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不同方法诊断原发性龋损的评价:一项随机对照临床试验研究方案。

Evaluation of different methods for the diagnosis of primary caries lesions: Study protocol for a randomized controlled clinical trial.

机构信息

School of Dentistry, Universidade Metropolitana de Santos, Santos, Brazil.

Postgraduation Program in Health and Environment, Universidade Metropolitana de Santos, Santos, Brazil.

出版信息

PLoS One. 2022 Aug 24;17(8):e0273104. doi: 10.1371/journal.pone.0273104. eCollection 2022.

Abstract

BACKGROUND

According to the World Health Organization (WHO), dental caries is considered one of the greatest pediatric health problems in the world, due to its high prevalence and incidence. Therefore, the early diagnosis of caries lesions is a fundamental procedure for planning treatment aimed at prevention, minimal intervention and promotion of oral health. The present study aims to evaluate, through a randomized and controlled clinical study, which is the best strategy for diagnosing primary caries lesions located in the interproximal region.

MATERIALS AND METHODS

Eighty patients, aged between 4 and 10 years will be randomized and allocated into 2 groups for analysis and comparison of methods for diagnosing caries lesions. The following diagnostic methods will be analyzed and compared: visual clinical examination using ICDAS (International Caries Detection and Assessment System), the iTero Element 5D System (intraoral scanner with near infrared imaging (NIRI) technology) and bitewing radiography (BWX). All evaluations will be carried out by 02 examiners. Examiners will be trained and calibrated to use the visual and radiographic criteria and also to use the iTero 5D intraoral scanner, following the manufacturer's instructions.

TRIAL REGISTRATION

NCT04900246 in ClinicalTrial.gov. First released in 05/11/2021 and last updated in 10/06/2021.

摘要

背景

根据世界卫生组织(WHO)的说法,龋齿被认为是世界上最大的儿科健康问题之一,因为它的高患病率和发病率。因此,早期诊断龋齿病变是计划治疗的基本程序,旨在预防、最小化干预和促进口腔健康。本研究旨在通过一项随机对照临床试验评估,哪种策略最适合诊断位于邻面区域的原发性龋齿病变。

材料和方法

将 80 名年龄在 4 至 10 岁之间的患者随机分配到 2 组,以分析和比较诊断龋齿病变的方法。将分析和比较以下诊断方法:使用 ICDAS(国际龋齿检测和评估系统)进行的视觉临床检查、iTero Element 5D 系统(带有近红外成像(NIRI)技术的口腔内扫描仪)和咬翼片(BWX)。所有评估将由 02 名检查者进行。检查者将按照制造商的说明接受使用视觉和放射学标准以及 iTero 5D 口腔内扫描仪的培训和校准。

试验注册

NCT04900246 在 ClinicalTrial.gov。首次发布于 2021 年 5 月 11 日,最后更新于 2021 年 10 月 6 日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e91f/9401102/2c3f4cdf9089/pone.0273104.g001.jpg

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