Department of Social Dentistry and Behavioural Sciences, Academic Centre for Dentistry, Amsterdam, The Netherlands.
Int J Paediatr Dent. 2010 Sep 1;20(5):336-40. doi: 10.1111/j.1365-263X.2010.01058.x. Epub 2010 Jun 2.
When diagnosing caries using clinical judgment only, the prevalence of approximal caries is highly underestimated. Yet, surveys on this topic predominantly included adolescents and young adults.
To determine the additional diagnostic value of bitewing radiographs in 6-year-old children and to detect approximal dentin caries in the primary dentition.
A total of 50 children were assessed both clinically (dmfs, oral hygiene) and radiographically by two experienced dentists. The relation between dmfs-scores and amount of plaque was established using Pearson's correlation coefficients at a significance level of 0.05.
In nine patients (18%) it was impossible to make radiographs. Bitewing radiography appeared to have an additional effect of 97% when only caries in dentin is considered. The additional value for detecting inadequate restorations was 600%. Furthermore, the dmfs was highly correlated to the amount of plaque found.
Although not possible to achieve in all 6-year-old children, bitewing radiographs can reveal a considerable amount of carious surfaces and inadequate restorations, which appear clinically sound or adequate.
仅依靠临床判断诊断龋齿时，邻面龋齿的患病率被严重低估。然而，关于这个主题的调查主要集中在青少年和年轻人身上。
确定在 6 岁儿童中使用牙尖片 X 光片的额外诊断价值，并检测乳牙的邻面牙本质龋。
共有 50 名儿童由两位经验丰富的牙医进行临床（dmfs、口腔卫生）和放射学评估。使用 Pearson 相关系数在 0.05 的显著性水平上建立 dmfs 评分与菌斑量之间的关系。
在 9 名患者（18%）中，无法进行放射检查。当仅考虑牙本质龋时，牙尖片 X 光片的额外效果为 97%。检测不充分修复体的额外价值为 600%。此外，dmfs 与发现的菌斑量高度相关。
尽管在所有 6 岁儿童中都不可能实现，但牙尖片 X 光片可以揭示大量临床上看似良好或足够的龋损表面和不充分的修复体。
