医学院授课ppt讲义模板：牙齿cariesdiagnosi.pptVIP

FREE SMOOTH SURFACES ENAMEL CAN BE DIAGNOSED WITH SHARP EYE, SAT THE STAGE OF THE WHITE OR BROWN SPOT LESION BEFORE CAVITATION HAS OCCURRED PROVIDED THE TEETH ARE CLEAN, DRY AND WELL LIT. Although the white spot lesion is the earliest visual sign of disease, it has been preceded by destructive processes which arent seen macroscopic. Free smooth surface caries Smooth surface dental caries is recognized by white or brown lesions. In this photograph, the white areas are early evidence of disease. At this stage the lesions are not detectable by radiographs. Radiographic examination of the mandibular first molar and the maxillary second bicuspid reveals that considerable dentin destruction has taken place. ROOT SURFACE In its early stages, appears as one or more small, well defined, discolored areas located in an area of plaque stagnation close to the gingival margin. Lesion may vary in color from yellowish, or light brown, through mid-brown to almost black. FREE SMOOTH SURFACES Active lesions are plaque covered, soft or leathery in consistency and may be cavitated. Arrested lesions are hard and are often located in a plaque free area coronal to the gingival margin. Arrested lesions may be cavitated. Although lesion consistency is important in diagnosing activity, but great care should be taken when using a sharp instrument on these surfaces. IT MAY BE SAFER TO TEST CONSISTENCY OF THE LESION BY GENTLE USE OF A PERIODONTAL PROBE OR THE BACK OF AN EXCAVATOR. IT SHOULD BE NOTED THAT COLOR OF THE LESION IS NOT A GOOD INDICATOR OF LESION ACTIVITY. Root surface lesions tend to spread LATERALLY and coalesce with minor neighboring lesions and may thus eventually encircle the tooth. Commonly, the lesions extend only 0.25-1mm in depth. They do not always spread apically as the gingival margin recedes, but new lesions