DOE Deluxe Kit

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Product Number: 770-0010

Oral health is all about early detection and prevention

  • Fluorescence and transillumination technology have been proven successful in identifying soft and hard tissue abnormalities.
  • DOE Oral Exam System provides dentists an X-ray vision to easily identify abnormal tissue that might develop into oral cancer or dental caries through the contrast of green healthy fluorescence and dark abnormal tissue.
  • It is pleasant and fast with no need of rinsing the mouth.

DOE system uses high power LED illumination and high contrast switching filter for oral exam beyond normal visualization capabilities

  • Small, Cordless, and Reliable
  • Ease of access to detect unreacheable areas including the back throat
  • No hair drier cooling fan noise
  • Multi-wavellength LED illumination
  • Always ready without sleeping mode
  • Easy to document cases with office camera

You’ve got the POWER!!!

  • Soft tissue lesion imaging
  • Dental caries transillumination
  • Easy composite viewing and removal
  • Options to add on fast composite curing, light weight illumination, and hands-free composite removal system

Comparisons for: DOE Deluxe Kit

Parameter DOE Velscope Vx Identifi
Source Wavelength Violet, White Blue Violet, White, Amber
Source High Power LED Multiple LEDs Low Power LED
Cooling Passive (no fan) Active Fan (noisy) Passive (no fan)
Illumination Intensity High and Low High Low
Detection Magnified High Contrast Filter with direct line of sight High Contrast Filter with direct line of sight Low Contrast Filter with indirect viewing via mirror
Image Quality High High Low
Ambient Room Light On or Off Off Off
Working Principles Fluoresence (soft and hard tissue), transillumination (hard tissue), Magnification Fluorescence (soft tissue) Fluorescence and Reflectance (soft tissue)
Indications for use Soft Tissue Lesions, dental caries and fractures, illumination,  composite viewing/removal, magnification Soft Tissue Lesions Soft Tissue Lesions
Weight (grams) 110 420 140
Power Source Rechargeable Li-Ion Rechargeable Li-Ion 2 AA batteries
Battery Run Time 45 minutes 12 minutes 120 minutes
Battery Recharging Time 90 minutes 3 hours Displace every morning
Construction 22x195mm solid-metal wand 22mm diameter, 88mm deep, 190mm high.Plastic handpiece 250 mm long (handpiece)
Further Indications for Use Fast  Polymerization for Adhesives, Composite, Bonding Agents, Sealants No No/td>
Upgrade Options Yes from FUSION No No
Documentation Yes with standard office camera Yes with add-on camera No

Clinical Techniques for: DOE Deluxe Kit

Non-contact flip-up filter

Procedure
Slip on flip-up filter handling tool. Switch filter position through the handling tool to avoid filter contact. Autoclave the handling tool after each use
Results
Avoid cross-contamination

Composite visual identification

Procedure
Use violet light to illuminate restoration areas together with magnified fluorescence filters to distinguish composite boundaries.
Results
Assist cleaning of residual or old composites for esthetics and better restorations.
DOE

Early detection of oral cancer can happen at the dentist

If oral cancers are diagnosed and treated early, they are eminently curable and the survival rate exceeds 80%

February 23, 2015

The combination of clinical surveillance with histological examination remains the current gold standard for oral cancer and precancer diagnosis. By Faizan Alawi, DDS http://www.dental.upenn.edu/pdf/pdf_features/oral_cancer_screening.pdf

Literature
Diagnostics

Never Do Just an “Oral Cancer” Exam!

June 22, 2011

By Dr. Scott Benjamin

The most important function of dental care is a thorough assessment and evaluation of the patient’s oral and related systemic health. An exam should never be focused on just one condition, and that includes cancer. One of the biggest mistakes that clinicians make is understating the true value of an oral screening for a multitude of conditions and over-hyping a single disease. The improper communication of these procedures has greatly reduced the perception of the significance and importance of theRead more

http://www.towniecentral.com/Dentaltown/Article.aspx?aid=3311&st=scott benjamin
Literature
Diagnostics

DOE Oral Exam System

June 22, 2011

By Dr. George Freedman

The scientific training of the dental practitioner is focused on diagnostic skill. While the clinical procedures that we perform are highly technical and often demanding, it is the detection of disease and the decision-making that precedes treatment that is truly the hallmark of the profession. Thus, the techniques and devices that assist us in becoming better diagnosticians are always welcome. DentLight has introduced the DOE Oral Exam System that helps dentists and hygienists to identify abnormal tissues that may otherwiseRead more

http://www.dentistrytoday.com/first-impressions/4439-first-impressions-february-2011
Literature

Early Discovery, Assessment, and Diagnosis

April 6, 2011

By By Scott D. Benjamin, DDS

Some of dentistry’s most significant—and often overlooked—advances in recent years have been in the area of diagnostic technologies.Read more

http://www.dentalaegis.com/id/2011/04/early-discovery-assessment-and-diagnosis
Literature

Filtering the Light

January 23, 2011

By Dr. John Flucke

We’ve put the device through its paces in my office for about 6 months now and have been very pleased with its performance and with the increased visibility it provides.Read more

http://digital.dentalproductsreport.com/nxtbooks/advanstar/dpr_201101/index.php#/44
Literature
Diagnostics

Why do I need DOE?

    The most important function of dental care is a thorough assessment and evaluation of the patient's oral and related health status. This includes dental caries that lead to cavity, decays under old composite, soft tissue problems such as cheek bite and worst of all, early signs of oral cancer.
    DOE is a portable non-invasive dental oral exam system that addresses all of the above and more. It offers illumination to aid visualization during oral procedures and works as an adjunct to magnify and enhance the visualization of mucosal abnormalities, lesions, dental caries, fractures and endodontic canal orifice without the need of oral rinsing or switching off the room light.
    DOE offers a win-win solution for both dentists and their patients. It helps patients avoid health problems that could be cost-prohibitive and even life-threatening at a later stage. It helps dentists, together with other modalities, to market their practice to deliver cost-effective yet profitable procedures to give their patients a piece of mind.

How does DOE work?

    Similar to the green fluorescence protein (GFP) that exhibits bright green fluorescence when exposed to blue light in jellyfish, numerous publications [Ref.] in the public domain have established the similar fluorescence in human soft tissue when excited under violet-blue wavelength light.
    Fluorescence from jellyfish is easy to see due to its high quantum efficiency of close to 80% meaning 80% of the excitation light could be converted to the fluorescence emission. However, fluorescence from human soft tissue is much more difficult to observe due to not only lower quantum yield but also broader fluorescence emission.
    DentLight is one of a few companies that achieved such feat in its capability to image soft tissue fluorescence with high resolution and high contrast. The patent-pending DOE design implements the most advanced technology in LED optics for long-range illumination to the back of the throat and high contrast fluorescence optical filters to maximize emission image contrast while suppressing both room and excitation light.Together with its award-winning modular design, DOE delivers to our customers the portable and reliable solutions for complete oral exam.
    References:
    1)        De Veld DCG et al: The status of in vivo autofluorescence spectroscopy and imaging for oral oncology. Oral Oncol. 2005 Feb; 41(2): 117-31
    2)        Svistun E et al: Vision enhancement system for detection of oral cavity neoplasia based on autofluorescence. Head Neck. 2004 Mar; 26(3): 205-15
    3)        Utzinger U et al: Optimal visual perception and detection of oral cavity neoplasia. IEEE Trans Biomed Eng. 2003 Mar; 50(3): 396-9
    4)        Heintzelman DL et al: Optimal excitation wavelengths for in vivo detection of oral neoplasia using fluorescence spectroscopy. Photochem Photobiol 2000; (72)1: 103–113
    5)        Betz CS et al: Autofluorescence imaging and spectroscopy of normal and malignant mucosa in patients with head and neck cancer. Lasers Surg Med. 1999; 25(4): 323-34
    6)        Ingrams DR et al: Autofluorescence characteristics of oral mucosa. Head Neck 1997; (19)1: 27–32
    7)        Onizawa K et al: Fluorescence photography as a diagnostic method for oral cancer. Cancer Lett 1996; 108(1): 61–66

What are the differences between DOE and other brands?

When you want to count on quality, functionality and performance, DentLight has proven over and over that we deliver the best products on the market. DOE is comparable in working principles to Velscope and Identifi, which all depends on fluorescence imaging as the primary detection mechanism. Yet –
  • DOE is much smaller and portable than Velscope or Identifi enabling detection of back throat imaging which is a common place of problem.
  • DOE has proven integrated rechargeable battery and smart electronics for constant ready exams without the need of changing battery (Identifi) or sleeping mode (Velscope).
  • DOE delivers much higher power LED illumination than Identif similar to Velscope yet integrates passive cooling without the annoying fan noise and reliability headache in the long run.
  • DOE implements patent-pending high contrast optical filter with much better extinction ratio than Identifi yet integrates with magnification loupes for both consistent high resolution imaging and suppression of room light while other brands need to turn off the ambient light.
  • Best of all, DOE is modular and integrates components that can perform a lot more procedures than the other brands including in addition to soft tissue exam: 1) Composite viewing for old composite removal; 2) High-power and guided transillumination for dental caries, fractures, and root canal; 3) Intra-oral Illumination; 4) Bleaching; 5) Optional fast composite curing
  • And what more, the price is right!

Is DOE just for “Oral Cancer” Exam and what if I give patients “False Positives”?

    DOE is a full oral health exam system not just aimed at screening oral cancer. One of the biggest mistakes that dentists make is over-hyping a single disease like oral cancer while not understating the true value of an oral screening for a multitude of health conditions. The improper communication of these procedures has greatly reduced the perception of the significance and importance of the oral exam.
    DOE is to discover any abnormality, no matter what it might be, from dental caries that lead to cavity, decays under old composite, soft tissue problems such as cheek bite and worst of all, early signs of oral cancer.
    No single device, such as DOE or X-ray machine for that matter, can deliver 100 percent accuracy or effectiveness in detecting conditions such as oral cancer. Detection and diagnosis is accomplished with the accumulation of data from multiple sources and modalities. DOE is an effective screening device for first level oral exams beyond the tip of the iceberg. Signals of problem, e.g., dark tissue with loss of fluorescence, should lead to further diagnosis including salivary diagnosis and oral pathology exams.

What is the difference between DOE and DOE SE?

    DOE SE is a custom version of DOE kit that primarily addresses oral cancer screening with a simple viewing and control system. DOE SE wand operates continuously for 1 minute with a single push of a run button. Fluorescence image is viewed through the custom Fluorescence Viewer similar to a standard face goggle. Due to the small size of the LED light and high optical illumination, DOE SE enables both intra and extra oral access which are critically important for the detecton of anterior and posterior regions of the oral cavity.
    DOE digital version has expanded capability to perform composite curing and bleaching.

Every dentist should be getting it.

This system is relatively inexpensive. Every dentist should be getting it.

Dr. Jeffrey Hoos

The most versatile on the market…

Fusion light system incorporates: white light – curing light – oral cancer detection light. It is truly the most versatile on the market… The transillumibation differentiates primary and secondary dentin, indispensable as you explore deeper into the root, hopefully avoiding the disappointment of a root ” perforation” and locating the pulp canal to gain access to the canal terminus at the apex.
Dr. James Malooley DDS, MSD

John Flucke’s Dental Technology Blog

I’m a big believer in oral cancer screening.  By examining and finding cancer at its earliest stages, it allows us to give the patient the best chance to beat this disease.  Early on in the development cycle of the Identafi device (way before it was part of DentalEZ) I was tinkering with the device.  Cancer screening is something that every doctor and hygienist should be doing.  Now with the market seeing multiple devices (Dentlight DOE, LED Dental Velscope Vx) and the Identafi, doctors have more choices in reliable devices than at any time in history.

Very pleased with its performance and with the increased visibility

Cancer screening is something that every doctor and hygienist should be doing. We have been very pleased with its performance and with the increased visibility it provides. While wearing the magnification and using the filters, tissue exposed to the violet light appears as a greenish color while potential areas of concern show up dark. The contrast is extremely good, which makes the exam process easier to perform.

Dr. John Flucke

The DOE system is a very good way to conduct a fast and non-invasive examination…

Adding to the value of Fusion curing light is the ability to conduct and oral cancer examination that will identify abnormal tissue warranting further investigation. The DOE kit comes with a snap-on head for the Fusion light as well as snap-on filters for your loupes.

I am a firm believer in and advocate for oral cancer prevention through early diagnosis and the DOE system is a very good way to conduct a fast and non-invasive examination of the oral cavity.

Dr. Howard Glazer

Great all-around light for the dental office

The Fusion Light is one GREAT all-around light for the dental office. You get the benefits of three lights in one! Curing, Transillumination and Oral Cancer Screening. The Curing power is remarkable, the power of the white light attachment for caries and cracked tooth detection is great and the ability to use the DOE attachment for an enhanced oral tissue/cancer screening and evaluation makes this light the complete package!
John Comisi DDS., M.A.G.D.

Quick to implement…

The product was quick to implement.
Michelle M. Goodrow, RDH

As new technologies develop…

I’m sure as new technologies develop, they will be incorporated into this unit.
James Bowers, DDS

Pleasant and Fast

DOE makes the potentially life-saving examination pleasant and fast.
Dr. George Freedman

Easy to use on patients

It was easy to use on patients.
Hal Board, DDS

FUSION does much more than curing

CHICAGO, IL, USA: The FUSION curing light, available from DentLight, is much more than just a curing light. In fact, it is so versatile that the Richardson, Texas-based supplier refers to it as a “Dental Oral Exam System.” As Dr. Richard Liu, president of DentLight, explained, in addition to its curing functions, the FUSION can also be used for caries and composite detection, for extra magnification illumination, and for the detection of oral cancer.

http://www.dental-tribune.com/articles/business/usa/7627_fusion_does_much_more_than_curing_.html

What influenced the way you practiced in 2010?

The curing of composites was enhanced through the use of DentLight’s Fusion and Kerr Dental‘s Demi Plus.

DentLight Fusion is a pen-grip-style curing light that has high output and can also be upgraded to a cancer detection aid. The Demi Plus continues the Dematron tradition with gun-style high-power curing. I am appreciating the faster curing and feeling better about the depth of cure from these lights.

I also reduced the size of the headlight on my loupes with a small LED light from DentLight called the Nano loupe light. The light was quite a bit brighter and smaller than my previous model.

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