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    Foti Difoti

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    annabeth
    1. Fibre optic transillumination (FOTI) and digital imaging fibre optic transillumination (DIFOTI) are early caries detection tools that use light illumination to detect small carious lesions. 2. FOTI uses a fibre optic handpiece to transmit light through tooth structure, where demineralized areas will scatter light and appear as dark shadows, helping differentiate between sound and carious enamel or dentin. 3. DIFOTI combines FOTI with a digital camera to capture transillumination images for comparison over time, aiming to reduce inter-examiner variability seen with FOTI diagnosis.

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    Foti Difoti

    Uploaded by

    annabeth
    275 views11 pages
    1. Fibre optic transillumination (FOTI) and digital imaging fibre optic transillumination (DIFOTI) are early caries detection tools that use light illumination to detect small carious lesions. 2. FOTI uses a fibre optic handpiece to transmit light through tooth structure, where demineralized areas will scatter light and appear as dark shadows, helping differentiate between sound and carious enamel or dentin. 3. DIFOTI combines FOTI with a digital camera to capture transillumination images for comparison over time, aiming to reduce inter-examiner variability seen with FOTI diagnosis.

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    Brief presentation of foti and difoti

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    1. Fibre optic transillumination (FOTI) and digital imaging fibre optic transillumination (DIFOTI) are early caries detection tools that use light illumination to detect small carious lesions. 2. FOTI uses a fibre optic handpiece to transmit light through tooth structure, where demineralized areas will scatter light and appear as dark shadows, helping differentiate between sound and carious enamel or dentin. 3. DIFOTI combines FOTI with a digital camera to capture transillumination images for comparison over time, aiming to reduce inter-examiner variability seen with FOTI diagnosis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    275 views11 pages

    Foti Difoti

    Uploaded by

    annabeth
    1. Fibre optic transillumination (FOTI) and digital imaging fibre optic transillumination (DIFOTI) are early caries detection tools that use light illumination to detect small carious lesions. 2. FOTI uses a fibre optic handpiece to transmit light through tooth structure, where demineralized areas will scatter light and appear as dark shadows, helping differentiate between sound and carious enamel or dentin. 3. DIFOTI combines FOTI with a digital camera to capture transillumination images for comparison over time, aiming to reduce inter-examiner variability seen with FOTI diagnosis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 11

    Early caries detection tools.

    FOTI and DIFOTI


    Visual methods.
    A. Conventional methods.

    1. Tactile examination

    2. Visual examination.

    B. Advances in visual methods.

    1. Illumination (FOTI and DIFOTI)

    2. Dyes.
    Fibre optic transilluminatio and digital imaging fibre optic transillumination:

    1. Help differentiate between sound tooth structure and carious tooth.

    2. Promote detection of small carious lesions.

    This is possible because, microporosity of enamel structure will alter the


    transmission of light therefore defects and colour changes will be visible
    throughout enamel and dentin.
    Fibre optic transilluminatio a.k.a. FOTI
    Depends on the propagation of light from the source to the non illuminated tooth
    surface; source being the fibre optic handpiece.

    No shadow➡➡➡high index of light transmission ➡➡➡no lesion.

    Dark shadow ➡➡➡low index of light transmission ➡➡➡ carious lesion.


    Mechanism of action
    It is based on the changes in the scattering and absorption phenomenon of light
    photons that increases the contrast between sound and enamel caries. In other
    words, results from a local decrease of transillumination owing to the
    characteristics of the carious lesion. The illumination is delivered via fiber-optics
    from a light source to a tooth surface. The light propagates from the fiber
    illuminator across tooth tissue to non-illuminated surfaces. The resulting images of
    light distribution are then used for diagnosis. Its transmission can be observed
    either in the opposite side or in the occlusal surfaces, when molars and premolars
    are analyzed. As light scattering is higher in the demineralized enamel, it is
    possible to see the lesion as a dark area or a shadow. Besides, carious dentin
    appears orange, brown or grey underneath the enamel. This can help on the
    differentiation between enamel and dentin lesions.
    Evaluation of caries using FOTI
    Evaluating for Anterior Caries

    For both maxillary and mandibular anterior teeth, in order to visualize anterior
    proximal caries the probe should be placed on the labio-cervical region of the
    tooth, and the surface should be examined from the lingual aspect with a mouth
    mirror (Figure 1). In some cases, because of the thinness of mandibular incisors,
    the light guide can be placed on the lingual surface.
    Evaluating for Posterior Interproximal Caries

    To visualize posterior proximal caries using a conventional light guide, the probe is
    placed on the cervical area of the tooth, buccally or lingually. Light passes into the
    cervical tooth structure and then radiates occlusally. Caries can appear as a dark
    shadow on the occlusal surface
    Setbacks and shortcomings of FOTI
    it has been show that FOTI diagnosis by naked eye can be subject to great inter-
    and intra-examiner variation,
    Digital imaging fibre optic transilluminatio a.k.a.
    DIFOTI

    Digital imaging fiber-optic transillumination (DIFOTI) was developed in an attempt to reduce the perceived
    shortcomings of FOTI, by combining FOTI with a digital CCD camera. DIFOTI has elevated traditional
    transillumination to more sophisticated diagnostic levels

    Mechanism of action:

    When the teeth are transilluminated, areas of demineralized enamel or dentin scatter
    light and incipient caries appear darker in the resultant image. Images taken during
    different examinations can be compared for clinical changes between several images of
    the same tooth over time.

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