Deteksi karies proksimal menggunakan radiografi bitewing dan near-infrared light transillumination

https://doi.org/10.22146/mkgk.100770

Lathifa Dewanti Nugroho(1*), Ryna Dwi Yanuaryska(2), Rini Widyaningrum(3)

(1) Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Departemen Radiologi Dentomaksilofasial, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Departemen Radiologi Dentomaksilofasial, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Radiografi bitewing merupakan metode standar untuk deteksi karies proksimal karena dapat mencitrakan mahkota gigi dari permukaan distal kaninus hingga distal permukaan molar paling posterior tanpa tumpang tindih. Pemanfaatan sinar-X di bidang kedokteran gigi menerapkan prinsip as low as reasonably achievable (ALARA) untuk mengurangi efek radiasi. Near-Infrared Light Transillumination (NILT) merupakan metode deteksi karies tanpa menggunakan
radiasi pengion sehingga dapat dijadikan alternatif untuk mengatasi permasalahan tersebut. Narrative review ini ditujukan untuk mendeskripsikan kelebihan dan kekurangan antara teknik intraoral bitewing dengan NILT beserta perbedaan hasil deteksi karies proksimal dari masing-masing teknik tersebut. Pencarian literatur pada narrative review ini menggunakan Google Scholar, ScienceDirect, dan Pubmed dengan kriteria inklusi yaitu artikel berjenis original/research article, case report, dan textbook ilmiah, serta artikel berbahasa Inggris maupun Indonesia yang
diterbitkan tahun 2010-2021. Kriteria eksklusi berupa review article, artikel yang menunjukkan duplikasi, artikel yang tidak dapat diakses secara utuh, serta artikel tanpa metode penelitian. Total literatur yang dikaji sebanyak 29 artikel. Hasil review menunjukkan bahwa NILT merupakan metode deteksi karies proksimal tanpa disertai risiko radiasi sehingga tidak memberikan efek berbahaya pada tubuh sehingga penggunaannya dapat diulangi sesuai kebutuhan. Kelebihan lainnya, NILT lebih sensitif daripada radiograf untuk mendeteksi jaringan keras gigi yang mengalami demineralisasi pada fase awal. Nilai sensitivitas dan spesifisitas NILT lebih tinggi daripada radiografi bitewing sehingga dapat dijadikan alternatif pemeriksaan radiografi. Meskipun demikian, NILT tidak dapat mencitrakan karies yang telah meluas hingga pulpa karena NILT tidak memiliki daya tembus sebesar sinar-X, sehingga radiografi bitewing masih
merupakan standar pemeriksaan untuk deteksi karies proksimal.

Keywords


bitewing; intraoral; karies; radiografi; transiluminasi

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DOI: https://doi.org/10.22146/mkgk.100770

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