Diş Hekimliğinde Güncel Çürük Tanı Yöntemleri

Koruyucu diş hekimliğinin ön planda tutulduğu günümüzde, diş çürüklerinin erken tanısı oldukça önem kazanmıştır. Özellikle çocuk hastalarda diş çürüklerinin erken dönemde saptanıp minimal invaziv tekniklerle tedavi edilmeleri amaçlanmaktadır. Diş çürüklerinin tanısında sıklıkla kullanılan geleneksel yöntemler, henüz kavitasyona neden olmamış çürüklerin tanısında yetersiz kalmaktadır. Bu nedenle diş çürüklerinin tanısında geleneksel yöntemlere ilaveten yeni yöntemler geliştirilmiştir. Bu derlemenin amacı, çürük tanısında kullanılan güncel yöntemler hakkında genel bir bilgi vermek ve bu yöntemlerin geleneksel yöntemlerle birlikte kullanıldığındaki yararlarından söz etmektir.

Recent Methods for Diagnosis of Dental Caries in Dentistry

In recent years, the early diagnosis of dental caries has gained importance as conservative dentistry is kept in the forefront. Especially in pediatric patients, the dentist should focus on the early detection of dental caries and minimally invasive treatment options. The conventional caries detection methods often fail to detect initial enamel lesions that have not progressed to cavitation. For this reason, various new techniques have been developed aiding early detection of caries. The aim of this review is to give general information about recent caries detection methods and to mention their benefits when used in conjunction with conventional methods.

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Zandona AF, Zero DT. Diagnostic tools for early caries detection. J Am Dent Assoc 2006; 137: 1675-84.
Garg A, Biswas G, Saha S. Recent Advancements in Diagnosis of Dental Caries, LAMBERT Academic Publishing, 2014.
Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, et al. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 2007; 35: 170-18.
Jablonski-Momeni A, Stachniss V, Ricketts DN, HeinzelGutenbrunner M, Pieper K. Reproducibility and accuracy of the ICDAS-II for detection ofocclusal caries in vitro. Caries Res 2008; 42: 79-87.
Nickerson A, Orton G. Enhancing Caries detection. J Practical Hygiene 1997; 21-6.
Tandon S. Textbook of Pedodontics. 2nd Edition. Hyderabad: Paras Publication; 2009.
Sawle RF, Andlaw RJ ‘Has occlusal caries become more difficult to diagnose? A study comparing clinically undetected lesions in molar teeth of 14-16 year old children in 1974 and 1982. Br Dent J 1988; 164: 209-11.
Bloemendal E, de Vet HCW, Bouter LM. The value of bitewing radiographs in epidemiological caries research : a systematic review of the literature. J Dent 2004; 32: 255-64.
Hietela-Lenkkeri AM, Tolvanen M, Alanen P, Pienihakkinen K. The additional information of bitewing radiographs in the detection of established or severe dentinal decay in 14 year olds: A cross sectional study in low caries population. Scientific World Journal 2014.
Sikiri VK. Textbook of operative dentistry 2nd edition, Delhi CBS Publishers and Distributors Pvt. Ltd. 2010.
Demarco FF, Matos AB, Matson E, Powers JM. Dyes for caries detection influence sound dentin bond strength. J Oper Dent 1998; 23: 294-8.
Velayudhannair V, Sunila T, Bindu J, Alex Daniel V, Jincy T, Prasanna R, et al. Comparison of Diagnostic ability of storage phosphor plate in detecting proximal caries with Direct Measurment by Stereomicroscope: a pilot study. Clin Pract 2015; 5: 763.
Castro VM, Katz JO, Hardman PK, Glaros AG, Spencer P. In vitro comparison of conventional fififi and direct digital imaging in the detection of approximal caries, Dentomaxillofac Radiol 2007; 36: 138-42.
Iain AP. Caries Detection and Diagnosis: Novel technologies. J Dent 2006; 34: 727-39.
Pretty IA, Esktrand KR, Detection and Monitoring of Early Caries Lesions: a review. Eur Arch Paediatr Dent 2016; 17: 13-25.
Preety IA, Maupome G. A closer look at Diagnosis in Clinical Dental Practice: Part 5. Emerging Technologies for Caires Detection and Diagnosis. J Can Dent Assoc 2004; 70: 540.
Karlsson L. Caries Detection Methods Based on Changes in Optical Properties between Healthy and Carious Tissue. Int J Dent 2010; 20: 1-9.
Bin-Shuwaish M; Dennison JB, Yaman, P, Neiva G. Estimation of clinical axial extension of class II caries lesions with ultraspeed and digital radiographs: an in-vivo study. J Oper Dent 2008; 33: 613-21.
Pitts NB Rimmer PA. An in vivo comparison of radiographic and directly assessed clinical caries status of posterior approximal surfaces in primary and permanent teeth. Caries Res 1992; 26: 146-52.
http://www.marketwire.com/press-release/neks-technologiesannounces-fda-approval-d-caries-mini-caries-detection-deviceinterproximal-647629.htm
Costa AM, Paula LM, Bezerra AC. Use of DIAGNOdent for diagnosis of non-cavitated occlusal dentin caries. J Appl Oral Sci 2008; 16: 18-23.
Toraman Alkurt M, Peker I, Deniz Arisu H, Bala O, Altunkaynak B. In vivo comparison of laser fluorescence measurements with conventional methods for occlusal caries detection. Lasers Med Sci 2008; 23: 307-12.
Marinova-Takorova M, Anastasova R, Panov VE. Comparative evaluation of the effectiveness of five methods for early diagnosis of occlusal caries lesions – in vitro study. J of IMAB 2014; 20: 533-6.
Lussi A, Helwig E. Performance of a new laser fluorescence device for the detection of occlusal caries in vitro. J Dent 2006; 34: 467-71.
Stookey GK. Optical Methods – Quantitative Light Fluoresence, J Dent Res 2004; 83: 84-8.
Ashley PF, Blinkhorn AS, Davies RM: Occlusal caries diagnosis: An in vitro histological validation of the ECM and other methods. J Dent 1998; 26: 83-8.
Ng SY, Ferguson MWJ, Payne PA, Slater P. Ultrasonic studies of unblemished and artificially demineralized enamel in extracted human teeth; A new method for detecting early caries. J Dent 1988; 16: 201-9.
Çalışkan Yanikoğlu F, Oztürk F, Hayran O, Analoui M, Stookey GK. Detection of natural white spot lesions by an ultrasonic system. Caries Res 2000; 34: 225-32.
Goldstein RE, Parkins FM. Using Air-abrasive technology to Diagnose and restore pit and fissure caries. J Am Dent Assoc 1995; 126: 761-6.
Dobhal A, Agarwal A, Gupta S, Insight to Three Dimensional Imaging in Endodontics. Indian J Dent 2011; 3: 17-19.
Park YS, Ahn JS, Kwon HB, Lee SP. Current status of dental caries diagnosis using cone beam computed tomography. Imaging Sci Dent 2011; 41: 43-51.
Howerton WB, Mora MA. Advancements in digital imaging, what is new and on the horizon? J Am Dent Assoc 2008; 139: 20-4.
Aglarci OS, Bilgin MS, Erdem A, Ertas ET. Is it possible to diagnose caries under fififix partial dentures with cone beam computed tomography? Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 119: 579-83.
Tyndall DA, Rathore S. Cone-Beam CT Diagnostic Applications: Caries, Periodontal Bone Assessment, and Endodontic Applications. Dent Clin 2008; 825-41.
Zakian CM, Taylor AM, Ellwood RP, Pretty IA. Occlusal caries detection by using thermal imaging. J Dent 2010; 38: 788-95.