none 10.31254/dentistry.2024.9108 BioMed Research Publishers BioMed Research Publishers 16195 179269124 314763 20250713121558940 10.31254 2025-07-13T12:16:03Z 2025-07-13T12:16:01Z 0 International Journal of Dentistry Research Int J Dentistry Res 25813218 10.31254/dentistry https://www.dentistryscience.com/ 4 30 2024 9 1 Gal Hiltch https://orcid.org/0009-0007-2032-0190 Liviu Steier https://orcid.org/0000-0002-0937-9147 José Antonio Poli de Figueiredo https://orcid.org/0000-0002-8113-9260 This study evaluated the effectiveness of newly introduced fluorescence-enhanced dental loupes ("Reveal") in facilitating the discovery of hidden and early carious lesions. Additionally, it compared fluorescence-based caries detection methods with traditional radiographic techniques. Traditionally, visual-tactile inspection and radiographs are used for caries detection. However, these methods have limitations, including operator subjectivity and exposure to ionizing radiation. Fluorescence-based devices aim to mitigate some of these limitations. Utilizing purple/blue light, physical and biological interactions occur between the light and tissues, allowing for early detection of enamel demineralization (through scattering) and the byproducts of bacterial activity (via red fluorescence). The report describes the examination of three patients with varying lesion types using the "Reveal" loupes, under dual white-light/fluorescence-light conditions. Photographic documentation was performed with a Nikon camera using a "Reveal" coated lens. Lesions were classified according to the ICDAS system, and treatments were tailored based on the lesion type and severity. The findings of the case report showed that fluorescence-light examination with the new device may enhance the detection of early occlusal and smooth surface caries. Notable red fluorescence from active caries lesions was evident, as well as identification of sub-surface dentinal lesions. The dual white-light/fluorescence-light approach was perceived as helpful in treatment guidance, and achieving treatment goal. While fluorescence techniques excelled in identifying surface and near-surface lesions, the traditional radiographic methods are still considered the gold standard in deep lesion detection and monitoring. In conclusion, the clinical use of fluorescence-enhanced dental loupes may increase caries detection sensitivity without compromising the high specificity of the traditional visual-tactile method. Adequately combining fluorescence-based detection methods with radiographic techniques can provide a comprehensive evaluation of dental health, suggesting a promising direction for enhanced clinical decision-making across various dental disciplines. Further research is needed to establish the definitive effectiveness of these devices. 4 30 2024 28 31 1 10.31254/biomed-crossmark-policy www.biomedresearch.org false 10.31254/dentistry.2024.9108 https://www.dentistryscience.com/IJDR_202491_08.pdf