SuicidDentistV1, Main, Exploration, bibRecord, 000236

Validation of swept source optical coherence tomography (SS-OCT) for the diagnosis of smooth surface caries in vitro.

Identifieur interne : 000236 ( Main/Exploration ); précédent : 000235; suivant : 000237

Validation of swept source optical coherence tomography (SS-OCT) for the diagnosis of smooth surface caries in vitro.

Auteurs : Hisaichi Nakagawa [Japon] ; Alireza Sadr ; Yasushi Shimada ; Junji Tagami ; Yasunori Sumi

Source :

Journal of dentistry [ 1879-176X ] ; 2013.

RBID : pubmed:23084870

Descripteurs français

English descriptors

KwdEn :
- Anatomy, Cross-Sectional (statistics & numerical data), Dental Caries (diagnosis), Dental Caries (pathology), Dental Enamel (pathology), Dentin (pathology), Humans (MeSH), Image Processing, Computer-Assisted (statistics & numerical data), Lasers (MeSH), Microscopy, Confocal (statistics & numerical data), Physical Examination (MeSH), ROC Curve (MeSH), Scattering, Radiation (MeSH), Sensitivity and Specificity (MeSH), Tomography, Optical Coherence (statistics & numerical data), Tooth Demineralization (diagnosis), Tooth Demineralization (pathology), Tooth Discoloration (diagnosis).
MESH :
- diagnosis : Dental Caries, Tooth Demineralization, Tooth Discoloration.
- pathology : Dental Caries, Dental Enamel, Dentin, Tooth Demineralization.
- statistics & numerical data : Anatomy, Cross-Sectional, Image Processing, Computer-Assisted, Microscopy, Confocal, Tomography, Optical Coherence.
- Humans, Lasers, Physical Examination, ROC Curve, Scattering, Radiation, Sensitivity and Specificity.

Abstract

OBJECTIVE

An accurate evaluation of the extent of dental caries and possible progress of the lesion from enamel into dentin is very important in clinical dentistry. Dentists need an imaging technology that can noninvasively and reliably quantify the extent of caries. This study aimed to evaluate the effectiveness of non-polarized swept source optical coherence tomography (OCT) in evaluating the extent of caries on smooth enamel surfaces.

METHODS

One-hundred and twenty-seven investigation sites on the enamel surfaces of 93 extracted teeth were selected randomly and examined visually. The presence and extent of caries were scored by experienced and inexperienced dentists using each observation method (0: no caries; 1: enamel demineralization without surface breakdown; 2: enamel breakdown due to caries; 3: deep caries involving the dentin). The same locations were then examined using OCT, following which the teeth were sectioned using a diamond saw and viewed directly under a confocal laser scanning microscope (CLSM). Sensitivity and specificity indices for OCT and VI were calculated and compared. The results were analysed statistically using receiver operating characteristic (ROC) curves.

RESULTS

Enamel and dentin caries were outlined by a visible boundary on the cross-sectional OCT images. The modality showed superior results for the detection of dentinal caries; higher sensitivity and Az values could be obtained in the ROC curves, especially by experienced dentists.

CONCLUSIONS

Cross-sectional imaging of the natural caries lesions on smooth enamel surface by OCT enables efficient diagnosis of the lesion type, extent and dentin involvement.

CLINICAL SIGNIFICANCE

SS-OCT can demonstrate the cross-sectional image of smooth surface enamel caries as highlighted zone in tomogram. It is crucial to determine the extent of the lesion, whether it reaches beyond DEJ or not by a non-invasive and safe technique. OCT can give clinicians information about internal tooth structure and will help clinical decision making on surgical intervention.

DOI: 10.1016/j.jdent.2012.10.007
PubMed: 23084870

Affiliations:

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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anatomy, Cross-Sectional (statistics & numerical data)</term>
<term>Dental Caries (diagnosis)</term>
<term>Dental Caries (pathology)</term>
<term>Dental Enamel (pathology)</term>
<term>Dentin (pathology)</term>
<term>Humans (MeSH)</term>
<term>Image Processing, Computer-Assisted (statistics & numerical data)</term>
<term>Lasers (MeSH)</term>
<term>Microscopy, Confocal (statistics & numerical data)</term>
<term>Physical Examination (MeSH)</term>
<term>ROC Curve (MeSH)</term>
<term>Scattering, Radiation (MeSH)</term>
<term>Sensitivity and Specificity (MeSH)</term>
<term>Tomography, Optical Coherence (statistics & numerical data)</term>
<term>Tooth Demineralization (diagnosis)</term>
<term>Tooth Demineralization (pathology)</term>
<term>Tooth Discoloration (diagnosis)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Anatomie en coupes transversales (statistiques et données numériques)</term>
<term>Caries dentaires (anatomopathologie)</term>
<term>Caries dentaires (diagnostic)</term>
<term>Courbe ROC (MeSH)</term>
<term>Dentine (anatomopathologie)</term>
<term>Diffusion de rayonnements (MeSH)</term>
<term>Dyschromie dentaire (diagnostic)</term>
<term>Déminéralisation dentaire (anatomopathologie)</term>
<term>Déminéralisation dentaire (diagnostic)</term>
<term>Examen physique (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Lasers (MeSH)</term>
<term>Microscopie confocale (statistiques et données numériques)</term>
<term>Sensibilité et spécificité (MeSH)</term>
<term>Tomographie par cohérence optique (statistiques et données numériques)</term>
<term>Traitement d'image par ordinateur (statistiques et données numériques)</term>
<term>Émail dentaire (anatomopathologie)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Caries dentaires</term>
<term>Dentine</term>
<term>Déminéralisation dentaire</term>
<term>Émail dentaire</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dental Caries</term>
<term>Tooth Demineralization</term>
<term>Tooth Discoloration</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Caries dentaires</term>
<term>Dyschromie dentaire</term>
<term>Déminéralisation dentaire</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Dental Caries</term>
<term>Dental Enamel</term>
<term>Dentin</term>
<term>Tooth Demineralization</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Anatomy, Cross-Sectional</term>
<term>Image Processing, Computer-Assisted</term>
<term>Microscopy, Confocal</term>
<term>Tomography, Optical Coherence</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Anatomie en coupes transversales</term>
<term>Microscopie confocale</term>
<term>Tomographie par cohérence optique</term>
<term>Traitement d'image par ordinateur</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Lasers</term>
<term>Physical Examination</term>
<term>ROC Curve</term>
<term>Scattering, Radiation</term>
<term>Sensitivity and Specificity</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Courbe ROC</term>
<term>Diffusion de rayonnements</term>
<term>Examen physique</term>
<term>Humains</term>
<term>Lasers</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>An accurate evaluation of the extent of dental caries and possible progress of the lesion from enamel into dentin is very important in clinical dentistry. Dentists need an imaging technology that can noninvasively and reliably quantify the extent of caries. This study aimed to evaluate the effectiveness of non-polarized swept source optical coherence tomography (OCT) in evaluating the extent of caries on smooth enamel surfaces.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>One-hundred and twenty-seven investigation sites on the enamel surfaces of 93 extracted teeth were selected randomly and examined visually. The presence and extent of caries were scored by experienced and inexperienced dentists using each observation method (0: no caries; 1: enamel demineralization without surface breakdown; 2: enamel breakdown due to caries; 3: deep caries involving the dentin). The same locations were then examined using OCT, following which the teeth were sectioned using a diamond saw and viewed directly under a confocal laser scanning microscope (CLSM). Sensitivity and specificity indices for OCT and VI were calculated and compared. The results were analysed statistically using receiver operating characteristic (ROC) curves.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Enamel and dentin caries were outlined by a visible boundary on the cross-sectional OCT images. The modality showed superior results for the detection of dentinal caries; higher sensitivity and Az values could be obtained in the ROC curves, especially by experienced dentists.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Cross-sectional imaging of the natural caries lesions on smooth enamel surface by OCT enables efficient diagnosis of the lesion type, extent and dentin involvement.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CLINICAL SIGNIFICANCE</b>
</p>
<p>SS-OCT can demonstrate the cross-sectional image of smooth surface enamel caries as highlighted zone in tomogram. It is crucial to determine the extent of the lesion, whether it reaches beyond DEJ or not by a non-invasive and safe technique. OCT can give clinicians information about internal tooth structure and will help clinical decision making on surgical intervention.</p>
</div>
</front>
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	Serveur d'exploration sur le suicide chez les dentistes
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Validation of swept source optical coherence tomography (SS-OCT) for the diagnosis of smooth surface caries in vitro.

Validation of swept source optical coherence tomography (SS-OCT) for the diagnosis of smooth surface caries in vitro.

Source :

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English descriptors

Abstract

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