| Autor: |
Litaker, M. S., Williams, O. D., Rindal, D. B., Fellows, J. L., Gilbert, G. H., Gordan, W., Nascimento, M. M., Qvist, V., Bader, J. D. |
| Jazyk: |
angličtina |
| Rok vydání: |
2010 |
| Předmět: |
|
| DOI: |
10.17615/3vj1-cs86 |
| Popis: |
This study investigated the concordance between pre- and post-operative assessments of primary caries lesions depths by dentists from The Dental Practice-Based Research Network (DPBRN; www.DentalPBRN.org). A total of 229 DPBRN dentists collected data on 8,351 consecutive restorations inserted due to primary caries in 5,810 patients. Dentists estimated the pre-operative depth of caries lesions based on the diagnostic methods they typically used. The pre-operative depth was then compared to the post-operative depth, which dentists determined using actual clinical observation. Both estimated and observed depths were recorded as being in the outer ½ (E1) or inner ½ (E2) of enamel, or in the outer ⅓ (D1), middle ⅓ (D2) or inner ⅓ (D3) of dentin. Most restorations were placed to treat lesions that were pre-operatively assessed as extending to the D1 (53%) and D2 (25%) depths. Of the restored caries lesions, 10% were pre-operatively assessed as being limited to E2 depth and 3% to E1 depth. The majority of the restored enamel lesions were located on occlusal surfaces. Pre-operative estimates of caries lesion depth were more concordant with post-operative depths when the lesion was at an advanced stage: 88% concordance at the D3 depth; compared to 54% concordance at the E1 depth. DPBRN dentists can discriminate caries lesions at different depths, but the accuracy of their depth assessments was higher for dentin than for enamel lesions. In general, DPBRN dentists were more likely to underestimate than to overestimate depth of caries lesions, and the extent of underestimation was greater for enamel than for dentin lesions. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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