دراسة مقارنة التصوير الشعاعي التقليدي والتصوير الشعاعي الرقمي و CBCT في كشف النخور الملاصقة في الاسنان المؤقتة (دراسة سريرية)"
الكلمات المفتاحية:
النخور الملاصقة, CBCT , التصوير التقليدي, التصوير الرقمي, أداة البياكوليس, الفحص التشريحي.
الملخص
المقدمة: دائما ماعد تشخيص الآفات النخرية الملاصقة مشكلة لدى طبيب الأسنان, حيث أن توضعها داخل الفم يجعل من الصعب رؤيتها والكشف عنها. إن التحديات الكبيرة لكشف النخور الملاصقة داخل الحفرة الفموية بالإضافة إلى مظهرها الخادع عند رؤيتها بالعين المجردة يجعل من السهل تجاوز معالجتها من قبل طبيب الأسنان. إن لتشخيص النخور عند الأطفال أهمية خاصة في منع خسارة الأسنان المؤقتة قبل موعد سقوطها الطبيعي, وكلما تم تشخيص النخور باكرا كلما جنبنا الطفل معاناة المعالجات الأكثر ألما والأكثر تعقيدا.
الهدف من البحث: دراسة دقة التصوير الشعاعي التقليدي والرقمي والـCBCT في كشف النخور الملاصقة على الأسنان المؤقتة سريريا, وتقييم دقة كل من الطرق الشعاعية في تحديد عمق النخر وذلك باعتبار القياس المباشر لامتداد الآفة هو المعيار الذهبي.
المواد والطرق: تألفت عينة البحث من (30) سن مؤقتة مصابة بآفة نخرية ملاصقة, قسمت العينة إلى ثلاث مجموعات تبعا لتقنيات التصوير الشعاعي, تم فحص الأسنان عيانيا بالإضافة الى الفحص العياني مع السبر للتأكد من وجود آفة نخرية ملاصقة قابلة للفحص السريري. بعد تصوير أسنان العينة شعاعيا وفق المجموعات تم تجريف النخر سريريا وقياس عمق الآفة المباشر باستخدام البياكوليس واعتبار القياس المسجل هو المعيار الذهبي لتقييم وجود وامتداد الآفة النخرية ضمن النسج السنية. تضمنت الدراسة السريرية ستة فحوص مختلفة: الفحص العياني, الفحص العياني مع السبر, الفحص الشعاعي التقليدي, الفحص الشعاعي الرقمي, الفحص الشعاعي بالـ ,CBCT القياس السريري المباشر بالبياكوليس.
النتائج: استنتجت الدراسة تفوق التصوير الشعاعي التقليدي على كل من التصوير الرقمي والتصوير بالـ CBCT في كشف امتداد النخور الملاصقة سريريا. أما بالنسبة لنتائج كشف النخر كانت طرائق التصوير الشعاعية الثلاثة فعالة في كشف وجود النخور الملاصقة سريريا.
الاستنتاجات: ضرورة استعمال التصوير الشعاعي التقليدي عند الأطفال في كشف وتحديد درجات امتداد النخور الملاصقة على الأسنان المؤقتة, حيث أنه يزودنا بمعلومات دقيقة تساعد في اختيار قرار المعالجة الأفضل. كما أن استعمال التصوير الشعاعي بغض النظر عن نوعه يعد ذا أهمية في كشف النخور الملاصقة, في حين لا ينصح باستخدام تقنية الـCBCT بهدف كشف النخور الملاصقة فقط عند الأطفال.
المراجع
قائمة المراجعREFERENCES :
1. سلطان ,محمد زياد. (2008-2009). "طب أسنان الأطفال". جامعة البعث.
A
2. Abdinian, M., et al. (2017). "Effect of Filtration and Thickness of Cross-Sections of Cone Beam Computed Tomography Images on Detection of Proximal Caries." Journal of dentistry (Tehran, Iran) 14(4): 223-230.
3. Akdeniz, B. G., Gröndahl, H.-G., & Magnusson, B. (2006). Accuracy of Proximal Caries Depth Measurements: Comparison between Limited Cone Beam Computed Tomography, Storage Phosphor and Film Radiography. Caries Research, 40(3), 202–207.
4. Aldawood, F. (2019). "Ability of Caries Detection Methods to Determine Caries Lesion Activity." PhD diss., 2019.
5. Al‐Sane, M., Ricketts, D. N., Mendes, F. M., Altarakemah, Y., Deery, C., Innes, N., & Rollings, S. (2020). Reproducibility of Subtraction Radiography in Monitoring Changes in Approximal Carious Lesions in Children: An In Vivo Study. International Journal of Paediatric Dentistry.in vivo.
6. Arangnnal, P., et al. (2012). "Enamel thickness in primary teeth." Journal of Clinical Pediatric Dentistry 37(2): 177-181.
B
7. Baltacioglu, I. H., & Orhan, K. (2017). Comparison of diagnostic methods for early interproximal caries detection with near-infrared light transillumination: an in vivo study. BMC Oral Health, 17(1).
8. Bijle, Mohammed Nadeem & Chunawala, Yusuf & Bohari, Mariya. (2018). Interrater agreement and reliability assessment of proximal caries detection tools in mixed dentition: An in-vivo study. Quintessence international (Berlin, Germany : 1985). 49. 1-9. 10.3290/j.qi.a40114.
D
9. Dale A, Edwin M, Parks T "Dentistry for child and adolescent" Mobsy(2000)5.
10. Deery C and K.J. Toumba "Diagnosis and prevention of dental caries " Wellbury R, Duggal MS, Hosey MT, 3rd eds pediatric dentistry Oxford Univ press(2005),109.
E
11. Ekstrand, K., et al. (1997). "Reproducibility and accuracy of three methods for assessment of demineralization depth on the occlusal surface: an in vitro examination." Caries research 31(3): 224-231.
F
12. Farman, A. G., et al. (1995). "Computed dental radiography: evaluation of a new charge-coupled device-based intraoral radiographic system." Quintessence International 26(6).
H
13. Haiter-Neto, F., Wenzel, A., & Gotfredsen, E. (2008). Diagnostic accuracy of cone beam computed tomography scans compared with intraoral image modalities for detection of caries lesions. Dentomaxillofacial Radiology, 37(1), 18–22.
14. Haring JI and Howerton LJ. (2006). Dental Radiography: Principles and Techniques. St. Louis, Missouri, W. B. Saunders Company, 2006.
15. Hopcraft, M. S. and M. V. Morgan (2005). "Comparison of radiographic and clinical diagnosis of approximal and occlusal dental caries in a young adult population." Community dentistry and oral epidemiology 33(3): 212-218.
16. Hu, Tingrui & Tan, H & Hong, L & Wang, H. (2000). [Clinical study of direct digital radiography in caries detection].. Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology. 18. 171-3.
J
17. Jose M, et al. (2008). "Investigation of in vitro dental erosion by optical techniques." Lasers Med Sci 23(3): 319-329.
K
18. Kamburoğlu, K., Kurt, H., Kolsuz, E., Öztaş, B., Tatar, İ., & Çelik, H. H. (2010). Occlusal Caries Depth Measurements Obtained by Five Different Imaging Modalities. Journal of Digital Imaging, 24(5), 804–813.
19. Katzenberg, A. M., & Grauer, A. L. (2018). Biological Anthropology of the Human Skeleton (Third). U.S: John Wiley & Sons.
20. Kayipmaz, S., Sezgin, Ö. S., Saricaoğlu, S. T., & Çan, G. (2011). "An in vitro comparison of diagnostic abilities of conventional radiography, storage phosphor, and cone beam computed tomography to determine occlusal and approximal caries". European Journal of Radiology, 80(2), 478–482.
21. Kooistra, S., J. B. Dennison, P. Yaman, B. A. Burt, and G. W. Taylor. (2005). "Radiographic versus clinical extension of Class II carious lesions using an F-speed film." OPERATIVE DENTISTRY-UNIVERSITY OF WASHINGTON- 30, no. 6 (2005): 719.
22. Krzyżostaniak, J., et al. (2015). "A comparative study of the diagnostic accuracy of cone beam computed tomography and intraoral radiographic modalities for the detection of noncavitated caries." Clinical oral investigations 19(3): 667-672.
L
23. Langland, O. E. and R. P. Langlais (2002). Princípios do diagnóstico por imagem em odontologia, Santos.
N
24. Naitoh, M., Yuasa, H., Toyama, M., Shiojima, M., Nakamura, M., Ushida, M., … Ariji, E. (1998). Observer agreement in the detection of proximal caries with direct digital intraoral radiography. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 85(1), 107–112.
25. Nuvvula S, Bhumireddy JR, Kamatham R, Mallineni SK. (2016). Diagnostic accuracy of direct digital radiography and conventional radiography for proximal caries detection in primary teeth: A systematic review. J Indian Soc Pedod Prev Dent 2016;34:300-5.
P
26. Pitts, N. B. and P. Rimmer (1992). "An in vivo comparison of radiographic and directly assessed clinical caries status of posterior approximal surfaces in primary and permanent teeth." Caries research 26(2): 146-152.
R
27. Roointan, S., Tavakolian, P., Sivagurunathan, K. S., Floryan, M., Mandelis, A., & Abrams, S. H. (2019). 3D Dental Subsurface Imaging Using Enhanced Truncated Correlation-Photothermal Coherence Tomography. Scientific Reports, 9(1).
28. Ruschel, H. C. and O. Chevitarese (2003). "A comparative study of dentin thickness of primary human molars." J Clin Pediatr Dent 27(3): 277-281.
S
29. Safi, Y., et al. (2015). "Diagnostic accuracy of Cone Beam Computed Tomography, conventional and digital radiographs in detecting interproximal caries." Journal of medicine and life 8(Spec Iss 3): 77-82.
30. Sansare, K., Singh, D., Sontakke, S., Karjodkar, F., Saxena, V., Frydenberg, M., & Wenzel, A. (2014). Should Cavitation in Proximal Surfaces Be Reported in Cone Beam Computed Tomography Examination? Caries Research, 48(3), 208–213.
31. Senel, B., et al. (2010). "Diagnostic accuracy of different imaging modalities in detection of proximal caries." Dento maxillo facial radiology 39(8): 501-511.
32. Subka, S., Rodd, H., Nugent, Z., & Deery, C. (2019). In-vivo validity of proximal caries detection in primary teeth, with histological validation. International Journal of Paediatric Dentistry.
33. Syriopoulos, K., et al. (2000). "Radiographic detection of approximal caries: a comparison of dental films and digital imaging systems." Dentomaxillofac Radiol 29(5): 312-318.
T
34. Twetman, S., Axelsson, S., Dahlén, G., Espelid, I., Mejàre, I., Norlund, A., & Tranæus, S. (2012). Adjunct methods for caries detection: A systematic review of literature. Acta Odontologica Scandinavica, 71(3-4), 388–397.
V
35. Van der Stelt, P. F. (2008). "Better imaging: the advantages of digital radiography." The Journal of the American Dental Association 139: S7-S13.
36. Versteeg, K. H., et al. (1997). "In vivo study of approximal caries depth on storage phosphor plate images compared with dental x-ray film." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 84(2): 210-213.
W
37. Wenzel, A. (2006). "A review of dentists' use of digital radiography and caries diagnosis with digital systems." Dentomaxillofacial Radiology 35(5): 307-314.
38. Wenzel, A., Hirsch, E., Christensen, J., Matzen, L. H., Scaf, G., & Frydenberg, M. (2013). Detection of cavitated approximal surfaces using cone beam CT and intraoral receptors. Dentomaxillofacial Radiology, 42(1), 39458105–39458105.
39. Wu, M., et al. (2010). "Web-based training method for interpretation of dental images." Journal of digital imaging 23(4): 493-500.
Z
40. Zero, D. T., et al. (2009). "The Biology, Prevention, Diagnosis and Treatment of Dental Caries: Scientific Advances in the United States." The Journal of the American Dental Association 140: 25S-34S.
41. Zhang, Z., Qu, X., Li, G., Zhang, Z., & Ma, X. (2011). The detection accuracies for proximal caries by cone-beam computerized tomography, film, and phosphor plates. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 111(1), 103–108.
1. سلطان ,محمد زياد. (2008-2009). "طب أسنان الأطفال". جامعة البعث.
A
2. Abdinian, M., et al. (2017). "Effect of Filtration and Thickness of Cross-Sections of Cone Beam Computed Tomography Images on Detection of Proximal Caries." Journal of dentistry (Tehran, Iran) 14(4): 223-230.
3. Akdeniz, B. G., Gröndahl, H.-G., & Magnusson, B. (2006). Accuracy of Proximal Caries Depth Measurements: Comparison between Limited Cone Beam Computed Tomography, Storage Phosphor and Film Radiography. Caries Research, 40(3), 202–207.
4. Aldawood, F. (2019). "Ability of Caries Detection Methods to Determine Caries Lesion Activity." PhD diss., 2019.
5. Al‐Sane, M., Ricketts, D. N., Mendes, F. M., Altarakemah, Y., Deery, C., Innes, N., & Rollings, S. (2020). Reproducibility of Subtraction Radiography in Monitoring Changes in Approximal Carious Lesions in Children: An In Vivo Study. International Journal of Paediatric Dentistry.in vivo.
6. Arangnnal, P., et al. (2012). "Enamel thickness in primary teeth." Journal of Clinical Pediatric Dentistry 37(2): 177-181.
B
7. Baltacioglu, I. H., & Orhan, K. (2017). Comparison of diagnostic methods for early interproximal caries detection with near-infrared light transillumination: an in vivo study. BMC Oral Health, 17(1).
8. Bijle, Mohammed Nadeem & Chunawala, Yusuf & Bohari, Mariya. (2018). Interrater agreement and reliability assessment of proximal caries detection tools in mixed dentition: An in-vivo study. Quintessence international (Berlin, Germany : 1985). 49. 1-9. 10.3290/j.qi.a40114.
D
9. Dale A, Edwin M, Parks T "Dentistry for child and adolescent" Mobsy(2000)5.
10. Deery C and K.J. Toumba "Diagnosis and prevention of dental caries " Wellbury R, Duggal MS, Hosey MT, 3rd eds pediatric dentistry Oxford Univ press(2005),109.
E
11. Ekstrand, K., et al. (1997). "Reproducibility and accuracy of three methods for assessment of demineralization depth on the occlusal surface: an in vitro examination." Caries research 31(3): 224-231.
F
12. Farman, A. G., et al. (1995). "Computed dental radiography: evaluation of a new charge-coupled device-based intraoral radiographic system." Quintessence International 26(6).
H
13. Haiter-Neto, F., Wenzel, A., & Gotfredsen, E. (2008). Diagnostic accuracy of cone beam computed tomography scans compared with intraoral image modalities for detection of caries lesions. Dentomaxillofacial Radiology, 37(1), 18–22.
14. Haring JI and Howerton LJ. (2006). Dental Radiography: Principles and Techniques. St. Louis, Missouri, W. B. Saunders Company, 2006.
15. Hopcraft, M. S. and M. V. Morgan (2005). "Comparison of radiographic and clinical diagnosis of approximal and occlusal dental caries in a young adult population." Community dentistry and oral epidemiology 33(3): 212-218.
16. Hu, Tingrui & Tan, H & Hong, L & Wang, H. (2000). [Clinical study of direct digital radiography in caries detection].. Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology. 18. 171-3.
J
17. Jose M, et al. (2008). "Investigation of in vitro dental erosion by optical techniques." Lasers Med Sci 23(3): 319-329.
K
18. Kamburoğlu, K., Kurt, H., Kolsuz, E., Öztaş, B., Tatar, İ., & Çelik, H. H. (2010). Occlusal Caries Depth Measurements Obtained by Five Different Imaging Modalities. Journal of Digital Imaging, 24(5), 804–813.
19. Katzenberg, A. M., & Grauer, A. L. (2018). Biological Anthropology of the Human Skeleton (Third). U.S: John Wiley & Sons.
20. Kayipmaz, S., Sezgin, Ö. S., Saricaoğlu, S. T., & Çan, G. (2011). "An in vitro comparison of diagnostic abilities of conventional radiography, storage phosphor, and cone beam computed tomography to determine occlusal and approximal caries". European Journal of Radiology, 80(2), 478–482.
21. Kooistra, S., J. B. Dennison, P. Yaman, B. A. Burt, and G. W. Taylor. (2005). "Radiographic versus clinical extension of Class II carious lesions using an F-speed film." OPERATIVE DENTISTRY-UNIVERSITY OF WASHINGTON- 30, no. 6 (2005): 719.
22. Krzyżostaniak, J., et al. (2015). "A comparative study of the diagnostic accuracy of cone beam computed tomography and intraoral radiographic modalities for the detection of noncavitated caries." Clinical oral investigations 19(3): 667-672.
L
23. Langland, O. E. and R. P. Langlais (2002). Princípios do diagnóstico por imagem em odontologia, Santos.
N
24. Naitoh, M., Yuasa, H., Toyama, M., Shiojima, M., Nakamura, M., Ushida, M., … Ariji, E. (1998). Observer agreement in the detection of proximal caries with direct digital intraoral radiography. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 85(1), 107–112.
25. Nuvvula S, Bhumireddy JR, Kamatham R, Mallineni SK. (2016). Diagnostic accuracy of direct digital radiography and conventional radiography for proximal caries detection in primary teeth: A systematic review. J Indian Soc Pedod Prev Dent 2016;34:300-5.
P
26. Pitts, N. B. and P. Rimmer (1992). "An in vivo comparison of radiographic and directly assessed clinical caries status of posterior approximal surfaces in primary and permanent teeth." Caries research 26(2): 146-152.
R
27. Roointan, S., Tavakolian, P., Sivagurunathan, K. S., Floryan, M., Mandelis, A., & Abrams, S. H. (2019). 3D Dental Subsurface Imaging Using Enhanced Truncated Correlation-Photothermal Coherence Tomography. Scientific Reports, 9(1).
28. Ruschel, H. C. and O. Chevitarese (2003). "A comparative study of dentin thickness of primary human molars." J Clin Pediatr Dent 27(3): 277-281.
S
29. Safi, Y., et al. (2015). "Diagnostic accuracy of Cone Beam Computed Tomography, conventional and digital radiographs in detecting interproximal caries." Journal of medicine and life 8(Spec Iss 3): 77-82.
30. Sansare, K., Singh, D., Sontakke, S., Karjodkar, F., Saxena, V., Frydenberg, M., & Wenzel, A. (2014). Should Cavitation in Proximal Surfaces Be Reported in Cone Beam Computed Tomography Examination? Caries Research, 48(3), 208–213.
31. Senel, B., et al. (2010). "Diagnostic accuracy of different imaging modalities in detection of proximal caries." Dento maxillo facial radiology 39(8): 501-511.
32. Subka, S., Rodd, H., Nugent, Z., & Deery, C. (2019). In-vivo validity of proximal caries detection in primary teeth, with histological validation. International Journal of Paediatric Dentistry.
33. Syriopoulos, K., et al. (2000). "Radiographic detection of approximal caries: a comparison of dental films and digital imaging systems." Dentomaxillofac Radiol 29(5): 312-318.
T
34. Twetman, S., Axelsson, S., Dahlén, G., Espelid, I., Mejàre, I., Norlund, A., & Tranæus, S. (2012). Adjunct methods for caries detection: A systematic review of literature. Acta Odontologica Scandinavica, 71(3-4), 388–397.
V
35. Van der Stelt, P. F. (2008). "Better imaging: the advantages of digital radiography." The Journal of the American Dental Association 139: S7-S13.
36. Versteeg, K. H., et al. (1997). "In vivo study of approximal caries depth on storage phosphor plate images compared with dental x-ray film." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 84(2): 210-213.
W
37. Wenzel, A. (2006). "A review of dentists' use of digital radiography and caries diagnosis with digital systems." Dentomaxillofacial Radiology 35(5): 307-314.
38. Wenzel, A., Hirsch, E., Christensen, J., Matzen, L. H., Scaf, G., & Frydenberg, M. (2013). Detection of cavitated approximal surfaces using cone beam CT and intraoral receptors. Dentomaxillofacial Radiology, 42(1), 39458105–39458105.
39. Wu, M., et al. (2010). "Web-based training method for interpretation of dental images." Journal of digital imaging 23(4): 493-500.
Z
40. Zero, D. T., et al. (2009). "The Biology, Prevention, Diagnosis and Treatment of Dental Caries: Scientific Advances in the United States." The Journal of the American Dental Association 140: 25S-34S.
41. Zhang, Z., Qu, X., Li, G., Zhang, Z., & Ma, X. (2011). The detection accuracies for proximal caries by cone-beam computerized tomography, film, and phosphor plates. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 111(1), 103–108.
منشور
2020-09-16
كيفية الاقتباس
ظواهرين., & سلطانأ. د. م. ز. (2020). دراسة مقارنة التصوير الشعاعي التقليدي والتصوير الشعاعي الرقمي و CBCT في كشف النخور الملاصقة في الاسنان المؤقتة (دراسة سريرية)". مجلة جامعة حماة, 3(6). استرجع في من https://hama-univ.edu.sy/ojs/index.php/huj/article/view/329
القسم
قسم طب الأسنان
