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NTIS 바로가기JKSDH : Journal of Korean Society of Dental Hygiene = 한국치위생학회지, v.14 no.5, 2014년, pp.609 - 615
Objectives : In most developed countries there has been a substantial decrease in the prevalence of dental caries in children of 12 years old over the past 40 years. This change in epidemiology highlights the importance of preventive management in dentistry. For successful management of early caries...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
치아우식증 진단을 위해 사용한 기준은? | 초기 우식을 효율적으로 관리하기 위해서는 무엇보다도 병소의 진행 단계를 정확하게 탐지하고 평가하는 것이 중요하다3). 일반적으로 역학분야에서 치아우식증 진단을 위해 주로 사용해 온 평가 기준은 WHO 우식 진단 기준이다4). 그러나 이 기준은 실제 임상에서 치아우식증을 진단하는 기준과는 상당한 차이를 보인다[Fig. | |
치아우식증에 대한 통합적인 평가 기준은 무엇인가? | For successful management of early caries lesions, it is essential to detect and assess the pathological changes of dental caries. Therefore, the purpose of this study was to investigate the overview of International Caries Detection and Assessment System(ICDAS) criteria for the detection and assessment of early caries lesions by literature reviews. Methods : The author reviewed the MEDLINE search by the key words of 'caries assessment', 'caries detection', 'caries measurement', and 'ICDAS'. | |
실제 임상에서 치아우식증을 진단하는 기준과 WHO 기준에는 어떠한 차이가 있는가? | 1]5). WHO 기준에 의한 치아우식증 진단은 와동형 우식병소(Cavitated caries lesions)에 초점을 두기 때문에 비 와동형 우식병소(Non-cavitated caries lesions)인 초기우식증은 완전히 간과되어 왔다6,7). 또한 검진 자의 주관적 판단을 근거로 치아우식증을 이분법(있음/없음)적으로 평가하기 때문에 병소의 진행 과정을 정확하게 평가하기 힘들다6). |
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Ministry of health and welfare. 2010 National dental health survey: II. Report on the results of the survey. Seoul: Ministry of health and welfare; 2010: 191.
Ismail AI. Diagnostic levels in dental public health planning. Caries Res 2004; 38(3): 199-203. http://dx.doi.org/10.1159/000077755.
Clara J, Bourgeois D, Muller Bolla M. DMF from WHO basic methods to ICDAS II advanced methods: a systematic review of literature. Odontostomatol Trop 2012; 35(139): 5-11.
Pitts NB. Modern concepts of caries measurement. J Dent Res 2004; 83 Spec No C: C43-7. http://dx.doi.org/10.1177/154405910408301S09.
Zandon AF, Zero DT. Diagnostic tools for early caries detection. J Am Dent Assoc 2006; 137(12): 1675-84. http://dx.doi.org/10.14219/jada.archive.2006.0113.
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Pitts NB, Stamm JW. International consensus workshop on caries clinical trials (ICW-CCT)-final consensus statements: agreeing where the evidence leads. J Dent Res 2004; 83(suppl 1): C125-C8. http://dx.doi.org/10.1177/154405910408301S27.
Ismail AI. Visual and visuo-tactile detection of dental caries. J Dent Res 2004; 83 Spec: C56-66. http://dx.doi.org/10.1177/154405910408301S12.
Chesters RK, Pitts NB, Matuliene G, Kvedariene A, Huntington E, Bendinskaite R, et al. An abbreviated caries clinical trial design validated over 24 months. J Dent Res 2002; 81(9): 637-40. http://dx.doi.org/10.1177/154405910208100912.
Fyffe HE, Deery C, Nugent ZJ, Nuttall NM, Pitts NB. Effect of diagnostic threshold on the validity and reliability of epidemiological caries diagnosis using the Dundee Selectable Threshold Method for caries diagnosis (DSTM). Community Dent Oral Epidemiol 2000; 28(1): 42-51. http://dx.doi.org/10.1034/j.1600-0528.2000.280106.x.
Ekstrand KR, Ricketts DN, Kidd EA. Occlusal caries: pathology, diagnosis and logical management. Dent Update 2001; 28(8): 380-7.
Ekstrand KR, Ricketts DN, Longbottom C, Pitts NB. Visual and tactile assessment of arrested initial enamel carious lesions: an in vivo pilot study. Caries Res 2005; 39(3): 173-7. http://dx.doi.org/10.1159/0000847-94.
Ricketts DN, Ekstrand KR, Kidd EA, Larsen T. Relating visual and radiographic ranked scoring systems for occlusal caries detection to histological and microbiological evidence. Oper Dent 2002; 27(3): 231-7.
Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, et al. The international caries detection and assessment system (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 2007; 35(3): 170-8. http://dx.doi.org/10.1111/j.1600-0528.2007.00347.x.
Pitts N. "ICDAS"-an international system for caries detection and assessment being developed to facilitate caries epidemiology, research and appropriate clinical management. Community Dent Health 2004; 21(3): 193-8.
Jablonski Momeni A, Stachniss V, Ricketts DN, Heinzel Gutenbrunner M, Pieper K. Reproducibility and accuracy of the ICDAS-II for detection of occlusal caries in vitro. Caries Res 2008; 42(2): 79-87. http://dx.doi.org/10.1159/000113160.
Ekstrand KR, Ricketts DN, Kidd EA. Reproducibility and accuracy of three methods for assessment of demineralization depth of the occlusal surface: an in vitro examination. Caries Res 1997; 31(3): 224-31. http://dx.doi.org/10.1159/000262404.
Ekstrand KR, Kuzmina I, BjArndal L, Thylstrup A. Relationship between external and histologic features of progressive stages of caries in the occlusal fossa. Caries Res 1995; 29(4): 243-50. http://dx.doi.org/10.1159/000262076.
Goodman SN. Meta-analysis and evidence. Control Clin Trials 1989; 10(2): 188-204. http://dx.doi.org/10.1016/0197-2456(89)90030-5.
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