To Drill or Not to Drill?

“To drill or not to drill” a suspicious occlusal caries lesion. Has the lesion penetrated into the dentin, or is it confined to the enamel?  Is it best to recommend conservative therapy and monitor, or begin a restorative procedure?

The Ortek ECD™ was specifically designed to instantly detect occlusal cavitated lesions at the earliest possible stages - helping solve a major diagnostic challenge for dental professionals.

Unlike other caries detection systems, the revolutionary ECD measures the conductivity of enamel. The ECD accurately detects if these prevalent lesions have initially breached the dentin-enamel junction, advanced and progressed further into the dentin, or are confined to the enamel.

The ECD displays a quantitative digital caries score depending on the extent of decay into the dentin. A zero score indicates a non-cavitated occlusal lesion or a sound enamel site.


Highly efficacious, extremely affordable, fast and easy to use, the ECD is an essential new diagnostic tool that will transform your practice by improving patient outcomes.

√ Proven Efficacy and Technology:
• 100% Sensitivity, 93% Specificity*
• Measures minuscule amounts of conductive dentinal fluid that enters breached enamel sites, allowing the ECD to complete an electrical circuit. Loss of mineral from enamel as a result of caries activity increases porous size and enamel porosity.

√ Fast and Easy to Use:
• Dry occlusal surface with an air blast. Without probing, gently place the novel conductive tip at the bottom of a pit or fissure.
• ECD provides instant digital caries score from 00 to 100.
• Minimal training needed.
• Not affected by stain.

√ Multiple Practice Benefits:
• Helps confirm treatment options including restorative procedures and noninvasive strategies.
• Extremely affordable.
• New profit center.
• Rapid ROI.

√ Multiple Patient Benefits:

• Early detection helps save tooth structure, resulting in better patient outcomes.
• Diagnosing prevalent early cavitated lesions that often go undetected by x-ray, probing and visual method.
• Painless and no ionizing radiation.
• Eliminates the need for potentially harmful probing.

√ Easily Integrates with Hygiene Exams:
• After routine prophylaxis treatment, quickly examine any suspicious occlusal lesions.

√ Portable, No Maintenance:
• Lightweight, and powered by a 9V alkaline battery.
• Single patient use conductive tips.
• Just replace battery as needed.

* View clinical study

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A Remarkable Advance in Early Caries Detection