Drg.

Mellani Cindera N

Interpretasi Radiografi yang Bisa Digunakan:

Bitewing Film 2. Periapical film 3. Panoramic (terbatas)
1.

Karies proses demineralisasi radiolusensi

 Radiographs

is used to aid detection of carious

lesions. Advanced carious lesions of the occlusal, cervikal and other exposed portions of a tooth are not difficult to diagnose by clinical examination. The purpose of a radiograph, therefore, is to diagnose early carious lesions or those which lie hidden under restorations, or in the interproximal areas and to know the extent of the carious lesion.

Caries Classification
I M A

I = Incipient (Stage I) M = Moderate (Stage II) A = Advanced (Stage III)

S = Severe (Stage IV)

Incipient Moderate Advanced

Interproximal Caries (Incipient)

I
Up to half the thickness of enamel

Usually not restored unless patient has high level of caries activity (high risk). Treat with fluoride.

The arrow points to incipient lesion on the distal #10

Interproximal Caries (Moderate)

More than halfway through the enamel (up to DEJ)

The bottom arrow points to a moderate lesion on the distal of # 20. The upper arrow points to one of several incipient lesions on the molar and premolars.

Interproximal Caries (Advanced)

A

Advanced lesion identified by arrows.

Advanced lesion

Interproximal Caries (Severe)

More than halfway through the dentin

Severe lesion

Severe lesion

Occlusal Caries
Must

have penetrated into dentin Diagnosed from clinical exam May be seen as thin radiolucent line or cup-shaped zone underlying occlusal enamel, but difficult to see on radiographs unless lesion is large.

Occlusal caries

Occlusal caries

Buccal/Lingual Caries
Should

be identified from clinical exam. On a dental radiograph, caries that involves the buccal or lingual surface will appear as a small, circular radiolucency in middle of tooth , although it is not very radiolucent. In order to determine the location of the lesion, a clinical examination with an explorer is necessary. Depth can not be determined radiographically.

Lingual caries (Cant tell whether its buccal or lingual from one radiograph

Buccal caries with severe interproximal caries on # 12

Root Caries
On

a dental radiograph, root surface caries appear as a cupped-out or cratershaped radiolucency just below the cemento-enamel juction (CEJ). Early lesions may be difficult to detect on a dental radiograph. Usually found on older individuals with prominent recession and/or periodontitis. May have xerostomia due to medications. May be confused with cervical burnout.

Root caries

Root caries

Recurrent Caries
Radiolucency

extends into the dentin (with/without extends to pulp) adjacent to an existing restoration. May be due to unusual susceptibility to caries, poor oral hygiene, failure to remove all of the caries during cavity preparation, a defective restoration or a combination of the above.

Recurrent caries

Recurrent caries