DOE Deluxe Kit

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.

The experience with most doctors when they try their first pair of loupes is WOW!

Loupes provide distortion free magnification between 2x and 8x that improves work quality from a millimeter to easily 50 microns. As a result, any procedures carried with a naked eye will have automatic improvement in the quality and speed of work including margins, contacts, canals, and implants etc.

Additionally, loupes insure you to work at an optimum posture without the need of bending your back to get closer look. Long-term benefits have been proven tremendous in avoiding chronicle back pains and extending career lifetime.

When combined with fluorescence imaging in DOE, loupes ensure consistent soft and hard tissue imaging with less false positives.

Loupes make your work much more enjoyable every day.

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

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

              -  Composite viewing for old composite removal

              -  High-power and guided transillumination for dental caries, fractures, and root canal

              -   Intra-oral Illumination

              -   Magnification

              -   Optional fast composite curing

• And what more, the price is right!

Yes. With FUSION, you have the options of upgrading to full DOE or starter DOE, while the latter enables you to perform soft tissue oral exam and composite removal procedures at more than half the price of the competitors.

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.

The DOE full kit comes with a White Light Head for oral illumination and transillumination. FUSION curing light can optionally add-on White Light Head. It accomplishes two goals:

• Illumination to have side-by-side visual under fluorescence and enhanced white light illumination with the same magnification image
• Transillumination for hard tissue oral health exam including dental caries, fractures, and root canal.

The Exam Tip (also doubles as a Tacking Tip for veneers/crowns/brackets with curing light head) is a disposable black 3mm opening tip that adapts and snaps into the end of the light head to cut down side light emission and guide the light propagation into a focused filament of light. It enables transillumination into interproximal teeth and improves contrast of visual exams on anterior, posterior and endo root canal.

DOE SE is a simplified version of DOE full 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 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.