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Betydelsen av bitewingundersökning i kombination med klinisk undersökning bland 15 åriga barn i Da Nang, Vietnam
Jönköping University, School of Health and Welfare, HHJ. Oral health.
2015 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Syfte: Att enbart jämföra klinisk undersökning med klinisk undersökning i kombination med bitewingundersökning avseende initial och manifest approximalkaries på premolarer och molarer hos 15-åriga barn i Da Nang, Vietnam. Metod och material: En tvärsnittsstudie. Röntgenbilder har använts som material i denna studie. Studien bygger delvis på kliniskt insamlat material från en randomiserad epidemiologisk studie. Studien bestod av sammanlagt 200 slumpmässigt utvalda 15-åriga deltagare. Undersökningen bestod av fyra röntgenbilder med bitewingteknik. Studien fokuserar på mesiala och distala ytor på premolarer och molarer. Resultat: Vid jämförelse av klinisk undersökning med bitewingundersökning hittades ytterligare 152 approximala initiala kariesangrepp respektive 71 approximala manifesta kariesangrepp vid bitewingundersökningen. Total kariesprevalens på molarer och premolarers alla ytor visar ett medelvärde för initialkaries på 2,1 ytor per barn och vid manifest karies ett medelvärde på 4,6 ytor per barn vid klinisk undersökning i kombination med bitewing. Karies förekom oftast på bettets första molarer vid klinisk undersökning och bitewingundersökning. En statistisk signifikant skillnad, p-värde <0,001 fanns mellan klinisk undersökning och klinisk undersökning i kombination med bitewingundersökning av approximal initial och manifest karies. Slutsatser: En kombinerad undersökningsstrategi (klinisk undersökning och bitewingundersökning) är säkrare som metod vid undersökning av initial och manifest approximal karies. 

Abstract [en]

Title: The importance of radiographic examination (bitewing) combined with clinical examination of 15-year old children in Da Nang, Vietnam. Aim: Comparing only clinical examination with clinical examination combined with radiographic examination (bitewing) in initial and manifest proximal caries on premolars and molars of 15-year-old children in Da Nang, Vietnam. Methods: A cross-sectional study. X-ray images were used as material in this study. This study includes partly data from a randomized epidemiological study. The subjects were 200 children, 15 years old. A set of standard posterior bitewing radiographs was taken. Two surfaces (mesial and distal approximal surfaces) of premolars and molars were noted and recorded. Results: On comparing clinical examination findings with radiographic examination, radiographic examination found an additional 154 approximal initial surfaces and 71 approximal manifest surfaces that were not evident clinically. Caries prevalence of molars and premolars on all surfaces with clinical examination combined with radiographic examination showed a mean value of 6,8 decayed surfaces per child. The proximal surfaces most often affected by caries at the radiographic and clinical examination were the first molars. A statistically significant difference, p-value < 0,001 was when comparing the clinical examination alone and clinical examination combined with radiographic examination of proximal initial and manifest caries lesions. Conclusions: The use of bitewing radiographs combined with careful clinical examination is of great advantage in detection of proximal initial and manifest caries of premolars and molars in children. 

Place, publisher, year, edition, pages
2015. , 32 p.
Keyword [en]
adolescens, dental radiology, epidemiology, oral health, proximal
Keyword [sv]
approximal, dental röntgen, epidemiologi, oral hälsa, ungdomar
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-28049OAI: oai:DiVA.org:hj-28049DiVA: diva2:857043
Subject / course
HHJ, Oral Health Science
Supervisors
Examiners
Available from: 2015-09-28 Created: 2015-09-27 Last updated: 2016-06-17Bibliographically approved

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