BlueCheck is an innovative optical aid for caries detection and monitoring. It is a paint-on application, taking less than a few minutes, used as a professional chairside aid to identify dental caries lesions in enamel and dentin. It is designed to objectively visualize early stage decay and to monitor lesion activity over time.

BlueCheck is a saline‐based caries detection and monitoring device, a solution containing a novel biomolecule (a protein) linked to a dye that helps reveal changes in enamel; clearly, early and in color.

When applied by painting onto a patient’s teeth, BlueCheck absorbs into the dental tissue where it specifically and reversibly binds to regions of porosity. After a rinse step, unbound blue is washed away with water, leaving visible blue color on the tooth’s surface at the sites of demineralization.

BlueCheck utilizes the natural hydroxyapatite‐binding chemistry of proteins to bind to the dental hydroxyapatite in active caries lesions. A change in color enables clinicians to visualize surface and sub‐surface porosity associated with dental caries in enamel and dentin.

There is no blue color where there is an intact enamel surface (healthy enamel) or an arrested surface layer (arrested or healed lesion) where there is no exposed hydroxyapatite crystal for BlueCheck to bind to.

Indications: BlueCheck is indicated to aid the dental professional in the visualization of carious lesions.

Instructions for Use: BlueCheck is intended to be used as an adjunct to routine clinical dental examinations.

BlueCheck’s procedure is simple and it gives a fast, direct, sensitive and specific measure of disease status.

It was designed as an optical aid and prevention tool to assist the Clinician in the management of their patient’s by aiding the detection and prevention of dental caries. It enables the visualization of early-stage (incipient / enamel) active caries lesions.

Early detection of disease enables the use of non-invasive treatment options to repair and heal the tooth’s enamel and is a powerful education tool and motivator for the patient to improve oral hygiene and aid acceptance of treatments.

Optical aids to enhance dental caries detection and monitoring are new category of products aimed at supporting the new era of dentistry, prevention and minimally invasive dentistry through advanced technology that arms clinicians with visual evidence of early stage disease (incipient or early enamel caries lesions) and lesion activity (such as BlueCheck, Calcivis and Lumicare).

Store at Room Temperature 2° to 25°C (35° to 77°F).

Avoid direct heat or sunlight and do not freeze.

BlueCheck has no added flavour and has a neutral, slightly salty taste.

Instructions For Use, Precautions:

Do not use on patients with allergies or sensitivity to the ingredients of BlueCheck.

Use on patients with clinically severe developmental dental defects with exposed subsurface tooth enamel and dentine (such as amelogenesis imperfecta), may lead to coloration due to the developmentally porous tissue.

No the blue color is not permanent.

BlueCheck’s hydroxyapatite binding uses a temporary electrostatic interaction, and the blue is easily removed with SLS-containing toothpaste and/or a Hydrogen Peroxide Solution (3%).

Internal Studies under a worst case scenario have shown that any blue color on teeth is removed by action of saliva within 6 hours.

Unlike other caries or plaque detection devices, if BlueCheck has colored a patient’s lips and gums during application, the color is removed by rinsing with water and/or the use of SLS-containing toothpaste and normal saliva activity.

If spills do occur, immediate washing with soap and water will reduce the extent of any staining. For spills on surfaces, use absorbent paper or cloth to collect the material, then wash with soap and water.

BlueCheck is non-toxic to the environment, is not a biohazard and its packaging is recyclable.

It can be disposed of in the normal trash waste bins, per local recycling and disposal guidance. To avoid spills and unintended coloration, ensure the lid is securely fastened to the vial prior to discarding.

Yes. Use CDT code D0600 to submit for reimbursement: “Non-ionizing diagnostic procedure capable of assessing and documenting changes in the structure of enamel, dentin, and cementum.” (American Dental Association (ADA) CDT Code)

However, the procedure may be performed within and enhance other dental codes within caries management environment, such as routine patient dental examination, caries risk assessment, nutrition counselling, oral hygiene instruction, dispensing medicaments for home use and a number of preventive and restoration treatment codes.