Caries Diagnosis - Ohio State University College of Dentistry课件.pptVIP

Saucer-like cratering on the roots of the teeth, involving the cementum. Usually found on older individuals with prominent recession and/or periodontitis. May have xerostomia due to medications. May be confused with cervical burnout discussed on later slide . Root Caries Root caries Root caries Cervical Burnout Cervical burnout is an apparent radiolucency found just below the CE junction on the root due to anatomical variation concave root formation posteriorly or a gap between the enamel and bone covering the root anteriorly . Mimica root caries. Posteriorly, this radiolucency usually disappears when another film of the region is examined. Caries does not occur on the root of the tooth unless there is loss of alveolar bone and gingival tissue due to recession or periodontitis. Posterior cervical burnout. The invagination of the proximal root surfaces allow more x-rays to pass through this area, resulting in a more radiolucent appearance on the radiograph. X-rays directed at a different angle usually pass through more tooth structure and the radiolucency disappears. * * The following slides describe the radiographic diagnosis of caries. 0 Caries Diagnosis In navigating through the slides, you should click on the left mouse button when you see the mouse holding an x-ray tubehead or you are done reading a slide. Hitting “Enter” or “Page Down” will also work. To go back to the previous slide, hit “backspace” or “page up”. Caries Caries is the breakdown of tooth structure caused by acid-producing bacteria in the mouth. These bacteria are found in the white or pale yellow plaque that builds up on the teeth if they are not cleaned properly on a regular basis. The bacteria break down carbohydrates sugars to form the acid that demineralizes tooth structure, leading to caries. The diagnosis of caries is made through a combination of the clinical examination and radiographs. Unless fairly large, interproximal caries in the posterior region usually requires radiograp