최신 치아우식 진단기준: International Caries Detection and Assessment System (ICDAS)
International Caries Detection and Assessment System (ICDAS)
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초록
치아우식증은 치주질환과 더불어 우리나라 국민이 가장 많이 경험하는 대표적인 구강병이다. 2010년 국민구강건강실태조사에 따르면 12세 아동의 영구치우식경험자율은 60.5%로 나타났고, 아동에서의 이러한 높은 유병률은 연령의 증가와 함께 누적되어 성인인구에서도 상당수가 경험하게 되는 질환임을 알 수 있다. 초기 단계의 치아우식증은 정지되거나 되돌릴 수 있고, 간단한 처치만으로도 쉽게 회복될 수 있지만, 질환이 심화될수록 복잡한 처치가 필요하며 치료비용도 증가하게 된다. 따라서 치과의사에 의한 치아우식증의 정확한 진단은 향후 치료의 예후를 결정하는데 중요한 역할을 한다. 치과의사는 교육과정을 통해 충분한 훈련을 거친 후 환자를 진료하게 되지만 치아우식증의 진단 과정에서 명확한 병소가 존재하는 치아우식증을 제외하고는 미세한 표면 병소들을 초기 단계에서 평가하는 것은 개인적인 경험과 시각에 따라 차이를 나타낼 수 있다.
Abstract
Dental caries has been widely prevalent with presence of cavitation on teeth. For the last several decades, the prevalence of dental caries in developed countries has rapidly decreased so there has been needed a new and detailed diagnostic guideline to differentiate the severity of dental caries, especially for early status of caries. The cariology specifically requires the development of an integrated definition of dental caries and uniform systems for measuring the caries process in the fields of clinical diagnosis and treatment, epidemiological researches, and dental education and so forth. The international Caries Detection and Assessment System (ICDAS) optically measures the enamel surface changes and potential histological depth of carious lesions by relying on surface characteristics of teeth. ICDAS is a visual classification system that was developed to diagnose the subtle changes of enamel surface, predict the progress direction of early caries, allow standardized data collection in relation to caries in different settings, and to enable better comparison of oral health between countries worldwide and research studies.
참고문헌 (16)
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