Review
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Diş Çürüğünün Teşhisi ve Bu Amaçla Kullanılan Güncel Yöntemler

Year 2023, Volume: 2 Issue: 2, 219 - 231, 19.10.2023
https://doi.org/10.58711/turkishjdentres.vi.1301420

Abstract

Diş çürüğü, toplumda sık karşılaşılan önemli ve yaygın
problemlerden biridir. Diş çürüğünün başlangıç aşamasında
teşhis edilmesi çürük lezyonun ilerlemesine engel olur, ayrıca
daha komplike tedavi uygulamalarının yapılmasına olan
gereksinimi de azaltmış olur. Çürük teşhisi kliniklerde en yaygın
olarak görsel ve dokunsal muayene ile birlikte radyografinin
kullanımı ile yapılmaktadır. Bu yöntemlerin çürüğün erken
aşamada teşhis edilmesinde bazı sınırlamaları bulunmaktadır.
Bu nedenle günümüzde farklı çalışma prensipleriyle çalışan
çürük teşhis yöntemleri geliştirilmiş ve hekimlerin kullanımına
sunulmuştur. Bu derlemenin amacı, çürüğün erken dönemde
doğru bir şekilde teşhis edilmesi amacıyla geliştirilen bu teşhis
yöntemlerinden bahsetmektir.

References

  • Fejerskov O, Kidd EAM, Nyvad B, Baelum V. Defining the disease: an introduction. In: Fejerskov O, Kidd E, eds. Dental Caries: The Disease and Clinical Management. 2nd edn. Oxford: Blackwell Munksgaard, 2008.
  • Robinson C, Shore RC, Brookes SJ, Strafford S, Wood SR Kirkham J. The chemistry of enamel caries. Crit Rev Oral Biol Med 2000;11:481-95.
  • Caufield PW, Griffen AL. Dental caries. Pediatr Clin North Am 2000;47:1001-19.
  • Roberson T, Heymann HO, Swift Jr EJ. Sturdevant’s Art and Science of Operative Dentistry. 5th edn. Elsevier Health Sciences, 2006.
  • Deery C, Toumba KJ. Diagnosis and prevention of dental caries. In:Welbury R, Duggal MS, Hosey MT, eds. Paediatric Dentistry. 3rd edn. Oxford: Oxford Univ Press, 2005. p. 122.
  • Banerjee A, Watson TF. Pickard’s guide to minimally invasive operative dentistry. 10th edn. Oxford: Oxford Univ Press, 2015. p. 7-9.
  • Foros P, Oikonomou E, Koletsi D, Rahiotis C. Detection methods for early caries diagnosis: a systematic review and meta-analysis. Caries Res 2021;55:247-59.
  • Pretty IA. Caries detection and diagnosis: novel technologies. J Dent 2006;34:727-39.
  • Mohanraj M, Prabhu VR, Senthil R. Diagnostic methods for early detection of dental caries - A review. Int J Pedod Rehabil 2016;1:29-36.
  • Gomez J. Detection and diagnosis of the early caries lesion. BMC Oral Health 2015;15 Suppl 1(Suppl 1):S3-S3.
  • Karlsson L. Caries Detection methods based on changes in optical properties between healthy and carious tissue. Int J Dent 2010 ;2010:270729.
  • Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet 2007;369(9555):51-9.
  • Neuhaus KW, Ellwood R, Lussi A, Pitts NB. Traditional lesion detection aids. Monogr Oral Sci 2009;21:42-51.
  • Warren JJ, Levy SM, Wefel JS. Explorer probing of root caries lesions: an in vitro study. Spec Care Dentist 2003;23:18-21.
  • Zandona AF, Zero DT. Diagnostic tools for early caries detection. J Am Dent Assoc 2006;137:1675-84.
  • Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, Pitts NB, et al. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 2007;35:170-8.
  • Kühnisch J, Goddon I, Berger S, Senkel H, Bücher K, Oehme T, Hickel R, Heinrich-Weltzien R, et al. Development, methodology and potential of the new Universal Visual Scoring System (UniViSS) for caries detection and diagnosis. Int J Environ Res Public Health 2009;6(9):2500-9.
  • Ekstrand KR, Martignon S, Ricketts DJ, Qvist V. Detection and activity assessment of primary coronal caries lesions: a methodologic study. Oper Dent 2007;32:225-35.
  • Kamburoğlu K, Kolsuz E, Murat S, Yüksel S, Ozen T. Proximal caries detection accuracy using intraoral bitewing radiography, extraoral bitewing radiography and panoramic radiography. Dentomaxillofac Radiol 2012;41:450-9.
  • Akkaya N, Kansu O, Kansu H, Cagirankaya LB, Arslan U. Comparing the accuracy of panoramic and intraoral radiography in the diagnosis of proximal caries. Dentomaxillofac Radiol 2006; 35: 170–4.
  • McComb D, Tam LE. Diagnosis of occlusal caries: Part I. Conventional methods. J Can Dent Assoc 2001;67:454-7.
  • Pooterman JH, Weerheijm KL, Groen HJ, Kalsbeek H. Clinical and radiographic judgement of occlusal caries in adolescents. Eur J Oral Sci 2000;108:93-8.
  • Wenzel A, Kirkevang LL. Students’ attitudes to digital radiography and measurement accuracy of two digital systems in connection with root canal treatment. Eur J Dent Educ 2004;8:167-71.
  • White SC, Pharoah MJ. Oral radiology: Principles and Interpretation. 5th edn. Toronto: Mosby, 2004. p. 297-313.
  • Mollica FB, Torres CRG, Gonçalves SE, Mancini MN. Dentine microhardness after different methods for detection and removal of carious dentine tissue. J Appl Oral Sci 2012;20:449-54.
  • Sadasiva K, Kumar KS, Rayar S, Shamini S, Unnikrishnan M, Kandaswamy D. Evaluation of the efficacy of visual, tactile method, caries detector dye, and laser fluorescence in removal of dental caries and confirmation by culture and polymerase chain reaction: an in vivo study. J Pharm Bioallied Sci 2019;11(Suppl 2):146-50.
  • Hosoya Y, Taguchi T, Tay FR. Evaluation of a new caries detecting dye for primary and permanent carious dentin. J Dent 2007;35:137-43.
  • Banerjee A, Kidd EA, Watson TF. In vitro validation of carious dentin removed using different excavation criteria. Am J Dent 2003;16:228-30.
  • Akbari M, Ahrari F, Jafari M. A comparative evaluation of DIAGNOdent and caries detector dye in detection of residual caries in prepared cavities. J Contemp Dent Pract 2012;13(4):515-20.
  • Strassler HE, Pitel ML. Using fiber-optic transillumination as a diagnostic aid in dental practice. Compend Contin Educ Dent 2014;35(2):80-8.
  • Fejerskov O, Kidd E. Dental Caries and The Disease and It’s Clinical Management. 2nd edn. Oxford: Blackwell Munksgaard, 2003.p. 61-142.
  • Akyıldız BM, Sönmez I. Diş çürüğünün erken teşhisinde transillüminasyon yöntemleri.Akyüz S,editör.Çürük Tespitinde Güncel Yaklaşımlar.1.Baskı.Ankara:Türkiye Klinikleri; 2019.p.14-20.
  • Abogazalah N, Eckert GJ, Ando M. In vitro visual and visible light transillumination methods for detection of natural non-cavitated approximal caries. Clin Oral Investig 2019;23(3):1287-94.
  • Abogazalah N, Ando M. Alternative methods to visual and radiographic examinations for approximal caries detection. J Oral Sci 2017;59(3):315-22.
  • Astvaldsdóttir A, Ahlund K, Holbrook WP, de Verdier B, Tranæus S. Approximal caries detection by DIFOTI: in vitro comparison of diagnostic accuracy/efficacy with film and digital radiography. Int J Dent 2012 ;2012:326401.
  • Richards D. Best clinical practice guidance for management of early caries lesions in children and young adults: an EAPD policy document. Evid-Based Dent 2016;17(2):35– 7.
  • Akyıldız E, Özalp N. Diagnosis of Early Dental Caries by Traditional, Contemporary and Developing Imaging Methods. European Annals of Dental Sciences 2022;49(1):38-45.
  • Laitala, M. L., Piipari, L., Sämpi, N., Korhonen, M., Pesonen, P., Joensuu, T., & Anttonen, V,et al. Validity of digital imaging of fiber-optic transillumination in caries detection on proximal tooth surfaces. Int J Dent 2017 ;2017:8289636.
  • Darling CL, Huynh GD, Fried D. Light scattering properties of natural and artificially demineralized dental enamel at 1310 nm. J Biomed Opt 2006;11(3):34023.
  • Fried D, Featherstone JD, Darling CL, Jones RS, Ngaotheppitak P, Buhler CM, Early caries imaging and monitoring with near-infrared light. Dent Clin North Am 2005; 49(4):771–93.
  • Abogazalah N, Eckert GJ, Ando M, In vitro performance of near infrared light transillumination at 780-nm and digital radiography for detection of non-cavitated approximal caries, J Dent 2017;63:44-50.
  • Söchtig F, Hickel R, Kühnisch J. Caries detection and diagnostics with near-infrared light transillumination: clinical experiences. Quintessence Int 2014;45(6):531-8.
  • Abdelaziz M, Krejci I, DIAGNOcam–a near infrared digital imaging transillumination (NIDIT) technology. Int J Esthet Dent 2015;10(1):158-65.
  • Lara-Capi C, Cagetti MG, Lingström P, Lai G, Cocco F, Simark-Mattsson C, Campus G, et al. Digital transillumination in caries detection versus radiographic and clinical methods: an in-vivo study. Dentomaxillofac Radiol 2017;46(4):20160417.
  • Marinova-Takorova M, Anastasova R, Panov VE, Yanakiev S. Comparative evaluation of the effectiveness of three methods for proximal caries diagnosis – a clinical study. J of IMAB 2014;20(1):514-16.
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  • Rechmann P, Charland D, Rechmann BMT, Featherstone JDB. Performance of laser fluorescence devices and visual examination for the detection of occlusal caries in permanent molars. J Biomed Opt 2012;17(3), 36006.
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  • Lennon AM, Attin T, Buchalla W. Quantity of remaining bacteria and cavity size after excavation with FACE, caries detector dye and conventional excavation in vitro. Oper Dent 2007;32(3):236–41.
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Diagnosis of Dental Caries and Current Methods Used for This Purpose

Year 2023, Volume: 2 Issue: 2, 219 - 231, 19.10.2023
https://doi.org/10.58711/turkishjdentres.vi.1301420

Abstract

Dental caries is one of the most important and common
problems encountered in society. Diagnosing dental caries at
the initial stage prevents the progression of the carious lesion,
and also reduces the need for more complicated treatment
applications. Caries diagnosis is most commonly made in clinics
using radiography together with visual and tactile examination.
These methods have some limitations in diagnosing caries at an
early stage. For this reason, today, caries diagnosis methods
that work with different working principles have been developed
and presented to the use of physicians. The aim of this review
is to mention about these diagnostic methods developed for the
correct diagnosis of caries in the early period.

References

  • Fejerskov O, Kidd EAM, Nyvad B, Baelum V. Defining the disease: an introduction. In: Fejerskov O, Kidd E, eds. Dental Caries: The Disease and Clinical Management. 2nd edn. Oxford: Blackwell Munksgaard, 2008.
  • Robinson C, Shore RC, Brookes SJ, Strafford S, Wood SR Kirkham J. The chemistry of enamel caries. Crit Rev Oral Biol Med 2000;11:481-95.
  • Caufield PW, Griffen AL. Dental caries. Pediatr Clin North Am 2000;47:1001-19.
  • Roberson T, Heymann HO, Swift Jr EJ. Sturdevant’s Art and Science of Operative Dentistry. 5th edn. Elsevier Health Sciences, 2006.
  • Deery C, Toumba KJ. Diagnosis and prevention of dental caries. In:Welbury R, Duggal MS, Hosey MT, eds. Paediatric Dentistry. 3rd edn. Oxford: Oxford Univ Press, 2005. p. 122.
  • Banerjee A, Watson TF. Pickard’s guide to minimally invasive operative dentistry. 10th edn. Oxford: Oxford Univ Press, 2015. p. 7-9.
  • Foros P, Oikonomou E, Koletsi D, Rahiotis C. Detection methods for early caries diagnosis: a systematic review and meta-analysis. Caries Res 2021;55:247-59.
  • Pretty IA. Caries detection and diagnosis: novel technologies. J Dent 2006;34:727-39.
  • Mohanraj M, Prabhu VR, Senthil R. Diagnostic methods for early detection of dental caries - A review. Int J Pedod Rehabil 2016;1:29-36.
  • Gomez J. Detection and diagnosis of the early caries lesion. BMC Oral Health 2015;15 Suppl 1(Suppl 1):S3-S3.
  • Karlsson L. Caries Detection methods based on changes in optical properties between healthy and carious tissue. Int J Dent 2010 ;2010:270729.
  • Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet 2007;369(9555):51-9.
  • Neuhaus KW, Ellwood R, Lussi A, Pitts NB. Traditional lesion detection aids. Monogr Oral Sci 2009;21:42-51.
  • Warren JJ, Levy SM, Wefel JS. Explorer probing of root caries lesions: an in vitro study. Spec Care Dentist 2003;23:18-21.
  • Zandona AF, Zero DT. Diagnostic tools for early caries detection. J Am Dent Assoc 2006;137:1675-84.
  • Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, Pitts NB, et al. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 2007;35:170-8.
  • Kühnisch J, Goddon I, Berger S, Senkel H, Bücher K, Oehme T, Hickel R, Heinrich-Weltzien R, et al. Development, methodology and potential of the new Universal Visual Scoring System (UniViSS) for caries detection and diagnosis. Int J Environ Res Public Health 2009;6(9):2500-9.
  • Ekstrand KR, Martignon S, Ricketts DJ, Qvist V. Detection and activity assessment of primary coronal caries lesions: a methodologic study. Oper Dent 2007;32:225-35.
  • Kamburoğlu K, Kolsuz E, Murat S, Yüksel S, Ozen T. Proximal caries detection accuracy using intraoral bitewing radiography, extraoral bitewing radiography and panoramic radiography. Dentomaxillofac Radiol 2012;41:450-9.
  • Akkaya N, Kansu O, Kansu H, Cagirankaya LB, Arslan U. Comparing the accuracy of panoramic and intraoral radiography in the diagnosis of proximal caries. Dentomaxillofac Radiol 2006; 35: 170–4.
  • McComb D, Tam LE. Diagnosis of occlusal caries: Part I. Conventional methods. J Can Dent Assoc 2001;67:454-7.
  • Pooterman JH, Weerheijm KL, Groen HJ, Kalsbeek H. Clinical and radiographic judgement of occlusal caries in adolescents. Eur J Oral Sci 2000;108:93-8.
  • Wenzel A, Kirkevang LL. Students’ attitudes to digital radiography and measurement accuracy of two digital systems in connection with root canal treatment. Eur J Dent Educ 2004;8:167-71.
  • White SC, Pharoah MJ. Oral radiology: Principles and Interpretation. 5th edn. Toronto: Mosby, 2004. p. 297-313.
  • Mollica FB, Torres CRG, Gonçalves SE, Mancini MN. Dentine microhardness after different methods for detection and removal of carious dentine tissue. J Appl Oral Sci 2012;20:449-54.
  • Sadasiva K, Kumar KS, Rayar S, Shamini S, Unnikrishnan M, Kandaswamy D. Evaluation of the efficacy of visual, tactile method, caries detector dye, and laser fluorescence in removal of dental caries and confirmation by culture and polymerase chain reaction: an in vivo study. J Pharm Bioallied Sci 2019;11(Suppl 2):146-50.
  • Hosoya Y, Taguchi T, Tay FR. Evaluation of a new caries detecting dye for primary and permanent carious dentin. J Dent 2007;35:137-43.
  • Banerjee A, Kidd EA, Watson TF. In vitro validation of carious dentin removed using different excavation criteria. Am J Dent 2003;16:228-30.
  • Akbari M, Ahrari F, Jafari M. A comparative evaluation of DIAGNOdent and caries detector dye in detection of residual caries in prepared cavities. J Contemp Dent Pract 2012;13(4):515-20.
  • Strassler HE, Pitel ML. Using fiber-optic transillumination as a diagnostic aid in dental practice. Compend Contin Educ Dent 2014;35(2):80-8.
  • Fejerskov O, Kidd E. Dental Caries and The Disease and It’s Clinical Management. 2nd edn. Oxford: Blackwell Munksgaard, 2003.p. 61-142.
  • Akyıldız BM, Sönmez I. Diş çürüğünün erken teşhisinde transillüminasyon yöntemleri.Akyüz S,editör.Çürük Tespitinde Güncel Yaklaşımlar.1.Baskı.Ankara:Türkiye Klinikleri; 2019.p.14-20.
  • Abogazalah N, Eckert GJ, Ando M. In vitro visual and visible light transillumination methods for detection of natural non-cavitated approximal caries. Clin Oral Investig 2019;23(3):1287-94.
  • Abogazalah N, Ando M. Alternative methods to visual and radiographic examinations for approximal caries detection. J Oral Sci 2017;59(3):315-22.
  • Astvaldsdóttir A, Ahlund K, Holbrook WP, de Verdier B, Tranæus S. Approximal caries detection by DIFOTI: in vitro comparison of diagnostic accuracy/efficacy with film and digital radiography. Int J Dent 2012 ;2012:326401.
  • Richards D. Best clinical practice guidance for management of early caries lesions in children and young adults: an EAPD policy document. Evid-Based Dent 2016;17(2):35– 7.
  • Akyıldız E, Özalp N. Diagnosis of Early Dental Caries by Traditional, Contemporary and Developing Imaging Methods. European Annals of Dental Sciences 2022;49(1):38-45.
  • Laitala, M. L., Piipari, L., Sämpi, N., Korhonen, M., Pesonen, P., Joensuu, T., & Anttonen, V,et al. Validity of digital imaging of fiber-optic transillumination in caries detection on proximal tooth surfaces. Int J Dent 2017 ;2017:8289636.
  • Darling CL, Huynh GD, Fried D. Light scattering properties of natural and artificially demineralized dental enamel at 1310 nm. J Biomed Opt 2006;11(3):34023.
  • Fried D, Featherstone JD, Darling CL, Jones RS, Ngaotheppitak P, Buhler CM, Early caries imaging and monitoring with near-infrared light. Dent Clin North Am 2005; 49(4):771–93.
  • Abogazalah N, Eckert GJ, Ando M, In vitro performance of near infrared light transillumination at 780-nm and digital radiography for detection of non-cavitated approximal caries, J Dent 2017;63:44-50.
  • Söchtig F, Hickel R, Kühnisch J. Caries detection and diagnostics with near-infrared light transillumination: clinical experiences. Quintessence Int 2014;45(6):531-8.
  • Abdelaziz M, Krejci I, DIAGNOcam–a near infrared digital imaging transillumination (NIDIT) technology. Int J Esthet Dent 2015;10(1):158-65.
  • Lara-Capi C, Cagetti MG, Lingström P, Lai G, Cocco F, Simark-Mattsson C, Campus G, et al. Digital transillumination in caries detection versus radiographic and clinical methods: an in-vivo study. Dentomaxillofac Radiol 2017;46(4):20160417.
  • Marinova-Takorova M, Anastasova R, Panov VE, Yanakiev S. Comparative evaluation of the effectiveness of three methods for proximal caries diagnosis – a clinical study. J of IMAB 2014;20(1):514-16.
  • Chu CH, Lo EC, You DS. Clinical diagnosis of fissure caries with conventional and laser-induced fluorescence techniques. Lasers Med Sci 2010;25(3):355-62.
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There are 89 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Reviews
Authors

Oya Bala 0000-0001-5446-2583

Sümeyye Kanlıdere 0000-0003-4592-4496

Publication Date October 19, 2023
Published in Issue Year 2023 Volume: 2 Issue: 2

Cite

Vancouver Bala O, Kanlıdere S. Diş Çürüğünün Teşhisi ve Bu Amaçla Kullanılan Güncel Yöntemler. J Turkish Dent Res. 2023;2(2):219-31.

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