Akkaya N, Kansu O, Kansu H, Cagirankaya L B, Arslan U
Hacettepe Universitesi Dişhekimliği Fakültesi, Oral Diagnoz ve Radyoloji Anabilim Dali, 06100 Sihhiye, Ankara, Turkey.
Dentomaxillofac Radiol. 2006 May;35(3):170-4. doi: 10.1259/dmfr/26750940.
The purpose of this study was to compare the diagnostic accuracy of panoramic and intraoral radiographic surveys in the diagnosis of proximal caries according to the different dental regions (maxillary and mandibular incisor, canine, premolar and molar).
In this study, full mouth series and panoramic radiographs of 79 patients were used. The radiographs were evaluated for proximal caries by three observers. The diagnostic accuracy of radiographic surveys for each dental region was assessed by means of receiver operating characteristic (ROC) curve analysis.
Full mouth series was the most efficient method in the diagnosis of caries for incisor and canine teeth. However, full mouth series and combination of panoramic plus bitewings had similar diagnostic accuracy for premolar and molar teeth.
Panoramic survey alone was not sufficient for the diagnosis of proximal caries for the entire dentition. The combination of panoramic plus bitewing plus anterior periapical survey exhibited a diagnostic accuracy for proximal caries that was comparable with full mouth series.
本研究旨在根据不同牙区（上颌和下颌切牙、尖牙、前磨牙和磨牙）比较全景片和口内X线片在邻面龋诊断中的诊断准确性。
本研究使用了79例患者的全口系列片和全景片。由三名观察者对X线片进行邻面龋评估。通过受试者操作特征（ROC）曲线分析评估每个牙区X线检查的诊断准确性。
全口系列片是诊断切牙和尖牙龋最有效的方法。然而，全口系列片以及全景片加咬合翼片联合检查在前磨牙和磨牙的诊断准确性上相似。
单独的全景片检查不足以诊断全口牙列的邻面龋。全景片加咬合翼片加根尖片联合检查在邻面龋诊断上的准确性与全口系列片相当。
