Chang Jason J, Chen Casey, Chang Joe, Koka Sreenivas, Jokerst Jesse V
Department of Biological Sciences, University of California, San Diego, CA, USA.
Division of Periodontology, Diagnostic Sciences and Dental Hygiene, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, USA.
Front Oral Maxillofac Med. 2023 Mar 10;5. doi: 10.21037/fomm-21-57. Epub 2021 Oct 21.
The conventional method of detecting subgingival calculus involves using a periodontal probe to sense tactile differences on the dental root surface. Although efficient, this method can result in false positives and false negatives. This literature review explores alternative detection techniques that can detect subgingival calculus with improved accuracy and consistency. The accumulation of dental calculus below the gingival margin can foster periodontitis-inducing bacterial growth. Conventional methods of locating subgingival calculus are often inaccurate and highly dependent on clinician skill. This literature review evaluates techniques used to improve the accuracy of imaging and detecting subgingival calculus.
Google Scholar, PubMed and PubMed Central databases were searched for peer-reviewed original articles evaluating subgingival calculus imaging and detection techniques. A total of 46 relevant articles ranging from 1981 to 2021 were included.
This narrative review discusses the subgingival calculus detection and imaging capabilities of periodontal endoscopy in an study and of optical coherence tomography (OCT), fluorescence spectroscopy, and differential reflectometry in settings. Each technique has unique benefits and limitations that distinguishes it from the others.
studies have revealed that techniques including periodontal endoscopy, OCT, fluorescence spectroscopy, or differential reflectometry allow for a more accurate diagnosis of subgingival calculus deposits in comparison to detection via periodontal probing. Despite the improved results, the common limitations of these techniques include longer operation times and expensive equipment. Further studies are needed to transition these imaging and detection methods to clinical environments.
检测龈下牙石的传统方法是使用牙周探针感知牙根表面的触觉差异。尽管这种方法有效，但可能会出现假阳性和假阴性结果。本文献综述探讨了能够更准确、更一致地检测龈下牙石的替代检测技术。龈缘以下牙石的堆积会促进引发牙周炎的细菌生长。传统的定位龈下牙石的方法往往不准确，且高度依赖临床医生的技能。本文献综述评估了用于提高龈下牙石成像和检测准确性的技术。
在谷歌学术、PubMed和PubMed Central数据库中搜索评估龈下牙石成像和检测技术的同行评审原创文章。共纳入了1981年至2021年期间的46篇相关文章。
本叙述性综述讨论了牙周内窥镜在一项研究中以及光学相干断层扫描（OCT）、荧光光谱法和差分反射法在其他环境中的龈下牙石检测和成像能力。每种技术都有其独特的优点和局限性，使其与其他技术有所区别。
研究表明，与通过牙周探诊进行检测相比，包括牙周内窥镜、OCT、荧光光谱法或差分反射法在内的技术能够更准确地诊断龈下牙石沉积。尽管结果有所改善，但这些技术的共同局限性包括操作时间较长和设备昂贵。需要进一步开展研究，以便将这些成像和检测方法应用于临床环境。
