Okluzal çürük teşhis yöntemlerine güncel bakış

Çürüğün erken teşhisi, uygun tedavi planının oluşturulması ve diş dokusundaki kaybın azaltılabilmesi için temel esastır. Pit ve fissür sistemleriyle karakterize olan okluzal yüzeyler çürüğe yatkın bölgelerdir. Bu yüzeylerdeki başlangıç lezyonların teşhisi oldukça önemlidir. Geleneksel olarak okluzal yüzeylerde çürük teşhisi dental ayna ve sond kullanılarak yapılmaktadır. Fakat; fissür morfolojisindeki çeşitlilik, sondun keskinliği ve hekimin sondu uygulama basıncı gibi etkenler objektif sonuçlar elde edilmesini engellemektedir. Klinik gözlem ile birlikte bite-wing radyografinin kullanılması okluzal yüzeylerin teşhisinde olumlu sonuçlar vermiştir. Fakat bu yöntem, subjektif olduğundan bazı kısıtlamalar mevcuttur. Teknolojinin gelişmesi ile birlikte birçok yeni metot geliştirilmiştir. Bu derlemede güncel çürük teşhis yöntemleri ile ilgili yapılmış çeşitli çalışmalar ve sonuçları karşılaştırmalı olarak sunulmuştur

Current overwiev to occlusal caries detection Early detection of caries is the basic principle in order to reduce the loss of tooth structure and the creation of appropriate treatment plan. Occlusal surfaces that characterize with pit and fissure systems are decaying areas. The diagnosis of the initial lesions on these surfaces is very important. Traditionally, the diagnosis of caries in occlusal surfaces is made by using dental mirror and sond. But; diversity in the fissure morphology, probe’s edge, probe application pressure of physician and various other factors prevents to obtain objective results. Caries diagnosis is performed mainly by means of radiography in addition to clinical observations. But this method has some restrictions because subjectively. Many new methods have been developed in conjunction with the development of technology. In this review, various studies and results about current caries diagnosis methods are presented comparatively

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