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Çürük belirleme yöntemlerine güncel yaklaşımlar

Year 2019, Volume: 6 Issue: 1, 82 - 90, 01.04.2019
https://doi.org/10.15311/selcukdentj.322782

Abstract

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

References

  • Güray Efes B. Konservatif diş tedavisinde diagnostik yöntemler. J Istanbul Univ Fac Dent 2005;39:43-9.
  • Gomez J, Zakian C, Salsone S, Pinto SC, Taylor A, Pretty IA, et al. In vitro performance of different methods in detecting occlusal caries lesions. J Dent 2013;41:180-6.
  • Korkut B, Tağtekin DA, Yanıkoğlu FÇ. Diş çürüklerinin erken teşhisi ve teşhiste yeni yöntemler: QLF, Diagnodent, Elektriksel İletkenlik ve Ultrasonik Sistem. EÜ Diş Hek Fak Derg 2011;32:55-67.
  • Pitts NB. Diagnostic tools and measurements -impact on appropriate care. Community Dent Oral Epidemiol 1997;25:24-35.
  • Trevisan TC, de Andrade MC, Presoto CD, de Oliveira Júnior OB, Andrade MF , Bortolatto JF. Hidden caries: A critical review. Journal of Scientific Dentistry 2015;2:33-36.
  • Ricketts D, Kidd E, Weerheijm K, de Soet H. Hidden caries: what is it? Does it exist? Does it matter? Int Dent J 1997;47:259–65.
  • McComb D, Tam LE. Diagnosis of occlusal caries: Part I. Conventional methods. J Can Dent Assoc 2001;67:454-7.
  • Weerheijm KL, van Amerongen WE, Eggink CO. The clinical diagnosis of occlusal caries: A problem. ASDC J Dent Child 1989;56:196-200.
  • Alkurt M, Bala O. Okluzal çürük teşhisinde gözle muayene, geleneksel radyografi ve dijital radyografinin etkinliğinin değerlendirilmesi. GÜ Diş Hek Fak Derg 2007;24:101-107.
  • Lussi A, Hibst R, Paulus R. DIAGNOdent: An optical method for caries detection. J Dent Res 2004;83:80-83.
  • 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;35:170–78.
  • Pitts N. ‘ICDAS’ – an international system for caries detection and assessment being developed to facilitate caries epidemiology, research and appropriate management. Community Dent Health 2004;21:193–98.
  • Gugnani N, Pandit IK, Srivastava N, Gupta M, Sharma M. International Caries Detection and Assessment System (ICDAS): A New Concept. Int J Clin Pediatr Dent 2011;4:93-100.
  • Altarakemah Y, Al-Sane M, Lim S, Kingman A, Ismail AI. A new approach to reliability assessment of dental caries examinations. Community Dent Oral Epidemiol 2013;41:309–16.
  • International Caries Detection and Assessment System (ICDAS) Coordinating Committee. Rationale and Evidence for the International Caries Detection and Assessment System (ICDAS II). Scotland: Dental Health Services Research Unit 2005 http://www.icdas.org.
  • Dikmen B. ICDAS II Crıterıa (Internatıonal Carıes Detectıon And Assessment System) J Istanbul Univ Fac Dent 2015;49:63-72.
  • Ekstrand KR, Martignon S, Ricketts DJ, Qvist V. Detection and activity assesment of primary coronal caries lesions: a methodologic study. Oper Dent 2007;32:225-35.
  • Braga MM, Mendes FM, Ekstrand KR. Detection activity assessment and diagnosis of dental caries lesions. Dent Clin North Am 2010;54:479-93.
  • Appendix Criteria Manual International Caries Detection and Assessment System (ICDAS II) Revised in December and July Bogota, Colombia and Budapest, Hungary. 2009 http://www.icdas.org/
  • Diniz MB, Rodrigues JA, Hug I, Cordeiro Rde C, Lussi A. Reproducibility And Accuracy Of The Icdas-II For Occlusal Caries Detection. Community Dent Oral Epidemiol 2009;37:399-404.
  • Braga MM, Oliveira LB, Bonini GAVC, Bönecker M, Mendes FM. Feasibility of the International Caries Detection and Assessment System (ICDAS II) in epidemiological surveys and comparability with standard world health organization criteria. Caries Res 2009;43:245-49.
  • Goswami M, Rajwar AS. Evaluation of cavitated and non-cavitated carious lesions using the WHO basic methods, ICDAS-II and laser fluorescence measurements. J Indian Soc Pedod Prev Dent 2015;33:10-4.
  • Iranzo-Cortés JE, Terzic S, Montiel-Company JM, Almerich-Silla JM. Diagnostic validity of ICDAS and DIAGNOdent combined: an in vitro study in pre-cavitated lesions. Lasers Med Sci. 2017;32:543-48.
  • Diniz MB, Lima LM, Eckert G, Zandona AG, Cordeiro RC, Pinto LS. In vitro evaluation of ICDAS and radiographic examination of occlusal surfaces and their association with treatment decisions. Oper Dent 2011;36:133-42.
  • Braun A, Guiraud LM, Frankenberger R. Histological validation of ICDAS II and radiological assessment of occlusal carious lesions in permanent teeth. Odontology 2016;105:46-53.
  • Mitropoulos P, Rahiotis C, Stamatakis H, Kakaboura A. Diagnostic performance of the visual caries classification system ICDAS II versus radiography and micro-computed tomography for proximal caries detection: an in vitro study. J Dent 2010;38:859-67.
  • Braga MM, Mendes FM, Martignon S, Ricketts DN, Ekstrand KR. In vitro Comparison of Nyvad’s system and ICDAS-II with lesion activity assessment for evaluation of severity and activity of occlusal caries lesions in primary teeth. Caries Res 2009;43:405–12.
  • Shoaib L, Deery C, Ricketts DN, Nugent ZJ. Validity and reproducibility of ICDAS II in primary teeth. Caries Res 2009;43:442-48.
  • Kockanat A, Unal M. In vivo and in vitro comparison of ICDAS II, DIAGNOdent pen, CarieScan PRO and SoproLife camera for occlusal caries detection in primary molar teeth. Eur J Paediatr Dent. 2017;18:99-104.
  • Shivakumar KM, Prasad S, Chandu GN. International Caries Detection and Assessment System: A new paradigm in detection of dental caries. J Conserv Dent 2009;12:10-16.
  • Pitts NB, Ekstrand KR. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS) - methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol 2013;41:41-52.
  • Ismail AI, Tellez M, Pitts NB, Ekstrand KR, Ricketts D, Longbottom C, et al. Caries management pathways preserve dental tissues and promote oral health. Community Dent Oral Epidemiol. 2013;41:12-40.
  • Bader JD, Shugars DA. Understanding dentists' restorative treatment decisions. J Public Health Dent 1992;52:102-10.
  • Ismail AI, Pitts N, Tellez M. The International Caries Classification and Management System (ICCMS™) An Example of a Caries Management Pathway. BMC Oral Health 2015;15:1-13.
  • Nyvad B, Machiulskiene V, Baelum V. Construct and predictive validity of clinical caries diagnostic criteria assessing lesion activity. J Dent Res 2003;82:117-22.
  • Nyvad B, Machiulskiene V, Baelum V. Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions. Caries Res 1999;33:252-60.
  • Ekstrand KR, Luna LE, Promisiero L, Cortes A, Cuevas S, Reyes JF, et al. The reliability and accuracy of two methods for proximal caries detection and depth on directly visible proximal surfaces: an in vitro study. Caries Res 2011;45:93-9.
  • Bakhshandeh A, Ekstrand KR, Qvist V. Measurement of histological and radiographic depth and width of occlusal caries lesions: A methodological study. Caries Res 2011;45:547- 55.
  • Oral Health Assessment and Review – Full Guidance. Scottish Dental Clinical Effectiveness0 Programme. Pitts NB (Guidance Development Group Chair) and the SDCEP Guidance Development Group –2012 http://www.sdcep.org.uk/
  • Bratthal D, Hansel Peterson G. Cariogram: a multifactorial risk assessment model for a multi factorial disease. Community Dent Oral Epidemiol 2005;33:256–64.
  • Featherstone JD, White JM, Hoover CI, Rapozo-Hilo M, Weintraub JA, Zhan L, et al. A randomized clinical trial of anticaries therapies targeted according to risk assessment (caries management by risk assessment). Caries Res 2012;46:118-29.
  • American Academy of Pediatric Dentistry. Guideline on Caries-risk Assessment and Management for Infants, Children, and Adolescents. Pediatr Dent. 2016;38:142-49.
  • Deery C. Caries detection and diagnosis, sealants and management of the possibly carious fissure. Br Dent J. 2013; 214:551-7.
  • Zandona AF. Evolution of caries diagnosis. Dent Clin North Am 2011;55:29-46.
  • Pitts NB, Rimmer PA. An in vivo comparison of radiographic and directly assesed clinical caries status of posterior approximal surfaces in primary and permanent teeth. Caries Res 1992;26:146-52.

Current approaches to caries determination methods

Year 2019, Volume: 6 Issue: 1, 82 - 90, 01.04.2019
https://doi.org/10.15311/selcukdentj.322782

Abstract

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

 


References

  • Güray Efes B. Konservatif diş tedavisinde diagnostik yöntemler. J Istanbul Univ Fac Dent 2005;39:43-9.
  • Gomez J, Zakian C, Salsone S, Pinto SC, Taylor A, Pretty IA, et al. In vitro performance of different methods in detecting occlusal caries lesions. J Dent 2013;41:180-6.
  • Korkut B, Tağtekin DA, Yanıkoğlu FÇ. Diş çürüklerinin erken teşhisi ve teşhiste yeni yöntemler: QLF, Diagnodent, Elektriksel İletkenlik ve Ultrasonik Sistem. EÜ Diş Hek Fak Derg 2011;32:55-67.
  • Pitts NB. Diagnostic tools and measurements -impact on appropriate care. Community Dent Oral Epidemiol 1997;25:24-35.
  • Trevisan TC, de Andrade MC, Presoto CD, de Oliveira Júnior OB, Andrade MF , Bortolatto JF. Hidden caries: A critical review. Journal of Scientific Dentistry 2015;2:33-36.
  • Ricketts D, Kidd E, Weerheijm K, de Soet H. Hidden caries: what is it? Does it exist? Does it matter? Int Dent J 1997;47:259–65.
  • McComb D, Tam LE. Diagnosis of occlusal caries: Part I. Conventional methods. J Can Dent Assoc 2001;67:454-7.
  • Weerheijm KL, van Amerongen WE, Eggink CO. The clinical diagnosis of occlusal caries: A problem. ASDC J Dent Child 1989;56:196-200.
  • Alkurt M, Bala O. Okluzal çürük teşhisinde gözle muayene, geleneksel radyografi ve dijital radyografinin etkinliğinin değerlendirilmesi. GÜ Diş Hek Fak Derg 2007;24:101-107.
  • Lussi A, Hibst R, Paulus R. DIAGNOdent: An optical method for caries detection. J Dent Res 2004;83:80-83.
  • 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;35:170–78.
  • Pitts N. ‘ICDAS’ – an international system for caries detection and assessment being developed to facilitate caries epidemiology, research and appropriate management. Community Dent Health 2004;21:193–98.
  • Gugnani N, Pandit IK, Srivastava N, Gupta M, Sharma M. International Caries Detection and Assessment System (ICDAS): A New Concept. Int J Clin Pediatr Dent 2011;4:93-100.
  • Altarakemah Y, Al-Sane M, Lim S, Kingman A, Ismail AI. A new approach to reliability assessment of dental caries examinations. Community Dent Oral Epidemiol 2013;41:309–16.
  • International Caries Detection and Assessment System (ICDAS) Coordinating Committee. Rationale and Evidence for the International Caries Detection and Assessment System (ICDAS II). Scotland: Dental Health Services Research Unit 2005 http://www.icdas.org.
  • Dikmen B. ICDAS II Crıterıa (Internatıonal Carıes Detectıon And Assessment System) J Istanbul Univ Fac Dent 2015;49:63-72.
  • Ekstrand KR, Martignon S, Ricketts DJ, Qvist V. Detection and activity assesment of primary coronal caries lesions: a methodologic study. Oper Dent 2007;32:225-35.
  • Braga MM, Mendes FM, Ekstrand KR. Detection activity assessment and diagnosis of dental caries lesions. Dent Clin North Am 2010;54:479-93.
  • Appendix Criteria Manual International Caries Detection and Assessment System (ICDAS II) Revised in December and July Bogota, Colombia and Budapest, Hungary. 2009 http://www.icdas.org/
  • Diniz MB, Rodrigues JA, Hug I, Cordeiro Rde C, Lussi A. Reproducibility And Accuracy Of The Icdas-II For Occlusal Caries Detection. Community Dent Oral Epidemiol 2009;37:399-404.
  • Braga MM, Oliveira LB, Bonini GAVC, Bönecker M, Mendes FM. Feasibility of the International Caries Detection and Assessment System (ICDAS II) in epidemiological surveys and comparability with standard world health organization criteria. Caries Res 2009;43:245-49.
  • Goswami M, Rajwar AS. Evaluation of cavitated and non-cavitated carious lesions using the WHO basic methods, ICDAS-II and laser fluorescence measurements. J Indian Soc Pedod Prev Dent 2015;33:10-4.
  • Iranzo-Cortés JE, Terzic S, Montiel-Company JM, Almerich-Silla JM. Diagnostic validity of ICDAS and DIAGNOdent combined: an in vitro study in pre-cavitated lesions. Lasers Med Sci. 2017;32:543-48.
  • Diniz MB, Lima LM, Eckert G, Zandona AG, Cordeiro RC, Pinto LS. In vitro evaluation of ICDAS and radiographic examination of occlusal surfaces and their association with treatment decisions. Oper Dent 2011;36:133-42.
  • Braun A, Guiraud LM, Frankenberger R. Histological validation of ICDAS II and radiological assessment of occlusal carious lesions in permanent teeth. Odontology 2016;105:46-53.
  • Mitropoulos P, Rahiotis C, Stamatakis H, Kakaboura A. Diagnostic performance of the visual caries classification system ICDAS II versus radiography and micro-computed tomography for proximal caries detection: an in vitro study. J Dent 2010;38:859-67.
  • Braga MM, Mendes FM, Martignon S, Ricketts DN, Ekstrand KR. In vitro Comparison of Nyvad’s system and ICDAS-II with lesion activity assessment for evaluation of severity and activity of occlusal caries lesions in primary teeth. Caries Res 2009;43:405–12.
  • Shoaib L, Deery C, Ricketts DN, Nugent ZJ. Validity and reproducibility of ICDAS II in primary teeth. Caries Res 2009;43:442-48.
  • Kockanat A, Unal M. In vivo and in vitro comparison of ICDAS II, DIAGNOdent pen, CarieScan PRO and SoproLife camera for occlusal caries detection in primary molar teeth. Eur J Paediatr Dent. 2017;18:99-104.
  • Shivakumar KM, Prasad S, Chandu GN. International Caries Detection and Assessment System: A new paradigm in detection of dental caries. J Conserv Dent 2009;12:10-16.
  • Pitts NB, Ekstrand KR. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS) - methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol 2013;41:41-52.
  • Ismail AI, Tellez M, Pitts NB, Ekstrand KR, Ricketts D, Longbottom C, et al. Caries management pathways preserve dental tissues and promote oral health. Community Dent Oral Epidemiol. 2013;41:12-40.
  • Bader JD, Shugars DA. Understanding dentists' restorative treatment decisions. J Public Health Dent 1992;52:102-10.
  • Ismail AI, Pitts N, Tellez M. The International Caries Classification and Management System (ICCMS™) An Example of a Caries Management Pathway. BMC Oral Health 2015;15:1-13.
  • Nyvad B, Machiulskiene V, Baelum V. Construct and predictive validity of clinical caries diagnostic criteria assessing lesion activity. J Dent Res 2003;82:117-22.
  • Nyvad B, Machiulskiene V, Baelum V. Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions. Caries Res 1999;33:252-60.
  • Ekstrand KR, Luna LE, Promisiero L, Cortes A, Cuevas S, Reyes JF, et al. The reliability and accuracy of two methods for proximal caries detection and depth on directly visible proximal surfaces: an in vitro study. Caries Res 2011;45:93-9.
  • Bakhshandeh A, Ekstrand KR, Qvist V. Measurement of histological and radiographic depth and width of occlusal caries lesions: A methodological study. Caries Res 2011;45:547- 55.
  • Oral Health Assessment and Review – Full Guidance. Scottish Dental Clinical Effectiveness0 Programme. Pitts NB (Guidance Development Group Chair) and the SDCEP Guidance Development Group –2012 http://www.sdcep.org.uk/
  • Bratthal D, Hansel Peterson G. Cariogram: a multifactorial risk assessment model for a multi factorial disease. Community Dent Oral Epidemiol 2005;33:256–64.
  • Featherstone JD, White JM, Hoover CI, Rapozo-Hilo M, Weintraub JA, Zhan L, et al. A randomized clinical trial of anticaries therapies targeted according to risk assessment (caries management by risk assessment). Caries Res 2012;46:118-29.
  • American Academy of Pediatric Dentistry. Guideline on Caries-risk Assessment and Management for Infants, Children, and Adolescents. Pediatr Dent. 2016;38:142-49.
  • Deery C. Caries detection and diagnosis, sealants and management of the possibly carious fissure. Br Dent J. 2013; 214:551-7.
  • Zandona AF. Evolution of caries diagnosis. Dent Clin North Am 2011;55:29-46.
  • Pitts NB, Rimmer PA. An in vivo comparison of radiographic and directly assesed clinical caries status of posterior approximal surfaces in primary and permanent teeth. Caries Res 1992;26:146-52.
There are 45 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Review
Authors

Gökçen Deniz Bayrak

Senem Selvi-kuvvetli This is me

Publication Date April 1, 2019
Submission Date June 20, 2017
Published in Issue Year 2019 Volume: 6 Issue: 1

Cite

Vancouver Bayrak GD, Selvi-kuvvetli S. Çürük belirleme yöntemlerine güncel yaklaşımlar. Selcuk Dent J. 2019;6(1):82-90.