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Features Stand-alone instrumentCordless, flexibleHighly resistant sapphire tips for taking measurements in the approximal, fissure and periodontal regionStorage space for 4 tipsEasy to useIntegrated screenDisplay of maximum (peak) readingDisplay of current (moment) readingExtra beepsSterilisable sleeve and probes (135°C)Can be used with protective covers, similar to those used with intra oral cameras Proximal caries - onfi dent identification Conventional methods of identifi cation are not suffi ciently reliable to detect hidden caries. Adults in particular suffer from proximal and secondary caries, assuming that these are found since visual diagnosis is highly diffi cult. Hidden caries remain hidden in two-thirds of all instances of classic examination methods. Only with the KaVo DIAGNOdent pen can you reliably detect hidden caries in the proximal region. The laser beam of the KaVo DIAGNOdent pen proximal probe makes it possible: A prism defl ects the detector laser beam 100° so that nothing remains hidden around the contact point. Procedure This state-of-the-art diagnostic instrument works on the basis of the differing fluorescence between healthy and diseased tooth substance. It reliably detects even the smallest lesions without exposing the patient to radiation. And there’s no probing or scraping - so no damage to healthy tooth substance. A wand containing a light-emitting diode laser and probe, is passed over the carious region. It stimulates modified tooth substance, causing it to fluoresce. The wand then directs this fluorescence back to an analysis photocell, which then displays it visually and emits an audible tone. Test the DIAGNODent/DIAGNOdent pen Would you like to know more about the DIAGNOdent/DIAGNOdent pen? Or have it demonstrated in your practice? Or test it yourself? Then please fill out the form: Satisfied dentists have reported Early caries detection - improves planned treatment. Long-term patient retention thanks to brief, pain-free (or virtually pain-free) minimally invasive treatments - prevention instead of preparation. Less fear in phobic patients. Impact on treatment spectrum: Significant reduction in amalgam fillings Two to three-fold increase in single surface composite fillings 50 % increase in multi-surface composite fillings Fewer major, time-consuming restorations 20 - 40 % increase in practice revenues More private services - e.g. composite fillings Patients discharged more quickly as a result of less anaesthetic. Waiting times reduced. Caries can be monitored, stabilised and documented thanks to objective, reproducible, quantifiable findings. DIAGNOdent Display 2191 The DIAGNOdent has been optimised to your needs and expanded with the display. By means of an infrared interface, the DIAGNOdent are shown both on the handpiece and the display. Measurements are quickly and easily visible to you and your patients. Only the DIAGNOdent pen makes it possible It precisely identifi es calculus and visually indicates the fi ndings by a number for the dentist, assistant and patient to see. The perio probe of the DIAGNOdent pen detects calculus more thoroughly than conventional probes. Cleaning becomes less invasive because only those regions are cleaned where plaque actually exists. This saves you time. And it‘s only available from KaVo: Periodontitis prophylactic – accurate, reliable, convenient. With the DIAGNOdent pen and it‘s a special perio probe, you only clean where calculus is actually located. This saves time and decreases patient stress. Scientists and dentists agree „High reliability“ „... with greater than 90% reliability, DIAGNOdent pen technology measures carious lesions that were not detectable with x-rays or a probe. Reservations are overcome by the combined use of an intra-oral camera, x-rays and the DIAGNOdent.“ Mark E. Hyman DDS, Greensboro, NC, USA „An outstanding instrument“ The DIAGNOdent pen, along with a clinical evaluation and the consideration of the individual caries risk factors, enhance early identifi cation of caries and diagnosis. Based on the favourable reproducibility of its values, the DIAGNOdent pen is an outstanding instrument for detecting the development of lesions in regular examinations. Prof. Dr. Adrian Lussi, Universität Bern The robust sapphire probes can detect caries wherever they are, even in the interdental space. Whilst the fissure probe sends out a parallel laser beam as usual, the approximal probe has 100° laser beam deflection, allowing the entire surface of the tooth to be scanned easily. A colour marking makes it easy to set the beam direction and it only takes a few minutes to examine the entire interdental space. Recommend therapy – Proximal caries* Reading   0 – 7 Normal prophylaxis (such as fluoride toothpaste) 8 – 15 Intensive prophylaxis (such as fluoridation, KaVo HealOzone) > 16 Minimally invasive restorative procedures (such as KaVo HealOzone, RONDOflex, SONICflex micro) Composite filling materials and intensive prophylaxis * Quelle: Prof. Dr. Lussi, Universität Bern, Schweiz Attained readings Reading   < 5 clean gingival pockets 4 - 40 little calculus present or: residual calculus following partial cleaning > 40 calculus in gingival pockets Results for all to see The measured results of the DIAGNOdent pen are sometimes difficult to read, and sometimes they do not lie within the patient‘s line of vision. In these instances, the optional remote display can be used. It can be set up wherever you and your patients need to obtain clear visual confi rmation that caries treatment or calculus removal is necessary.  The stand-alone display receives its data remotely from the DIAGNOdent pen and displays them enlarged and distinct. Satisfied patients Reduced need for major treatments such as root canal, bridges, crowns etc Patients' own teeth retained for longer. Virtually pain-free treatment. Less anaesthetic. No exposure to radiation. No enamel damage caused by sharp probes. Psychological benefits for children and phobic patients. Visual and audible signals make it easy for patients to understand Calibration references Approx probe Fissure probe Features Patient motivation from clearly perceptible and reliable treatment Saves time because unnecessary excess treatment is eliminated Increased income from regular recalls You are seen as a trendsetter who uses innovative laser technology Accord In the example shown, the elevated DIAGNOdent value of 60 indicates deep C4 caries in the dentine that cannot be detected on dental film. Features Easily visible and readable DIAGNOdent values The values are readable both on the display and the DIAGNOdent pen Easier to work No annoying cable Better patient retention useful as a starting point for patient consultation and a patient recall system Level-dependent treatment notes Display value Diagnosis/treatment/ Therapie 0 - 13Healthy tooth - a professional teeth cleaning (PTC) is all that is required 14 - 20 Intensive PTC with fluoride treatment etc. 21 - 29 Intensive PTC with fluoride treatment and monitoring - take into account minimally invasive restorations and caries risk factors Indication dependent on the following: Caries activityCaries riskRecall intervals etc. From 30 Minimally invasive restorations and intensive PTC Practical example Research has shown: It's the gold standard for fissures The KaVo DIAGNOdent pen has a much greater success rate than conventional diagnosis methods. No other method – be it visual, probe-based or X-ray based – has proven as precise or reliable in the detection of caries. Even when there appears to be no visible cavity. It has a 90% success rate in detecting caries. The DIAGNOdent laser fluorescence method has therefore been scientifically-recognised as the gold standard in the area of occlusal fissures. Accompanying studies completed by Prof. Lussi, in Bern, have proven that the new DIAGNOdent pen has the same level of sensitivity and precision as the existing KaVo DIAGNOdent device. Residual calculus detection More calculus is found with DIAGNOdent than with a traditional periodontal probe (n = 3,174 detection surfaces*). The fi ndings of various practitioners with the DIAGNOdent pen were more consistent. It is very difficult to diagnose approximal caries visually. Discolouration can be seen, but the traditional probe is of no use Battery operated for maximum flexibility Grip sleeve is detachable for sterilisation purposes X-ray diagnosis is the recognised gold standard in detecting approximal caries. However, the Digora imaging plate shows a C2 caries only Probing the pocket depth before and 3 months after root cleaning Patients examined with the DIAGNOdent pen showed a greater drop in the number of deep pockets (> 4 mm) (n = 3,174 detection surfaces*). *Prof. Dr. Frentzen, Universität Bonn, Deutschland Study Summary „The intra/inter-examiner reproducibility of the new DIAGNOdent pen on occlusal sites.“ Based on the documented reproducibility, the DIAGNOdent pen should be used in addition to visual inspection and x-rays. Kühnisch J, Bücher K, Hickel R. Ludwig-Maximilians-University of Munich, Department of Conservative Dentistry and Periodontology, Munich, Germany. jkuehn@dent.med.uni-muenchen.de „Clinical evaluation of DIAGNOdent pen in detection of occlusal caries in children.“ The DIAGNOdent pen with its great sensitivity is a helpful addition to visual inspection in the discovery of occlusal caries. Olmez A, Tuna D, Oznurhan F. Department of Pediatric Dentistry, School of Dentistry, University of Gazi, Turkey. aysegul@gazi.edu.tr PMID: 16937852 [PubMed - indexed for MEDLINE] „Clinical study of the use of the laser fluorescence device DIAGNOdent pen for detection of occlusal caries in children.“ The DIAGNOdent pen it is an appropriate tool for routine examinations in children. Anttonen V, Seppä L, Hausen H. Oulu Municipal Health Center, Finland. voukko.antonen@ouka.fi PMID: 12566634 [PubMed - indexed for MEDLINE] „Detection of approximal caries with a new laser fluorescence device.“ The new laser fluorescence system is a helpful additional instrument for the detection of proximal caries. Given the favourable reproducibility, the DIAGNOdent can be used to monitor the development of caries. Lussi A, Hack A, Hug I, Heckenberger H, Megert B, Stich H. Department of Operative, Preventive and Paediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland. adrian.lussi@zmk.unibe.ch PMID: 16508265 [PubMed - indexed for MEDLINE] „Performance of conventional and new methods for the detection of occlusal caries in deciduous teeth.“ The DIAGNOdent pen can be used as an additional instrument for detecting occlusal caries. Given the favourable reproducibility, the device can be used to monitor the development of caries. Lussi A, Francescut P. Department of Operative, Preventive and Paediatric Dentistry, School of Dental Medicine University of Bern, Bern, Switzerland. adrian.lussizmk.unibe.c Bleeding in the periodontal pocket before and 3 months after root cleaning Patients examined with DIAGNOdent pen had a greater reduction in bleeding index (BOPSee above „POB“) (n = 3,174 detection surfaces*). The postoperative bleeding index improves and the pocket depth is noticeably reduced. Results of the clinical study by Prof. Frentzen of Bonn University have proven this. Liquids such as saliva or blood cannot infl uence the measurements. A diagnosis of the histological section confirms the DIAGNOdent pen diagnosis - deep C4 caries in the dentine Bilder Images: Prof. Stachniss, Marburg University Storage box with separate tip holder Sapphire occlusal tip   *Prof. Dr. Frentzen, Universität Bonn, Deutschland Fissure caries - reliable identification 80% of caries in children and adolescents is fissure caries. This is frequently hidden by intact enamel layers - hidden caries.   DIAGNOdent has become the gold standard for diagnosing fissure caries. The KaVo DIAGNOdent pen detects the different levels of fl uorescence between healthy and diseased tooth substance. Even very small lesions can be detected reliably without exposure to ionising radiation. Healthy tooth substance remains unaffected: No probe, scratches or damage. Recommend therapy – fissure caries and smooth surface caries* Reading   0 – 12 Normal prophylaxis (such as fluoride toothpaste) 13 – 24 Intensive prophylaxis (such as fluoridation, KaVo HealOzone) > 25 Minimally invasive restorative procedures Composite filling materials and intensive prophylaxis (such as KaVo HealOzone, RONDOflex, SONICflex micro) Classic restoration for large lesions depending on the risk and findings. * Quelle: Prof. Dr. Lussi, Universität Bern, Schweiz Sapphire approx. probe. 100° laser beam deflection prism. Visually, only a slight discolouration is perceptible. The radiograph does not reveal any caries lesions. The DIAGNOdent pen discovers cavities.