Rezidüel Çürük Tespitinde Kullanılan Geleneksel Yöntemin Farklı Yöntemlerle Klinik Olarak Doğrulanması
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Dosyalar
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çürüğün uzaklaştırılmasında kullanılan geleneksel yöntem; yumuşak, enfekte çürük dokuyu görsel ve dokunsal olarak kontrol ederek uzaklaştırmaktır. Bu çalışmanın amacı kavite açımı esnasındaki rezidüel çürük tespiti için sübjektif bir yöntem olan fakat rutinde kullanılan geleneksel görsel ve dokunsal muayenenin sonucunu; dental loupe, floresan destekli (FACE) bir cihaz ve çürük tespit boyası (CDD) kullanılarak yapılan değerlendirme ile karşılaştırmaktır. Gereç ve Yöntemler: Restoratif Diş Tedavisi Kliniği’nde rutin çürük uzaklaştırılma işlemi uygulanmış ve rezidüel çürüğün geleneksel görsel ve dokunsal muayenenin yanı sıra üç farklı destekleyici yöntem (Dental loupe, FACE ve CDD) ile değerlendirilip verileri kaydedilmiş olan hastalar arasından Sınıf-II (MO–DO–MOD) çürüklü molar dişe sahip 120 hasta çalışmaya dahil edildi. Dişin çenelerde bulunduğu kadrana ve kavitede kalan çürüğün lokalizasyonuna (Gingival basamak, aksiyal duvar, bukkal duvar, lingual duvar, pulpal duvar, mine-dentin sınırı) göre kaydedilmiş olan veriler değerlendirildi. İstatistiksel analizde Kendall’s W ve Kikare testi uygulandı. Bulgular: Geleneksel görsel ve dokunsal muayene kriterlerine göre çürüksüz olduğu kabul edilen 120 kavitenin 61’inin(%50,83) diğer üç yöntemle de çürüksüz olduğu doğrulandı. 35 kavitenin(%29,17) sadece CDD ile boyandığı, 24 kavitenin(%20) hem CDD ile boyandığı hem de FACE cihazı ile çürüklü olduğu tespit edildi. Rezidüel çürüğü tespit etme açısından görsel ve dokunsal muayene ile CDD (p<0,05) arasında istatistiksel bir fark olmasına rağmen, FACE cihazı(p>0,05) ve dental loupe(p>0,05) ile arasında anlamlı bir fark görülmedi. Rezidüel çürük tespitedilen dişlerin en çok sağ üst kadranda(%37,28) yer aldığı bulundu. Sonuç: Rezidüel çürük tespitinde kullanılan FACE yöntemi özellikle görüş ve manipülasyonun daha zor olduğu bölgelerde görsel ve dokunsal muayeneyi destekleyici bir yöntem olabilir.
Background: The traditional method used to caries excavation; to remove soft, infected caries tissue by controlling visually and tactically. The accuracy of conventional visual and tactile examination, which is a routine but subjective method for the detection of residual caries, was evaluated using dental loupe, a fluorescence aided caries excavation (FACE) device and caries detector dye (CDD). Methods: Among the patients who underwent routine caries treatment in the Restorative Dentistry Clinic and whose data were recorded after evaluating with three different supporting methods (Dental loupe, FACE and CDD), as well as traditional visual and tactile examination of caries remaining in the cavity, 120 patients with Class-II (MO – DO) decayed molar were included in the study. Data were also evaluated according to the quadrant of the jaw and the localization of the caries in the cavity (gingival step, axial wall, buccal wall, lingual wall, pulpal wall, enamel-dentin border). Kendall’s W and Chi-square tests were used for statistical analysis. Results: It was confirmed that 61 (50.83%) of the 120 cavities, which were accepted as caries-free according to the traditional visual and tactile examination criteria were caries-free by the other three methods. 35 cavities (29.17%) were stained with CDD alone, 24 cavities (20%) were stained with CDD and decayed with FACE device. Although there was a statistically significant difference between visual and tactile examination and CDD (p <0.05) in detecting residual caries, there was no significant difference between FACE device (p> 0.05) and dental loupe (p> 0.05). The teeth with caries were mostly located in the maxillary right quadrant (37.28%). Conclusion: The FACE method used in the detection of residual caries may be a method that supports visual and tactile examination especially in regions where vision and manipulation are more difficult.
Background: The traditional method used to caries excavation; to remove soft, infected caries tissue by controlling visually and tactically. The accuracy of conventional visual and tactile examination, which is a routine but subjective method for the detection of residual caries, was evaluated using dental loupe, a fluorescence aided caries excavation (FACE) device and caries detector dye (CDD). Methods: Among the patients who underwent routine caries treatment in the Restorative Dentistry Clinic and whose data were recorded after evaluating with three different supporting methods (Dental loupe, FACE and CDD), as well as traditional visual and tactile examination of caries remaining in the cavity, 120 patients with Class-II (MO – DO) decayed molar were included in the study. Data were also evaluated according to the quadrant of the jaw and the localization of the caries in the cavity (gingival step, axial wall, buccal wall, lingual wall, pulpal wall, enamel-dentin border). Kendall’s W and Chi-square tests were used for statistical analysis. Results: It was confirmed that 61 (50.83%) of the 120 cavities, which were accepted as caries-free according to the traditional visual and tactile examination criteria were caries-free by the other three methods. 35 cavities (29.17%) were stained with CDD alone, 24 cavities (20%) were stained with CDD and decayed with FACE device. Although there was a statistically significant difference between visual and tactile examination and CDD (p <0.05) in detecting residual caries, there was no significant difference between FACE device (p> 0.05) and dental loupe (p> 0.05). The teeth with caries were mostly located in the maxillary right quadrant (37.28%). Conclusion: The FACE method used in the detection of residual caries may be a method that supports visual and tactile examination especially in regions where vision and manipulation are more difficult.
Açıklama
Anahtar Kelimeler
Rezidüel çürük, Görsel ve dokunsal muayene, FACE, CDD, Residual caries, Visual and tactile examination
Kaynak
Selçuk Üniversitesi Diş Hekimliği Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
8
Sayı
2
Künye
Güngör, F. S., Güven, A., Ünlü, N., (2021). Rezidüel Çürük Tespitinde Kullanılan Geleneksel Yöntemin Farklı Yöntemlerle Klinik Olarak Doğrulanması. Selçuk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 8 (2), 402-406. Doi: 10.15311/selcukdentj.673645
