光导荧光技术辅助诊断隐裂牙的初步研究

doi:10.13701/j.cnki.kqyxyj.2018.08.009

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (8): 832-835.DOI: 10.13701/j.cnki.kqyxyj.2018.08.009

光导荧光技术辅助诊断隐裂牙的初步研究

陈功培¹, 俞青², 杨卫东³, 杨亚萍³, 华芳^3*

1. 南京大学医学院江苏南京 210093;
2. 南京大学医学院附属口腔医院,南京市口腔医院修复科江苏南京 210008;
3. 南京大学医学院附属口腔医院,南京市口腔医院牙体牙髓科江苏南京 210008

收稿日期:2018-02-24 出版日期:2018-08-28 发布日期:2018-08-23
通讯作者: 华芳, E-mail:kqhuafang47@163.com
作者简介:陈功培(1992~ ),男,浙江人,硕士在读,主要从事隐裂牙相关研究。
基金资助:
江苏省重点研发计划(社会发展)项目(BE2016623)

Preliminary Study on Diagnosis of Cracked Teeth Assisted by Laser Fluorescence

CHEN Gong-pei¹, YU Qing², YANG Wei-dong³, YANG Ya-ping³, HUA Fang^3*

1. Medical School of Nanjing University, Nanjing 210093, China;
2. Department of Prosthodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China;
3. Department of Endodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China

Received:2018-02-24 Online:2018-08-28 Published:2018-08-23

摘要/Abstract

摘要： 背景:评估光导荧光技术辅助诊断隐裂牙的可行性,探讨隐裂牙诊断新技术。方法:37例通过咬诊、显微镜等检查确诊为隐裂牙的患牙纳入本实验,使用DIAGNOdent 2190对患牙进行光导荧光检查,记录荧光指数。用相同方法检测对照牙。应用独立样本t检验比较隐裂组和对照组荧光指数。结果:隐裂组和对照组荧光指数比较差异有统计学意义(P<0.001);隐裂组患牙的荧光指数均位于早期龋范围。结论:光导荧光技术可以用于辅助诊断隐裂牙;隐裂牙裂纹中存在不同程度的早期龋,荧光指数可以作为临床医生制定治疗计划和判断预后的依据。

关键词: 隐裂牙, 光导荧光, 诊断

Abstract: Objective: To investigate the effectiveness of laser fluorescence on the diagnosis of cracked teeth, and to explore new techniques for the diagnosis of cracked teeth. Methods: Thirty-seven cracked teeth diagnosed by means of bite tests and microscopic detection were included in this experiment. DIAGNOdent 2190 was used to detect these cracked teeth, and the fluorescence was recorded. The control teeth were detected by the same method. Results: There was a significant difference on the fluorescence between the cracked teeth and the control teeth (P<0.001). The fluorescence values of the cracked teeth were all within the range of early caries. Conclusion: Laser fluorescence can be used to diagnose the cracked teeth. There are varying degrees of early caries in the cracks, and fluorescence can be used to develop treatment plans and assess prognosis.

Key words: Cracked teeth, Laser fluorescence, Diagnosis

陈功培, 俞青, 杨卫东, 杨亚萍, 华芳. 光导荧光技术辅助诊断隐裂牙的初步研究[J]. 口腔医学研究, 2018, 34(8): 832-835.

CHEN Gong-pei, YU Qing, YANG Wei-dong, YANG Ya-ping, HUA Fang. Preliminary Study on Diagnosis of Cracked Teeth Assisted by Laser Fluorescence[J]. Journal of Oral Science Research, 2018, 34(8): 832-835.

参考文献

[1] 樊明文.牙体牙髓病学[M].第4版.北京:人民卫生出版社,2014∶152-154
[2] Geusen W, Sehwarze T, Grnay H. Diagnosis, therapy and prevention of the cracked tooth syndrome [J]. Quintessence Int, 2003, 34(6)∶409-417
[3] Abbott P, Leow N. Predictable management of cracked teeth with reversible pulpitis [J]. Aust Dent J, 2009, 54(4)∶306-315
[4] Jun MK, Ku HM, Kim E, et al. Detection and analysis of enamel cracks by quantitative light-induced fluorescence technology [J]. J Endod, 2016, 42(3)∶500-504
[5] Melo M, Pascual A, Camps I, et al. Caries diagnosis using light fluorescence devices in comparison with traditional visual and tactile evaluation: a prospective study in 152 patients [J]. Odontology, 2017, 105(3)∶283-290
[6] Cameron CE. Cracked-tooth syndrome [J]. J Am Dent Assoc, 1964, 68(3)∶405-411
[7] Banerji S, Mehta SB, Millar BJ. Cracked tooth syndrome. Part 1: aetiology and diagnosis [J]. Br Dent J, 2010, 208 (10)∶459- 463
[8] Mathew S, Thangavel B, Mathew CA, et al. Diagnosis of cracked tooth syndrome [J]. J Pharm Bioallied Sci, 2012, 4(Suppl 2)∶S242-S244
[9] Pigg M, Nixdorf DR, Nguyen RH, et al. Validity of preoperative clinical findings to identify dental pulp status: a National Dental Practice-Based Research Network Study [J]. J Endod, 2016, 42(6)∶935-942
[10] Mamoun JS, Napoletano D. Cracked tooth diagnosis and treatment: An alternative paradigm [J]. Eur J Dent, 2015, 9(2)∶293-303
[11] Anttonen V, Seppa L, Hausen H. Clinical study of the use of the laser fluorescence device DIAGNOdent for detection of occlusal caries in children [J]. Caries Res, 2003, 37 (1)∶17-23
[12] Jablonski-Momeni A, Ricketts DN, Rolfsen S, et al. Performance of laser fluorescence at tooth surface and histological section [J]. Lasers Med Sci, 2011, 26(2)∶171-178
[13] Roh BD, Lee YE. Analysis of 154 cases of teeth with cracks [J]. Dent Traumatol, 2006, 22(3)∶118 -123
[14] Bajai D, Sundaram N, Nazari A, et al. Age, dehydration and fatigue crack growth in dentition [J]. Biomaterials, 2006, 27(11)∶2507-2517
[15] Abou-Rass M. Crack lines: the precursors of tooth fractures-their diagnosis and treatment [J]. Quintessence Int, 1983, 14(4)∶437-447
[16] Hasan S, Singh K, Salati N. Cracked tooth syndrome: Overview of literature [J]. Int J Appl Basic Med Res, 2015, 5(3)∶164-168
[17] 周修能,崔春,边专.隐裂牙预后的多因素相关分析[J].口腔医学研究,2012,28(7)∶711-713
[18] Hilton TJ, Funkhouser E, Ferracane JL, et al. Correlation between symptoms and external chara- cteristics of cracked teeth :findings from The National Dental Practice-Based Research Network [J]. J Am Dent Assoc, 2017, 148(4):246-256
[19] Seremidi K, Lagouvardos P, Kavvadia K. Comparative in vitro validation of VistaProof and DIAGNOdent pen for occlusal caries detection in permanent teeth [J]. Oper Dent, 2012, 37(3):234-245
[20] Lussi A, Hibst R, Paulus R. DIAGNOdent: an optical method forcaries detection [J]. J Dent Res, 2004, 83 Spec No C: C80-C83
[21] Castilho LS, Cotta FV, Bueno AC, et al. Validation of DIAGNOdent laser fluorescence and the International Caries Detection and Assessment System (ICDAS) in diagnosis of occlusal caries in permanent teeth: an in vivo study [J]. Eur J Oral Sci, 2016, 124(2):188-194

光导荧光技术辅助诊断隐裂牙的初步研究

Preliminary Study on Diagnosis of Cracked Teeth Assisted by Laser Fluorescence

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