| Abstract | Uvod: Zubni karijes je najčešće patološko stanje tvrdih zubnih tkiva. Prema incidenciji u svjetskoj populaciji pripada skupini najčešćih patoloških stanja suvremenog čovjeka općenito. Kontrola pojavnosti karijesa nije jednostavna, jer je karijes posljedica složene interakcije bioloških, socijalnih i kulturalnih čimbenika, te prehrambenih i higijenskih navika pojedinca. Osnovni postupci u dijagnostici karijesa su vizualno-taktilni klinički pregled i radiološka dijagnostika.
Svrha rada je prikazati prevalenciju karijesa kod studenata Stomatološkog fakulteta u Zagrebu određivanjem KEP i KEPp (DMFS) indeksa, te utvrditi postoji li razlika u nalazu prevalencije karijesa između vizualno-taktilne i radiološke dijagnostike karijesa. Također, svrha rada je bila ispitati navike u održavanju oralne higijene.
Ispitanici i metode: U istraživanju je sudjelovalo 59 studenata Stomatološkog fakulteta u Zagrebu; 9 sa četvrte i 50 sa pete godine studija dentalne medicine. Klinički pregledi zubi obavljeni su na stomatološkom stolcu uporabom stomatološkog svjetla, zubnog ogledala i sonde. Radiološka dijagnostika karijesa učinjena je analizom intraoralnih zagriznih rendgenskih slika premolara i molara pohranjenih u računalo.
Rezultati: Prosječna vrijednost KEPp indeksa svih ispitanika iznosi 7,06 (s.d.=5,43); ženski ispitanici 7,24 (s.d.=5,43), muški ispitanici 6,1 (s.d.=5,34). Radiološkom analizom otkriveno je 197 (3,02±3,31) aproksimalnih karijesa od kojih je samo 15 uočeno kliničkim pregledom. 54,2% ispitanika dva puta dnevno pere zube, 16,9% tri puta, a 6,8% više od tri puta. 84,2% ispitanika koristi zubni konac kao dodatno sredstvo za održavanje oralne higijene.
Zaključak: Visoki KEPp indeks nakon kliničkoga pregleda i radiološke analize upućuje na potrebu edukacije i preventivnih mjera od najranije životne dobi. Veliki broj karijesa otkrivenih bitewing radiološkom analizom govori u prilog nedostatnosti kliničkog pregleda u dijagnostici karijesa. |
| Abstract (english) | Introduction: Dental caries is the most common pathological condition of hard tooth tissue. According to the incidence in the world population, it belongs to the group of most common pathological conditions of modern man in general. Controlling caries is not easy, because caries is the result of a complex interaction between biological, social and cultural factors, and nutritional and hygienic habits of an individual. Basic procedures in caries diagnosis are visual-tactical clinical examination and radiological diagnosis. The purpose of this paper is to show the caries prevalence among students at the School of Dental Medicine in Zagreb by determining DMFS and DMFT index and to determine whether there is any difference in the findings of the caries prevalence obtained by visual-tactile examination and x-ray imaging (bitewing). Also, the purpose of the work was to examine habits in maintaining oral hygiene. Respondents and Methods: The study included 59 students of both sexes, and 9 of them were 4th and 50 of them 5th year of school of dental medicine. Clinical examinations were performed at the dental chair using dental light using dental light, dental mirror and probe.. After the clinical examination, two bitewing radiological images were recorded in the premolar and molar region. Radiological diagnosis of caries was performed by analyzing intraoral bitewing x-ray images of premolars and molars stored in the computer. Results: The average DMFS index is 7.06 (s.d. = 5.43); female respondents 7.24 (s.d. = 5.43), male respondents 6.1 (s.d. = 5.34). Radiological analysis revealed 197 (3.02 ± 3.31) approximate caries, of which only 15 were observed by clinical examination. 54.2% of the respondents brushed teeth twice a daily, 16.9% three times, and 6.8% more than three times. 84.2% of respondents use dental floss as an additional oral hygiene agent. Conclusion: The high DMFS index after clinical examination and radiological analysis indicates the need for education and preventive measures from earliest ages. A large number of caries discovered by bitewing radiological analysis suggests that just a clinical view is insufficient to show caries prevalence. |
