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ISSN : 0376-4672
치아우식증은 미생물이 분비하는 산에 의해서 치아 표면의 무기질이 용해되는 질환이다. 이 질환은 표면의 미세한 변화부터 와동이 형성되는 단계까지 연속된 과정으로 설명할 수 있다. 지금까지는 육안을 통한 임상적 진단의 편의성 때문에 와동(cavity)이 형성되었는지 여부를 통해서 질병의 유무를 판단해왔다. 그러나 이러한 접근 방식은 여러 가지 외부 상황의 급격한 변화를 통해서 도전받고 있다.
The leading paradigm of dentistry had been focused on the rehabilitation treatment that identifies active caries, manages them surgically, and restores their original functions. However, changes in the external environment including the current disease prevalence require dentistry to have a paradigm shift. The new paradigm suggests the detection of caries in their earlier stages over the visual diagnosis of cavities, and the reversal of the incipient caries by non-surgical approach. For this to be achieved, a hightechnology detection device recognizing changes in the earlier stages which can not be visually observed is needed. Development of early caries detection device has recently become a major issue in preventive dentistry on account of this need, and QLF(Quantitified Light induced Fluorescence) conspicuously stands out among the newly released devices. In this study, the fundamental concept of QLF(Quantitified Light induced Fluorescence) and the possible clinical applications of the earlier intraoral camera model as well as the recently designed digital camera model will be discussed.
1. Pretty IA.Caries detection and diagnosis: novel technologies. J Dent. 2006;34(10):727-39.
2. Pitts NB. Clinical diagnosis of dental caries: a European perspective. Journal of Dental Education 2001;65(10):972–8.
3. Pretty IA. A review of the effectiveness of QLF to detect early caries lesions. Indianapolis, Indiana: Indiana University Press; 2005.
4. Stookey GK. Quantitative light fluorescence: a technology for early monitoring of the caries process. Dent Clin North Am. 2005 Oct;49(4):753-70.
5. Feng Y, Yin W, Hu D, Zhang YP, Ellwood RP, Pretty IA. Assessment of autofluorescence to detect the remineralization capabilities of sodium fluoride, monofluorophosphate and non-fluoride dentifrices. A single-blind cluster randomized trial. Caries Res. 2007;41(5):358-64.
6. Coulthwaite L, Pretty IA, Smith PW, Higham SM, Verran J.The microbiological origin of fluorescence observed in plaque on dentures during QLF analysis. Caries Res. 2006;40(2):112-6.
7. Mattousch TJ, van der Veen MH, Zentner A. Caries lesions after orthodontic treatment followed by quantitative light-induced fluorescence: a 2-year follow-up. Eur J Orthod. 2007 Jun;29(3):294-8.