Stephen K W, Russell J I, Creanor S L, Burchell C K
Community Dent Oral Epidemiol. 1987 Apr;15(2):90-4. doi: 10.1111/j.1600-0528.1987.tb00489.x.
Fibre optic transillumination (FOTI) has been employed during the course of a 3-yr clinical dentifrice trial which initially involved 3003 children. At the initial examination, a subgroup of 813 13-yr-olds, and at the following annual visit, 2247 14-yr-olds, were examined using a 150 W lamp and 0.5 mm diameter probe. Routine clinical and radiographic examinations were performed separately. Compared to the clinical scores for anterior teeth, FOTI detected an additional 64% of interproximal lesions at the first visit while, for the larger number of children at the second visit, the increase in lesion detection level using FOTI was 37%. For the posterior teeth the comparable figure at the second examination was 92%. When FOTI data were compared to radiographic data for more than 52,000 posterior interproximal surfaces, FOTI could only detect 17% of radiographic Grade 2 lesions and 48% Grade 3 lesions. Thus any assumption that FOTI diagnoses may be a substitute for bitewing radiography appears premature.
在一项为期3年的临床牙膏试验过程中采用了光纤透照法（FOTI），该试验最初涉及3003名儿童。在初次检查时，对813名13岁儿童的一个亚组进行了检查，在随后的年度检查中，对2247名14岁儿童进行了检查，使用的是150瓦的灯和直径0.5毫米的探头。常规临床检查和影像学检查分别进行。与前牙的临床评分相比，FOTI在首次检查时检测出额外64%的邻面病变，而在第二次检查时，对于更多数量的儿童，使用FOTI检测病变水平的增加为37%。对于后牙，第二次检查时的可比数字为92%。当将FOTI数据与超过52,000个后牙邻面的影像学数据进行比较时，FOTI仅能检测出17%的影像学2级病变和48%的3级病变。因此，任何认为FOTI诊断可以替代咬合翼片放射摄影的假设似乎都为时过早。
