Gökçen Deniz BAYRAK, Senem Selvi KUVVETLİ

Çürük belirleme yöntemlerine güncel yaklaşımlar

Bir çürük lezyonuna erken aşamada tanı konulması, diş dokusunun olabildiğince korunmasına katkıda bulunabilecek en uygun tedavi planının oluşturulmasına olanak sağlar. Diş çürüğünün belirlenmesinde ve kaydedilmesinde kullanılan sistemler arasında tutarsızlıkların olması, epidemiyolojik ve klinik çalışmalarda elde edilen sonuçların karşılaştırılabilmesini zorlaştırmaktadır. Bu nedenle; diş hekimliği eğitiminde, klinik uygulamalarda ve araştırmalarda kullanılabilecek, çürüğün tüm aşamaları ile değerlendirilmesini sağlamak amacı ile bir klinik çürük skorlama sistemi olan Uluslararası Çürük Belirleme ve Değerlendirme Sistemi (ICDAS) geliştirilmiştir. Yapılan toplantılar sonucunda ICDAS kriterleri tekrar gözden geçirilmiş ve bazı değişiklikler yapılarak ICDAS II kriterleri ortaya konulmuştur. ICDAS II baz alınarak çürüğün doğru şekilde tedavi edilebilmesi ve hastanın çürük risk grubunun belirlenerek ağız hijyeninin en iyi şekilde sürdürülebilmesi amacıyla da Uluslararası Çürük Sınıflaması ve Yönetim Sistemi (ICCMS) geliştirilmiştir. Günümüzde bu sistemler yaygın bir şekilde kullanılmaya başlanmıştır ve bu sayede diş hekimliğinde girişimsel uygulamaların azalacağı düşünülmektedir. Anahtar kelimeler: diş çürükleri, erken teşhis, ICDAS, ICCMS

Anahtar Kelimeler:

diş çürükleri, erken teşhis, ICDAS, ICCMS

Current approaches to caries determination methods

Diagnosis of caries lesions at an early stage allows establishment of a treatment plan suitable for preservation of the dental hard tissues as much as possible. The inconsistencies among caries detection systems caused some difficulties in enrolment and comparison of the findings determined in epidemiological and clinical trials. Recently, to overcome this problem, the International Caries Detection and Assessment System (ICDAS) was developed to use in dental education, clinical research and clinical practice. ICDAS is a clinical dental caries scoring system which allows detection and assessment of caries lesions at an early stage. As a result of conferences, the criteria of ICDAS were modified and ICDAS II was created. The International Caries Classification and Management System (ICCMS) has been developed in order to ensure that the caries can be treated correctly and the patient's caries risk group is identified and oral hygiene can be managed. This system was created based on ICDAS II. Nowadays, these systems are being used widely. These systems are thought to be the key to minimal invasive dentistry. Keywords: dental caries, early diagnosis, ICDAS, ICCMS

Keywords:

dental caries, early diagnosis, ICDAS, ICCMS,

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