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㹺ҧ»ÃÐà·Èä´Œ»ÃѺãËŒºÑ¹·Ö¡á¤‹ 2 ÃдѺ 㹡ÒõÃǨã¹ÃдѺÁËÀÒ¤ ËÃ×Í ÃкҴÇÔ·ÂÒ
¤×Í ÃÍÂâä·Õè¼Ø áÅÐ ÃÍÂâä·ÕèäÁ‹¼Ø â´Â¨Ñ´ãËŒÃÍÂâä·Õè¼Ø µŒÍ§ÍÂً㹪Ñé¹à¹×éÍ¿˜¹ 䴌ᡋ ࡳ±
D3-D4 ໚¹ÃÍÂâä·Õè¼Ø ʋǹࡳ± D1-D2 ¨Ñ´ÍÂÙ‹ã¹ÃдѺäÁ‹¼Ø Í‹ҧäáµÒÁ ÍÒ¨à¡Ô´¢ŒÍ¶¡à¶Õ§NjÒ
¡Òúѹ·Ö¡ã¹ÃдѺªÑé¹à¹×éÍ¿˜¹ ÍÒ¨ÊÒÂä»ÊÓËÃѺá¹Ç¤Ô´·Ñ¹µ¡ÃÃÁ»‡Í§¡Ñ¹ã¹ÂؤãËÁ‹ ¤ÇèÐÁÕ¡ÒÃ
ÃÑ¡ÉÒµÑé§áµ‹ÃͼØã¹ÃÐÂÐàÃÔèÁáá (D1) ´Ñ§ÃÙ»·Õè 3 Ẻ¨ÓÅͧÀÙà¢Ò¹íéÒá¢ç§¢Í§ÃÍÂâ俘¹¼Ø «Öè§ÃͼØ
ã¹ÃÐÂÐàÃÔèÁáá (D1) ÁÕ»ÃÔÁÒ³ÁÒ¡¡Ç‹Ò ÃͼطÕèÁÕ¡ÒÃÊÙÞàÊÕÂà¹×éÍ¿˜¹áÅŒÇ (D2-D4) ËÒ¡äÁ‹
[5]
¾Ô¨ÒóÒÃͼØÃдѺ D1 ÍÒ¨¨ÐªŒÒà¡Ô¹ä»
D4 lesions
into pulp
+ clinically detectable
lesion in dentine D3
+ clinically detectable D2
“cavities” limited to enamel
+ clinically detectable enamel lesions D1
with ”intact” surfaces
+ lesions detectable only with traditional
diagnostic aids (e.g. bitewings)
+ sub-clinical initial lesions in a dynamic state of
progression/regression
ÃÙ»·Õè 3 Ẻ¨ÓÅͧÀÙà¢Ò¹íéÒá¢ç§¢Í§ÃÍÂâ俘¹¼Ø
·ÕèÁÒ: Pitts, N., "ICDAS"--an international system for caries detection and
assessment being developed to facilitate caries epidemiology, research and
appropriate clinical management. Community Dent Health, 2004. 21(3): p. 193-8. [5]
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