鄰接面齲齒的診斷和預防

Diagnosis & Prevention of Interproximal Caries

劉佳幸(Chia-Hsin Liu) ； 施文宇(Wen-Yu Shih)

《臺灣兒童牙醫學雜誌》 5卷2期 (2005/06) Pp. 46-51

https://doi.org/10.6319/TJPD.2005.5(2).1

摘要

鄰接面齲齒進展會因氟化物的使用、齒列不同、鄰接面接觸的關閉而有所不同。診斷鄰接面齲齒的方式有臨床上的視診、光學光纖法、雷射螢光法、或X光放射線法，各有其優缺點，其中X光有較大的誤差值，故需注意放射線透射區深度及牙齒種類等因素，而決定其臨床窩洞的可能性。而由於有效的預防效果，如：氟化物、牙線的使用、嚼食木糖醇口香糖等，使得鄰接面齲齒盛行降低、齲齒病灶惡化速度減緩，以及填補的比例降低。

關鍵字

鄰接面齲齒 ； 診斷 ； 預防

並列摘要

The rate of progression of interproximal caries depends on the following factors including use of fluorides, dentition stage, and open/closed contact area. There are different diagnostic techniques to detect interproximal caries, such as visual examination, fiber-optic transillumination, laser fluorescence, and bitewing radiography. The correlation of radiographic examination and clinical tissue changes are affected by the depth of radiolucent area, tooth type, and dentition stage. Use of interdental flossing, intensive use of fluorides, and use of xylitol chewing gum are effective modalities to decrease incidence and rate of progression of interproximal caries.

並列關鍵字

Interproximal Caries ； Diagnosis ； Prevention