. In some cases, after we use
CariVu, the patients are more willing to allow
radiographs to further determine if treatment
is necessary.
When patients arrive in the hygiene room, we
discuss normal office protocols, like frequency
of radiographs. The hygienist will capture
radiographs and may capture CariVu images.
Even with radiographs, we use CariVu to
doublecheck caries that may not yet be visible on
the X-ray. If a patient asks about the images, the
hygienist educates the patient on proper dental
health and care because CariVu images can be
a good illustration of good and not-so-good
hygiene.

As part of our office technology, monitors are
positioned above the patient's head, and we can
show CariVu images and explain our findings. It is
easy to see the difference between the perfect tooth
and a tooth with a carious lesion.
As a prosthodontist, implants and crown preps
are a growing part of my practice, so it is very
important to discover if caries exists between
teeth. If I see a suspicious area, I snap an image
with CariVu to document it and monitor changes
over time. As a result, we only do restorative
procedures when they are needed - when the
caries indicate treatment- and not before, and
patients appreciate that.
I know that CariVu is making a positive impression
when patients return and ask if we can use "the
light device" again. They like to see whether they
can tell if a carious lesion has progressed or not-
the image is that definable. Our digital radiography,
intraoral camera, and CariVu create a whole package
that makes a huge difference for our patients'
comprehensive dental care.
About the Author: Dr. Rich Stuart received his
undergraduate degree from Ball State University
and his dental degree and post-graduate training
in prosthodontics from Indiana University School
of Dentistry. He is a proponent of organized
dentistry and a Fellow of the International Team of
Implantologists. Dr. Stuart is the team dentist for
the NFL's Indianapolis Colts and the Indianapolis
Ice hockey players, and he maintains a private
practice in the city.

Sidekick | Vol. 2 2017

43



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