Stookey G K, González-Cabezas C
Indiana University School of Dentistry, Department of Preventive and Community Dentistry, Indianapolis 46202, USA.
J Dent Educ. 2001 Oct;65(10):1001-6.
Current diagnostic tools used in dental caries detection are not sensitive enough to diagnose the disease process in its early stages and, frequently, once a diagnosis is made, restoration is the only effective means of treatment. The purpose of this review was to systematically assess the available literature for evidence to determine if emerging diagnostic methods for dental caries are more efficient than traditional methods for detecting and monitoring the progress of caries in permanent and primary teeth. Inclusion and exclusion criteria were established preceding the literature search. Included articles were grouped by type of emerging technology and study design. The types of emerging technologies included laser fluorescence, light fluorescence, digital imaging fiber optic transillumination, and ultrasound. Primarily on the basis of in vitro and preclinical data, some of the reviewed methodologies showed promising results for the detection and monitoring of early caries lesions. However, very little clinical data are available to validate these emerging technologies. It was concluded that, although significant promise is apparent with these technologies, there is not enough evidence available at this time for any of the reviewed diagnostic techniques to be recommended as a substitute for traditional diagnostic techniques.
目前用于龋齿检测的诊断工具对疾病早期阶段的诊断不够敏感，而且通常一旦做出诊断，修复是唯一有效的治疗手段。本综述的目的是系统评估现有文献证据，以确定龋齿的新兴诊断方法在检测和监测恒牙及乳牙龋齿进展方面是否比传统方法更有效。在文献检索之前确定了纳入和排除标准。纳入的文章按新兴技术类型和研究设计进行分组。新兴技术类型包括激光荧光、光荧光、数字成像光纤透照和超声。主要基于体外和临床前数据，一些综述方法在早期龋损的检测和监测方面显示出有前景的结果。然而，可用于验证这些新兴技术的临床数据非常少。得出的结论是，尽管这些技术前景明显，但目前没有足够的证据推荐任何一种综述诊断技术替代传统诊断技术。
