Making invisible disease and infection visible could change the course of dentistry. Even beyond the mouth, fluorescent light has been used in oncology and dermatology. In dentistry to-date, the use of LED-generated blue light is still limited to resin photo polymerization, i.e. the hardening of composite fillings. Science breaks these barriers and shows that LEDs alone or in combination with photosensitizers can be used for fluorescence diagnosis, therapy guidance, and therapy performance. Specifically, the scientific evidence is well established and supports the many used of Fluorescence Enhanced Theragnosis (FET), such as in cariology, periodontology, implantology, and endodontics. Beyond dentistry, FET is applicable in tumor diagnosis, during resection, and for treatment guidance. Additionally, the current Covid-19 pandemic drives the worldwide search for innovative disinfection methodologies. Evidenced by its success-to-date, LED emitting at 405nm responds to both the need for disinfection for treatment and disinfection for hygienic purposes. The antimicrobial activity of blue light LED whether it is used in combination with photosensitizers or not is known photoactivated disinfection. This form of disinfection also applies in the many disciplines of dentistry, including cariology, periodontology, endodontics, and implantology. A new and approved magnification device was specially designed and equipped with such a UV light source, which can be used in diagnosis, treatment, and disinfection.
The overall goal of this course is to provide an introduction to fluorescence-enhanced therapy and diagnosis in the patients’ best interest. The tool, called Reveal, is a loupe and light combination that shines fluorescent light onto teeth and soft tissue under a specified magnification to enhance diagnosis, treatment supervision, treatment goal achievement and disinfection.
- Understand the difference between “classic” diagnosis and fluorescence-enhanced therapy and diagnosis.
- Conceptualize minimally invasive caries management and caries therapy combined with diagnosis (theragnosis)
- Become aware with an evidence based step-by-step protocol for diagnosis, subsequent differential diagnosis, and then treatment option selection, execution.
Liviu Steier, Dr. med. dent. Prof. has been practicing dentistry in Germany for over thirty-five years. He is a specialist in prosthodontics and in endodontics with a host of both research and practice experience spanning over thirty years in both the US and in Europe. As part of his work, he has served as Clinical and Course Director at Warwick University in Coventry, England, as Member of the Faculty of Dental Surgery at the Royal College of Surgeons in Edinburgh, Scotland, as Course Leader MsC program at the University of Manchester, England, and as Visiting Professor at University of Florence, School of Dental Medicine, Italy, and at the Tufts University, School of Dental Medicine in Boston, MA.
In the US, he was appointed Scientific Advisory Board Member for the Journal of Endodontics, and he has served as Editor, Editor-in-Chief and Reviewer of a multitude of peer-reviewed journals, including the Journal of Dental Education. He has also been a long-standing member of the American Academy of Periodontology and the American Association of Endodontists. Dr. Steier is an internationally recognized lecturer known for his hands-on teaching style, innovative spirit, and both breadth and depth of knowledge.
He has co-developed several breakthrough technologies in caries detection, prevention, and therapy. His award-winning work and numerous publications have been distinguished by authorities in the field around the globe and he continues to make outstanding contributions in both practice and scholarship.
Disclosure: Dr. Steier has a trademark on Fluorescence Enhanced Theragnosis™ and receives royalties from the use of this name.