Clinical diagnosis of dental caries: a European perspective.

作者: Nigel B. Pitts

DOI: 10.1002/J.0022-0337.2001.65.10.TB03472.X

关键词: HarmPsychologyFoundation (evidence)PresentationDentistryMedical educationPrimary cariesDiseaseEvidence-based medicineDental Caries Activity TestsMEDLINE

摘要: The aim of this paper is to provide a broad international perspective on aspects the RTI/UNC systematic review, introduce relevant literature not cited, and make recommendations for clinical practice education research suggested by evidence. Clinical caries diagnosis represents foundation which answers most consensus questions will be based. This highlights needs being clear about definitions nomenclature; understanding importance concepts underlying D1 D3 diagnostic thresholds used widely within Review; appreciating that challenge now faced clinicians significant becoming more complex as presentation distribution disease changes over time range preventive operative treatment options expands. A series informed evidence are made, including rather contentious issue many concerning lack supporting continued use sharp explorer tool primary diagnosis. should discontinued it may cause some harm patient yet fails balancing benefit. Finally, dentistry learn from developing base in medicine how best disseminate findings reviews promote appropriate practice.

参考文章(31)
Bergman G, Lindén La, The action of the explorer on incipient caries. Svensk tandlakare tidskrift. Swedish dental journal. ,vol. 62, pp. 629- 634 ,(1969)
J.J. ten Bosch, B. Angmar-MAnsson, Characterization and validation of diagnostic methods. Monographs in oral science. ,vol. 17, pp. 174- 189 ,(2000) , 10.1159/000061642
Patricia Anne Rimmer, Nigel Berry Pitts, None, Effects of diagnostic threshold and overlapped approximal surfaces on reported caries status Community Dentistry and Oral Epidemiology. ,vol. 19, pp. 205- 212 ,(1991) , 10.1111/J.1600-0528.1991.TB00147.X
E.A.M. Kidd, D.N.J. Ricketts, N.B. Pitts, Occlusal caries diagnosis: a changing challenge for clinicians and epidemiologists. Journal of Dentistry. ,vol. 21, pp. 323- 331 ,(1993) , 10.1016/0300-5712(93)90001-7
O.Backer Dirks, Longitudinal dental caries study in children 9–15 years of age Archives of Oral Biology. ,vol. 6, pp. 94- 108 ,(1961) , 10.1016/0003-9969(61)90023-1
O. Backer Dirks, J. Van Amerongen, K.C. Winkler, A reproducible method for caries evaluation. Journal of Dental Research. ,vol. 30, pp. 346- 359 ,(1951) , 10.1177/00220345510300030701
Hazel E. Fyffe, Chris Deery, Zoann J. Nugent, Nigel M. Nuttall, Nigel B. Pitts, In vitro validity of the Dundee Selectable Threshold Method for caries diagnosis (DSTM). Community Dentistry and Oral Epidemiology. ,vol. 28, pp. 52- 58 ,(2000) , 10.1034/J.1600-0528.2000.280107.X
A.H. Forgie, M. Paterson, C.M. Pine, N.B. Pitts, Z.J. Nugent, A randomised controlled trial of the caries-preventive efficacy of a chlorhexidine-containing varnish in high-caries-risk adolescents Caries Research. ,vol. 34, pp. 432- 439 ,(2000) , 10.1159/000016619
C Deery, H.E Fyffe, Z.J Nugent, N.M Nuttall, N.B Pitts, General dental practitioners diagnostic and treatment decisions related to fissure sealed surfaces. Journal of Dentistry. ,vol. 28, pp. 313- 318 ,(2000) , 10.1016/S0300-5712(00)00004-X