Caries detection in panoramic dental x-ray images

• Autor(a) principal: Oliveira, João Paulo Ribeiro de
• Data de Publicação: 2009
• Tipo de documento: Dissertação
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.6/3749
• topic: Ciência da computação - Medicina; Ciência da computação - Estomatologia; Ciência da computação - Raios X - Medicina dentária

The detection of dentalcaries,in a preliminar stage are of most importance. There is a long history of dental caries. Over a million years ago, hominids such as Australopithecus suffered from cavities. Archaeological evidence shows that tooth decay is an ancient disease dating far into prehistory. Skulls dating from a million years ago through the Neolithic period show signs of caries. The increase of caries during the Neolithic period may be attributed to the increase of plant foods containing carbohydrates. The beginning of rice cultivation in South Asia is also believed to have caused an increase in caries. DentalCaries,alsoknownasdentaldecayortoothdecay,isdefinedasadisease of the hard tissues of the teeth caused by the action of microorganisms, found in plaque,onfermentablecarbohydrates(principallysugars). Attheindividuallevel, dental caries is a preventable disease. Given its dynamic nature the dental caries disease, once established, can be treated or reversed prior to significant cavitation taking place. There three types of dental caries [59], the first type is the Enamel Caries, that is preceded by the formation of a microbial dental plaque. Secondly the Dentinal Caries which begins with the natural spread of the process along the natural spread of great numbers of the dentinal tubules. Thirdly the Pulpal Caries that corresponds to the root caries or root surface caries. Primary diagnosis involves inspection of all visible tooth surfaces using a good light source, dental mirror and explorer. Dental radiographs (X-rays) may show dental caries before it is otherwise visible, particularly caries between the teeth. Large dental caries are often apparent to the naked eye, but smaller lesions can be difficult to identify. Visual and tactile inspection along with radiographs are employed frequently among dentists. At times, caries may be difficult to detect. Bacteriacanpenetratetheenameltoreachdentin,butthentheoutersurfacemaybe at first site intact. These caries, sometimes referred to as "hidden caries", in the preliminary stage X-ray are the only way to detect them, despite of the visual examinationofthetoothshowntheenamelintactorminimallyperforated. Without X-rays wouldn’t be possible to detect these problems until they had become severe and caused serious damage. [...]