Pine C M, ten Bosch J J
Department of Dental Health, University of Dundee, UK.
Caries Res. 1996;30(6):381-8. doi: 10.1159/000262348.
This paper reviews and discusses the dynamics of carious lesions and diagnostic methods for their detection. Summary data are presented on progression rates of differing lesion types with differing initial severity. Among the non-invasive techniques, fibre-optic transillumination, used appropriately, gives the most accurate estimate of posterior approximal dentinal caries. Electrical resistance methods are likely to provide a significant contribution to the diagnosis of occlusal caries in the future. Radiographs remain an important component of the diagnostic armamentarium and may be enhanced by the introduction of direct digital imaging. Problems in appropriate validation must be addressed to ensure that new techniques are correctly evaluated.
本文回顾并讨论了龋损的动态变化及其检测的诊断方法。文中给出了不同初始严重程度的不同类型病损进展率的汇总数据。在非侵入性技术中，正确使用光纤透照法对检测后牙邻面牙本质龋最为准确。电阻抗法未来可能会对咬合面龋的诊断做出重大贡献。X线片仍然是诊断手段的重要组成部分，直接数字成像技术的引入可能会使其得到改进。必须解决适当验证方面的问题，以确保新技术得到正确评估。
