Clinical and radiographic judgement of occlusal caries in adolescents

Poorterman, J.H.G.; Weerheijm, K.L.; Groen, Henk; Kalsbeek, H.

doi:10.1034/j.1600-0722.2000.00791.x

Cited by 33 publications

(29 citation statements)

References 8 publications

(8 reference statements)

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“…Diagnosis of occlusal caries is an important issue for the clinician since occlusal fissures are the most susceptible sites for primary carious lesions requiring restorative treatment [1,2]. In order to overcome difficulties during diagnosis and enable better detection of occlusal caries, authors have recommended that traditional methods like visual examination and probing [3] that may cause enamel defects [4] be combined with other diagnostic aids such as radiography, laser or light fluorescence-based methods, or electrical impedance measurements [5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Occlusal Caries Depth Measurements Obtained by Five Different Imaging Modalities

et al. 2010

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The study aimed to assess the accuracy and reproducibility of occlusal caries depth measurements obtained from different imaging modalities. The study comprised 21 human mandibular molar teeth with occlusal caries. Teeth were imaged using film, CCD, two different cone-beam computerized tomography (CBCT) units and a microcomputer tomography (micro-CT). Thereafter, each tooth was serially sectioned, and the section with the deepest carious lesion was scanned using a high-resolution scanner. Each image set was separately viewed by three oral radiologists. Images were viewed randomly, and each set was viewed twice. Lesion depth was measured on film images using a digital caliper, on CCD and CBCT images using built-in measurement tools, on micro-CT images using the Mimics software program, and on histological images using AxioVision Rel. 4.7. Intra-and inter-rater reliabilities were assessed according to the Bland/Altman method by calculating Intraclass Correlation Coefficients (ICCs). Mean/median values obtained with intraoral systems were lower than those obtained with 3-D and histological images for all observers and both readings. Intra-observer ICC values for all observers were highest for histology and micro-CT. In addition, intra-observer ICC values were higher for histology and CBCT than for histology and intra-oral methods. Inter-observer ICC values for first and second readings were high for all observers. No differences in repeatability were found between Accuitomo and Iluma CBCT images or between intra-oral film and CCD images. Micro-CT was found to be the best imaging method for the ex vivo measurement of occlusal caries depth. In addition, both CBCT units performed similarly and better than intra-oral modalities.

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Section: Introductionmentioning

confidence: 99%

Occlusal Caries Depth Measurements Obtained by Five Different Imaging Modalities

et al. 2010

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“…21,22 Okluzal yüzeylerdeki başlangıç çürüklerinin doğru teşhisinde, radyografik değerlendirmenin görsel muayene ile birlikte kullanımı önerilmektedir. 23 Bitewing radyografi (ısırtma yöntemi), ara yüz çürüklerinin erken dönem teşhisinde oldukça etkili bir yöntem iken; erken dönem oklüzal çürüklerin teşhisinde tüberkül tepelerindeki sağlıklı minenin superpozisyonu nedeniyle bu radyografilerin teşhis etkinliğinin sınırlı olduğu bildirilmiştir. 24,25,26 Başlangıç okluzal çürük lezyonlarının tespitinin radyografta yapılabilmesi için yaklaşık %30-40 mineral kaybının oluşması gerekmektedir.…”

Section: Radyolojik Muayeneunclassified

Okluzal Çürük Teşhi̇s Yöntemleri̇ne Güncel Bakiş

Gürses¹,

Ünlü²

2017

Selcuk Dental Journal

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“…El diagnóstico oclusal también se ve dificultado por el uso indiscriminado de flúor y por la aparición de la denominada "lesión oculta", debida al aumento de la capacidad de remineralización del esmalte que permite el desarrollo de una lesión en el fondo de la fisura que puede llegar hasta la dentina, mantenién-dose intacta la superficie adamantina (17)(18)(19). Además, cabe la posibilidad de que haya un sellado biológico, con una masa amorfa de material orgánico, con pocas bacterias, y una mineralización progresiva que también puede enmascarar el diagnóstico (20).…”

Section: Diagnósticounclassified

“…Poorterman et al (17), en un estudio semejante, demostraron que solamente la quinta parte de las lesiones en dentina se detectan clínicamente.…”

Section: Diagnósticounclassified

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Caries oclusal incipiente : Un nuevo enfoque

Almeida¹,

Palti²,

Silveira³

2014

Rev Estomatol Herediana.

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RESUMENNo obstante que el conocimiento sobre el diagnóstico y tratamiento de la caries dental ha avanzado, el diagnóstico de las lesiones oclusales todavía constituye un reto para los clínicos y los epidemiólogos. Los conocimientos sobre la enfermedad, así como los conceptos, formas de diagnóstico y tratamiento de la odontología han evolucionado debido, principalmente, a tres grandes factores: (1) la visión de la caries dental como una enfermedad y, consecuentemente, la posibilidad de intervenir más tempranamente; (2) el uso del flúor y (3) la aparición de materiales restauradores adhesivos, que permiten restauraciones más conservadoras. Esta nueva perspectiva ha conducido al surgimiento de una odontología preventiva que hoy reconoce la presencia de lesiones cariosas ocultas, menores e incipientes. La necesidad del diagnóstico temprano es fundamental, en el sentido de que mientras más pronto se realice la intervención, menor será la pérdida de estructura dentaria y mayor la posibilidad de éxito en la recuperación de la salud bucal. En los últimos tiempos han surgido diversos métodos de diagnóstico y, con ellos, dudas sobre cuál es el ideal y que pueda, además, cumplir las siguientes características: alto grado de sensibilidad y especificidad, bajo costo y fácil aplicación diaria. A pesar de los grandes adelantos tecnológicos observados en el diagnóstico de caries dental, se considera que el examen clínico correcto, acompañado por el examen radiográfico, es un método eficaz para el diagnóstico de lesiones incipientes, que se caracterizan por aparecer principalmente en las superficies oclusales. Cuando hay dudas sobre el diagnóstico de lesiones incipientes se recomiendan métodos alternos y complementarios de tipo invasivo. Palabras clave: CARIES DENTAL. diagnóstico.A new look: incipient occlusal caries ABSTRACT Even though the knowledge about diagnosis and treatment of dental caries is well established, occlusal caries diagnosis remains a great challenge for clinicians and epidemiologists. New concepts of dental caries as a disease and the possibility of an early treatment as well as the use of fluoride and development of adhesive materials, which permit more constructive restorative procedures may be responsible for a new perception of a preventive dentistry. Allowing the appearance of new type of lesions such as hidden caries, incipient caries and smaller caries. For these reasons, the need of an early diagnosis becomes fundamental, because of the aim of modern dentistry as a preventive approach rather than invasive repair of the disease. In the last years, new diagnosis methods were implemented bringing new doubts about which shows the accurate result. The ideal diagnosis method should have high sensibility and specificity, low cost and should be easy to work. Even with the great technologies in new diagnosis tools, an accurate clinical and radiographic exam are considered an effective method in the diagnosis of incipient caries lesions. These incipient caries lesions mostly appear in the occlusal surfaces. In ...

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Clinical and radiographic judgement of occlusal caries in adolescents

Cited by 33 publications

References 8 publications

Occlusal Caries Depth Measurements Obtained by Five Different Imaging Modalities

Occlusal Caries Depth Measurements Obtained by Five Different Imaging Modalities

Okluzal Çürük Teşhi̇s Yöntemleri̇ne Güncel Bakiş

Caries oclusal incipiente : Un nuevo enfoque

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