Post on 04-Jun-2018
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Drg. Mellani Cindera N
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Interpretasi Radiografi yang Bisa Digunakan:
1. Bitewing Film
2. Periapical film
3. Panoramic (terbatas)
Karies proses demineralisasi radiolusensi
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Radiographs is used to aid detection of carious
lesions.Advanced carious lesions of the occlusal, cervikal
and other exposed portions of a tooth are notdifficult to diagnose by clinical examination.
The purpose of a radiograph, therefore, is todiagnose early carious lesions or those which liehidden under restorations, or in theinterproximal areas and to know the extent ofthe carious lesion.
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I
M = Moderate (Stage II)
I = Incipient (Stage I)
A = Advanced (Stage III)
S = Severe (Stage IV)
Caries Classification
S
AMA
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IncipientModerate
Advanced
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Interproximal Caries(Incipient)
I
Up to half the thickness of enamel
Usually not restored unless patienthas high level of caries activity (high
risk). Treat with fluoride.
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The arrow points to incipient lesion onthe distal #10
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M
Interproximal Caries
(Moderate)
More than halfway through theenamel (up to DEJ)
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The bottom arrow points to a moderate lesion onthe distal of # 20. The upper arrow points to one ofseveral incipient lesions on the molar and
premolars.
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AA
Interproximal Caries
(Advanced)
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Advanced lesion identified by arrows.
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Advanced lesion
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More than halfwaythrough the dentin
S
Interproximal Caries
(Severe)
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Severe lesion
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Severe lesion
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Occlusal Caries
Must have penetrated into dentin
Diagnosed from clinical exam
May be seen as thin radiolucent line orcup-shaped zone underlying occlusalenamel, but difficult to see on
radiographs unless lesion is large.
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Occlusal caries
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Occlusal caries
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Buccal/Lingual Caries
Should be identified from clinical exam.
On a dental radiograph, caries that involvesthe buccal or lingual surface will appear as a
small, circular radiolucency in middle oftooth , although it is not very radiolucent.
In order to determine the location of thelesion, a clinical examination with an
explorer is necessary.Depth can not be determined
radiographically.
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Lingual caries (Can’t tell whether it’s buccal
or lingual from one radiograph
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Buccal caries with severe interproximal
caries on # 12
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Root Caries
On a dental radiograph, root surfacecaries appear as a cupped-out or crater-shaped radiolucency just below the
cemento-enamel juction (CEJ). Earlylesions may be difficult to detect on adental radiograph.
Usually found on older individuals withprominent recession and/or periodontitis.
May have xerostomia due to medications.May be confused with cervical burnout.
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Root caries
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Root caries
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Recurrent Caries
Radiolucency extends into the dentin(with/without extends to pulp) adjacent toan existing restoration.
May be due to unusual susceptibility tocaries, poor oral hygiene, failure to removeall of the caries during cavity preparation,a defective restoration or a combination of
the above.
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Recurrent caries
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Recurrent caries