Mialhe Fábio Luiz, Pereira Antonio Carlos, Meneghim Marcelo de Castro, Ambrosano Gláucia Maria Bovi, Pardi Vanessa
Department de Odontologia Social, Piracicaba Dental School, Unicamp, Brazil.
Indian J Dent Res. 2009 Apr-Jun;20(2):136-40. doi: 10.4103/0970-9290.52881.
The detection of carious lesions in the initial stages of development is very important in order to prevent the occurrence of cavitation.
The aim of the present study was to compare three methods-visual examination, FOTI, and bitewing radiographic examination-for the detection of noncavitated and cavitated approximal carious lesions.
Seventy students (mean age 14 years) with low caries prevalence were examined by three examiners. The tooth surfaces judged as having caries by at least one examiner or one diagnostic method were scheduled for tooth separation.
The results showed that the incorporation of FOTI and radiographic examination represented an additional diagnostic yield of 50% and about 110%, respectively, compared to clinical examination alone.
We conclude that FOTI or radiographic examination, or both, used as adjuncts to clinical examination, could improve the detection of noncavitated and cavitated approximal carious lesions. Although FOTI should not replace bitewing radiographic examination, it does seem to have additional value for the detection of carious lesions on approximal surfaces of the posterior teeth in school children with low caries prevalence.
在龋损发展的初始阶段进行检测对于预防龋洞形成非常重要。
本研究的目的是比较三种方法——视觉检查、光纤透照（FOTI）和咬合翼片X线检查——用于检测邻面非龋洞性和龋洞性龋损。
由三名检查者对70名龋病患病率低的学生（平均年龄14岁）进行检查。被至少一名检查者或一种诊断方法判定为患龋的牙面安排进行牙齿分离。
结果显示，与单独临床检查相比，FOTI和X线检查的联合应用分别使诊断率额外提高了50%和约110%。
我们得出结论，FOTI或X线检查，或两者作为临床检查的辅助手段，可提高邻面非龋洞性和龋洞性龋损的检测率。虽然FOTI不应替代咬合翼片X线检查，但对于龋病患病率低的学龄儿童后牙邻面龋损的检测似乎确实具有额外价值。
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