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Sayahpour B, Eslami S, Stuhlfelder J, Bühling S, Dahmer I, Goteni M, Kopp S, Nucci L. Evaluation of thickness of 3D printed versus thermoformed aligners: A prospective in vivo ageing experiment. Orthod Craniofac Res 2024; 27:831-838. [PMID: 38859724 DOI: 10.1111/ocr.12822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/29/2024] [Indexed: 06/12/2024]
Abstract
BACKGROUND To compare and investigate the effects of intraoral ageing on the thickness of one group of directly printed and two groups of thermoformed aligners on the labial surface of maxillary central incisors. MATERIALS AND METHODS Six groups (12 samples per group) were included in this prospective in vivo experiment. Groups DP-Clin, INV-Clin and CA-Clin consisted of directly printed (Tera Harz TC-85 DAC resin), thermoformed (Invisalign, PU based polymer) and in house thermoformed (CA-Pro, PET-G based polymer) aligners, retrieved after 1 week of intraoral service. Groups DP-Ctr, INV-Ctr and CA-Ctr included unused aligners samples. Thickness measurements were conducted using confocal laser scanning microscopy (CLSM). Data that underwent log-10 transformation was analysed by multiple linear regression analysis (p < .05). RESULTS Statistically significant differences were found between the materials in both Clin and Ctr categories (p < .001). Group DP had the highest thickness among the groups and the least thickness was observed in the CA group (p < .001). However, intraoral ageing did not significantly affect the aligner thickness of any groups. CONCLUSIONS Both thermoforming and direct printing of clear aligners led to thickness deviations in terms of increase for printed aligners and decrease for thermoformed aligners. Intraoral ageing did not affect the aligner thickness in any of the groups.
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Affiliation(s)
- Babak Sayahpour
- Department of Orthodontics, Johann-Wolfgang Goethe University, Frankfurt am Main, Germany
| | - Sara Eslami
- Department of Orthodontics, Johann-Wolfgang Goethe University, Frankfurt am Main, Germany
| | - Jakob Stuhlfelder
- Department of Orthodontics, Johann-Wolfgang Goethe University, Frankfurt am Main, Germany
| | - Sarah Bühling
- Department of Orthodontics, Johann-Wolfgang Goethe University, Frankfurt am Main, Germany
| | - Iulia Dahmer
- Institute of Biostatistics and Mathematical Modelling, Faculty of Medicine, J. W. Goethe University Frankfurt, Frankfurt am Maine, Germany
| | | | - Stefan Kopp
- Department of Orthodontics, Johann-Wolfgang Goethe University, Frankfurt am Main, Germany
| | - Ludovica Nucci
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
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Chen WC, Lai TW, Li CL, Chen TYF, Chang CH, Chuang SF. Assessments of polymerization shrinkage by optical coherence tomography-based digital image correlation analysis-Part II: Effects of restorative composites. Dent Mater 2024; 40:1064-1071. [PMID: 38777732 DOI: 10.1016/j.dental.2024.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Revised: 04/27/2024] [Accepted: 05/03/2024] [Indexed: 05/25/2024]
Abstract
OBJECTIVES To examine the polymerization shrinkage of different resin-based composite (RBC) restorations using optical coherence tomography (OCT) image-based digital image correlation (DIC) analysis. METHODS The refractive index (RI) of three RBCs, Filtek Z350XT (Z350), Z350Flowable (Z350F), and BulkFill Posterior (Bulkfill), was measured before and after polymerization to calibrate their axial dimensions under OCT. Class I cavities were prepared in bovine incisors and individually filled with these RBCs under nonbonded and bonded conditions. A series of OCT images of these restorations were captured during 20-s light polymerization and then input into DIC software to analyze their shrinkage behaviors. The interfacial adaptation was also examined using these OCT images. RESULTS The RI of the three composites ranged from 1.52 to 1.53, and photopolymerization caused neglectable increases in the RI values. For nonbonded restorations, Z350F showed maximal vertical displacements on the top surfaces (-16.75 µm), followed by Bulkfill (-8.81 µm) and Z350 (-5.97 µm). In their bonded conditions, all showed increased displacements. High variations were observed in displacement measurements on the bottom surfaces. In the temporal analysis, the shrinkage of nonbonded Z350F and Bulkfill decelerated after 6-10 s. However, Z350 showed a rebounding upward displacement after 8.2 s. Significant interfacial gaps were found in nonbonded Z350 and Z350F restorations. SIGNIFICANCE The novel OCT image-based DIC analysis provided a comprehensive examination of the shrinkage behaviors and debonding of the composite restorations throughout the polymerization process. The flowable composite showed the highest shrinkage displacements. Changes in the shrinkage direction may occur in nonbonded conventional composite restorations.
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Affiliation(s)
- Wei-Chi Chen
- School of Dentistry and Institute of Oral Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Dentistry, Sin-Lau Hospital, Tainan, Taiwan
| | - Ting-Weng Lai
- School of Dentistry and Institute of Oral Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Stomatology, National Cheng Kung University Hospital, Tainan, Taiwan
| | - Chia-Ling Li
- School of Dentistry and Institute of Oral Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Terry Yuan-Fang Chen
- Department of Mechanical Engineering, National Cheng Kung University, Tainan, Taiwan
| | - Chih-Han Chang
- Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan
| | - Shu-Fen Chuang
- School of Dentistry and Institute of Oral Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Stomatology, National Cheng Kung University Hospital, Tainan, Taiwan.
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Salgado ADY, Feitosa VP, Farrapo MT, Rifane TO, Ribeiro LL, de Oliveira AS, Lomonaco D. Experimental Bracket Design Performance on Bonding and Polymerization of Orthodontic Composite. BIOMED RESEARCH INTERNATIONAL 2024; 2024:7457900. [PMID: 38884017 PMCID: PMC11178397 DOI: 10.1155/2024/7457900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/10/2024] [Revised: 04/30/2024] [Accepted: 05/22/2024] [Indexed: 06/18/2024]
Abstract
Objective To evaluate the enamel bonding ability and orthodontic adhesive resin degree of conversion using the experimental bracket design. Material and Methods. Thirteen bovine teeth were used in the study. The experimental bracket was modified with a translucent region in the center of its body. After enamel etching, Orthocem orthodontic adhesive (FGM, Joinville, Brazil) was applied on the bracket base for bonding. The groups were divided as follows (n = 10 per group): (1) control (CB) with standard brackets and (2) spot bracket (SB) with experimental brackets featuring a 0.8 mm translucent region at the center using carbide bur. Shear bond strength (SBS) was evaluated after 24 hours in a universal testing machine and adhesive remnant index (ARI). The degree of conversion (DC) was analyzed using Raman spectroscopy (n = 3 per group). Data were then analyzed using Student's t-test and Mann-Whitney statistical methods. Results The SB group exhibited a higher mean SBS (10.33 MPa) compared to the CB Group (8.77 MPa). However, there was no statistical difference between the groups (p = 0.376). Both SB and CB groups had a mean ARI score of 1. Raman analysis revealed a higher degree of conversion in the SB group (49.3%) compared to the CB group (25.9%). Conclusions The experimental support showed a higher degree of adhesive conversion, although there was no significant increase in bond strength.
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Affiliation(s)
| | | | | | - Tainah Oliveira Rifane
- Department of Restorative Dentistry Piracicaba Dental School University of Campinas, Piracicaba, Brazil
| | - Lara Leal Ribeiro
- Department of Orthodontics Paulo Picanço School of Dentistry, Fortaleza, Brazil
| | | | - Diego Lomonaco
- Department of Organic and Inorganic Chemistry Federal University of Ceara, Fortaleza, Brazil
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Yang X, Yang Y, Li Y, Li Z, Zhang Y, He X, Yang J. Real-time imaging and quantitative analysis of internal gap formation in bulk-fill and conventional resin composites: An OCT evaluation. Photodiagnosis Photodyn Ther 2024; 47:104103. [PMID: 38677500 DOI: 10.1016/j.pdpdt.2024.104103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 04/19/2024] [Accepted: 04/24/2024] [Indexed: 04/29/2024]
Abstract
BACKGROUND This study used optical coherence tomography (OCT) to observe real-time internal gap formation in both bulk-fill and conventional resin composites. It aimed to provide a quantitative analysis of variations, addressing the inconclusive nature of microleakage assessment caused by differences in testing methods. METHODS Fifty extracted third molars prepared with Class I cavities, were divided into five groups (n = 10). Conventional resin Filtek Z350 XT (FZX) was applied with a double-layer filling of 2 mm per layer. Bulk-fill resins X-tra fil (XTF), Filtek Bulk Fill Posterior Restorative (FBP), Surefil SDR Flow + (SDR), and Filtek Flowable Restorative (FFR) were applied with a single-layer filling of 4 mm. Real-time OCT imaging was conducted during light curing. Post-curing, the entire sample was OCT-scanned. Following this, ImageJ software was used to measure the gap (G1 %). Subsequently, thermal cycling (TC) (5000 times, 5 °C-55 °C) was applied, followed by OCT scanning to calculate the gap (G2 %) and ΔG%. Data were analyzed using two-way repeated measures ANOVA, Kruskal-Wallis test, and Duncan's test (α=0.05). RESULTS There was no significant difference in G1 % among the groups (p > 0.05). Following TC, FZX exhibited the highest G2 %, succeeded by FFR, FBP, XTF, and SDR, with SDR demonstrating the lowest G2 % (p < 0.05). FZX showed the highest ΔG% (p < 0.05), while SDR exhibited the lowest ΔG% (p < 0.05). CONCLUSION OCT proves to be a promising tool for detecting microleakage. TC exerted a more significant negative impact on conventional resin. Surefil SDR Flow + displayed the least microleakage, both before and after TC.
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Affiliation(s)
- Xinyu Yang
- Department of Cariology & Endodontics, The Affiliated Stomatological Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, Jiangxi, China; Jiangxi Province Key Laboratory of Oral Biomedicine, Nanchang 330006, Jiangxi, China
| | - Yuhao Yang
- Department of Cariology & Endodontics, The Affiliated Stomatological Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, Jiangxi, China; Jiangxi Province Key Laboratory of Oral Biomedicine, Nanchang 330006, Jiangxi, China
| | - Yingji Li
- Key Laboratory of Opto-Electronic Information Science and Technology of Jiangxi Province and Jiangxi Engineering Laboratory for Optoelectronics Testing Technology, Nanchang Hangkong University, Nanchang 330063, Jiangxi, China
| | - Zekun Li
- Department of Cariology & Endodontics, The Affiliated Stomatological Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, Jiangxi, China; Jiangxi Province Key Laboratory of Oral Biomedicine, Nanchang 330006, Jiangxi, China
| | - Yubao Zhang
- Key Laboratory of Opto-Electronic Information Science and Technology of Jiangxi Province and Jiangxi Engineering Laboratory for Optoelectronics Testing Technology, Nanchang Hangkong University, Nanchang 330063, Jiangxi, China
| | - Xingdao He
- Key Laboratory of Opto-Electronic Information Science and Technology of Jiangxi Province and Jiangxi Engineering Laboratory for Optoelectronics Testing Technology, Nanchang Hangkong University, Nanchang 330063, Jiangxi, China
| | - Jian Yang
- Department of Cariology & Endodontics, The Affiliated Stomatological Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, Jiangxi, China; Jiangxi Province Key Laboratory of Oral Biomedicine, Nanchang 330006, Jiangxi, China.
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Chen WC, Chuang SF, Tseng PC, Lai TW, Chen TYF, Sun YN. Assessments of polymerization shrinkage by optical coherence tomography-based digital image correlation analysis-Part I: Parameter identification. Dent Mater 2024; 40:958-965. [PMID: 38729780 DOI: 10.1016/j.dental.2024.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Revised: 04/27/2024] [Accepted: 05/03/2024] [Indexed: 05/12/2024]
Abstract
OBJECTIVE To investigate the feasibility of optical coherence tomography (OCT)-based digital image correlation (DIC) analysis and to identify the experimental parameters for measurements of polymerization shrinkage. METHODS Class I cavities were prepared on bovine incisors and filled with Filtek Z350XT Flowable (Z350F). One OCT image of the polymerized restoration was processed to generate virtually displaced images. In addition, the tooth specimen was physically moved under OCT scanning. A DIC software analyzed these virtual and physical transformation sets and assessed the effects of subset sizes on accuracy. The refractive index of unpolymerized and polymerized Z350F was measured via OCT images. Finally, different particles (70-80 µm glass beads, 150-212 µm glass beads, and 75-150 µm zirconia powder) were added to Z350F to inspect the analyzing quality. RESULTS The analyses revealed a high correlation (>99.99%) for virtual movements within 131 pixels (639 µm) and low errors (<5.21%) within a 10-µm physical movement. A subset size of 51 × 51 pixels demonstrated the convergence of correlation coefficients and calculation time. The refractive index of Z350F did not change significantly after polymerization. Adding glass beads or zirconia particles caused light reflection or shielding in OCT images, whereas blank Z350F produced the best DIC analysis results. SIGNIFICANCE The OCT-based DIC analysis with the experimental conditions is feasible in measuring polymerization shrinkage of RBC restorations. The subset size in the DIC analysis should be identified to optimize the analysis conditions and results. Uses of hyper- or hypo-reflective particles is not recommended in this method.
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Affiliation(s)
- Wei-Chi Chen
- School of Dentistry and Institute of Oral Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Dentistry, Sin-Lau Hospital, Tainan, Taiwan
| | - Shu-Fen Chuang
- School of Dentistry and Institute of Oral Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Stomatology, National Cheng Kung University Hospital, Tainan, Taiwan.
| | - Po-Chun Tseng
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Munich, Germany
| | - Ting-Weng Lai
- School of Dentistry and Institute of Oral Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Stomatology, National Cheng Kung University Hospital, Tainan, Taiwan
| | - Terry Yuan-Fang Chen
- Department of Mechanical Engineering, National Cheng Kung University, Tainan, Taiwan
| | - Yung-Nien Sun
- Department of Computer Science and Information Engineering, National Cheng Kung University, Tainan, Taiwan
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Khoshkhahesh M, Enteghad S, Aghasadeghi K, Farzin M, Taghva M, Mosadad SA. Evaluation of the effect of different core substrates on the accuracy of intraoral scanners. Clin Exp Dent Res 2024; 10:e899. [PMID: 38752461 PMCID: PMC11097246 DOI: 10.1002/cre2.899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 03/27/2024] [Accepted: 04/28/2024] [Indexed: 05/19/2024] Open
Abstract
BACKGROUND The aim of this study was to determine if different types of core substrates have any effect on the trueness and precision of digital intraoral impressions. MATERIAL AND METHODS A customized typodont with four similar cores of natural dentine, composite, metal (Ni-Cr), and zirconia in the position of premolars was fabricated. The study model was scanned five times with two types of intraoral scanners (Carestream 3600 and 3Shape Trios 3), and a reference standard scan was obtained using a laboratory scanner (3shape D1000). A metrology software (Geomagic X) was used to align the data of experimental scans and the reference scan to determine deviation values (trueness). Precision values were calculated with random superimposition in each intraoral scanner group. The Kruskal-Wallis test was used to compare differences between different substrates, and the Mann-Whitney test was used to compare the average values between the two scanners. RESULTS Trios 3 was found to be significantly truer and more precise than Carestream 3600 (p value = .005, <0.001). There were no significant differences in the trueness of different substrates when they were scanned by Trios 3, while different materials showed significantly different trueness values in the Carestream 3600 group (p value = .003). Dentin showed the best trueness, and zirconia performed worse than other substrates. Regarding the precision of the scanners, neither of the scanners was affected by the type of scanning substrate. CONCLUSION For Carestream 3600, substrate type did impact the trueness of intraoral scans, with dentin and zirconia showing the highest and lowest accuracy, respectively, while Trios 3 was similarly accurate across all substrates. Trios 3 had both higher trueness and precision than Carestream 3600.
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Affiliation(s)
- Maryam Khoshkhahesh
- Department of Prosthodontics, School of DentistryShiraz University of Medical SciencesShirazIran
| | - Shabnam Enteghad
- Department of Oral Health Sciences, Faculty of DentistryUniversity of British ColumbiaVancouverBritish ColumbiaCanada
| | - Kiana Aghasadeghi
- Student Research CommitteeIslamic Azad University of ShirazShirazIran
| | - Mitra Farzin
- Department of Prosthodontics, School of DentistryShiraz University of Medical SciencesShirazIran
| | - Masumeh Taghva
- Department of Prosthodontics, School of DentistryShiraz University of Medical SciencesShirazIran
| | - Seyed Ali Mosadad
- Department of Research Analytics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical SciencesSaveetha UniversityChennaiIndia
- Department of Conservative Dentistry and Bucofacial Prostheses, Faculty of OdontologyUniversity Complutense of MadridMadridSpain
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Zhang S, Xu W, Wu L, Li X, Liu X, Wu X, Wu G, Zheng S, Cao CY, Zhou Z, Wong HM, Zhang X, Li QL. Bottom-Up Assembling Hierarchical Enamel-Like Bulk Materials with Excellent Optical and Mechanical Properties for Tooth Restoration. Adv Healthc Mater 2024:e2401095. [PMID: 38794821 DOI: 10.1002/adhm.202401095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2024] [Revised: 05/20/2024] [Indexed: 05/26/2024]
Abstract
Enamel has good optical and mechanical properties because of its multiscale hierarchical structure. Biomimetic construction of enamel-like 3D bulk materials at nano-, micro-, mesh- and macro-levels is a challenge. A novel facile, cost-effective, and easy large-scale bottom-up assembly strategy to align 1D hydroxyapatite (HA) nanowires bundles to 3D hierarchical enamel structure with the nanowires bundles layer-by-layer interweaving orientation, is reported. In the strategy, the surface of oleate templated ultralong HA nanowires with a large aspect ratio is functionalized with amphiphilic 10-methacryloyloxydecyl dihydrogen phosphate (MDP). Furtherly, the MDP functionalized HA nanowire bundles are assembled layer-by-layer with oriented fibers in a single layer and cross-locked between layers at a certain angle at mesoscale and macroscale in the viscous bisphenol A-glycidyl methacrylate (Bis-GMA) ethanol solution by shear force induced by simple agitation and high-speed centrifugation. Finally, the excessive Bis-GMA and ethanol are removed, and (Bis-GMA)-(MDP-HA nanowire bundle) matrix is densely packed under hot pressing and polymerized to form bulk enamel-like materials. The composite has superior optical properties and comparable comprehensive mechanic performances through a combination of strength, hardness, toughness, and friction. This method may open new avenues for controlling the nanowires assembly to develop hierarchical nanomaterials with superior properties for many different applications.
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Affiliation(s)
- Shan Zhang
- Key Laboratory of Oral Diseases Research of Anhui Province, College & Hospital of Stomatology, Anhui Medical University, 81 Meishan Road, Hefei, 230032, China
- Tianjin Key Laboratory of Oral Soft and Hard Tissues Restoration and Regeneration, School and Hospital of Stomatology, Tianjin Medical University, 22 Qixiangtai Road, Hepin District, Tianjin, 300070, China
| | - Wu Xu
- Key Laboratory of Oral Diseases Research of Anhui Province, College & Hospital of Stomatology, Anhui Medical University, 81 Meishan Road, Hefei, 230032, China
| | - Leping Wu
- Key Laboratory of Oral Diseases Research of Anhui Province, College & Hospital of Stomatology, Anhui Medical University, 81 Meishan Road, Hefei, 230032, China
| | - Xiaxin Li
- Key Laboratory of Oral Diseases Research of Anhui Province, College & Hospital of Stomatology, Anhui Medical University, 81 Meishan Road, Hefei, 230032, China
| | - Xingzi Liu
- Key Laboratory of Oral Diseases Research of Anhui Province, College & Hospital of Stomatology, Anhui Medical University, 81 Meishan Road, Hefei, 230032, China
| | - Xiaoting Wu
- Key Laboratory of Oral Diseases Research of Anhui Province, College & Hospital of Stomatology, Anhui Medical University, 81 Meishan Road, Hefei, 230032, China
| | - Guomin Wu
- Key Laboratory of Oral Diseases Research of Anhui Province, College & Hospital of Stomatology, Anhui Medical University, 81 Meishan Road, Hefei, 230032, China
| | - Shunli Zheng
- Key Laboratory of Oral Diseases Research of Anhui Province, College & Hospital of Stomatology, Anhui Medical University, 81 Meishan Road, Hefei, 230032, China
| | - Chris Ying Cao
- Key Laboratory of Oral Diseases Research of Anhui Province, College & Hospital of Stomatology, Anhui Medical University, 81 Meishan Road, Hefei, 230032, China
| | - Zheng Zhou
- School of Dentistry, University of Detroit Mercy, Detroit, MI, 482082576, USA
| | - Hai Ming Wong
- Faculty of Dentistry, The University of Hong Kong, The Prince Philip Dental Hospital, 34 Hospital Road, Hong Kong, 999077, China
| | - Xu Zhang
- Tianjin Key Laboratory of Oral Soft and Hard Tissues Restoration and Regeneration, School and Hospital of Stomatology, Tianjin Medical University, 22 Qixiangtai Road, Hepin District, Tianjin, 300070, China
| | - Quan-Li Li
- Key Laboratory of Oral Diseases Research of Anhui Province, College & Hospital of Stomatology, Anhui Medical University, 81 Meishan Road, Hefei, 230032, China
- The institute of Oral Science, Department of Stomatology, Longgang Otorhinolaryngology Hospital of Shenzhen, Shenzhen, 518172, China
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Grundmann J, Golde J, Steuer S, Tetschke F, Kirsten L, Walther J, Koch E, Hannig C. Visualization of carious lesions with polarized and depolarized light microscopy. BIOMEDICAL OPTICS EXPRESS 2024; 15:3018-3036. [PMID: 38855694 PMCID: PMC11161379 DOI: 10.1364/boe.514904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Revised: 02/28/2024] [Accepted: 03/06/2024] [Indexed: 06/11/2024]
Abstract
Polarized light microscopy (PLM) is an established method in dental histology for investigating the ultrastructure and carious process of teeth. This study introduces a novel approach for measuring the degree of polarization (DOP) in a modified PLM setup and uses the DOP to assess the changes of the optical properties of enamel and dentin due to caries. The validation is provided by a comparison with complementary imaging methods, i.e. standard PLM and µCT. The results show that demineralization is reliably displayed by the DOP in accordance with the common imaging methods, and that this quantitative analysis of depolarization allows the characterization of the different pathohistological zones of caries.
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Affiliation(s)
- Julia Grundmann
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Policlinic of Operative Dentistry, Periodontology and Pediatric Dentistry, Fetscherstrasse 74, 01307 Dresden, Germany
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Medical Physics and Biomedical Engineering, Fetscherstrasse 74, 01307 Dresden, Germany
| | - Jonas Golde
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Medical Physics and Biomedical Engineering, Fetscherstrasse 74, 01307 Dresden, Germany
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clinical Sensoring and Monitoring, Fetscherstrasse 74, 01307 Dresden, Germany
- Fraunhofer Institute for Material and Beam Technology IWS, Winterbergstrasse 28, 01277 Dresden, Germany
| | - Svea Steuer
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clinical Sensoring and Monitoring, Fetscherstrasse 74, 01307 Dresden, Germany
| | - Florian Tetschke
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Policlinic of Operative Dentistry, Periodontology and Pediatric Dentistry, Fetscherstrasse 74, 01307 Dresden, Germany
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clinical Sensoring and Monitoring, Fetscherstrasse 74, 01307 Dresden, Germany
- Current address: Sonovum GmbH, Deutscher Platz 4, 04103 Leipzig, Germany
| | - Lars Kirsten
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Medical Physics and Biomedical Engineering, Fetscherstrasse 74, 01307 Dresden, Germany
| | - Julia Walther
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Medical Physics and Biomedical Engineering, Fetscherstrasse 74, 01307 Dresden, Germany
| | - Edmund Koch
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clinical Sensoring and Monitoring, Fetscherstrasse 74, 01307 Dresden, Germany
| | - Christian Hannig
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Policlinic of Operative Dentistry, Periodontology and Pediatric Dentistry, Fetscherstrasse 74, 01307 Dresden, Germany
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Nam SM, Ku HM, Lee ES, Kim BI. Detection of pit and fissure sealant microleakage using quantitative light-induced fluorescence technology: an in vitro study. Sci Rep 2024; 14:9066. [PMID: 38643213 PMCID: PMC11032322 DOI: 10.1038/s41598-024-59651-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 04/12/2024] [Indexed: 04/22/2024] Open
Abstract
This in vitro study aimed to evaluate the feasibility of quantitative light-induced fluorescence (QLF) technology for detecting the presence and severity of microleakage of pit and fissure sealants. The areas of interest (AOIs) were 160 pits and fissures of 40 extracted permanent teeth. Fluorescent images were acquired using a QLF device, and the maximum fluorescence loss ΔFmax of each AOI was analyzed. After staining and cross-sectioning of the teeth, histological dye penetration was scored on a scale of 0 to 3. The relationship between ΔFmax and microleakage depth was analyzed, and the areas under the curve (AUCs) were calculated. The │ΔFmax│ increased as microleakage depth increased. The ΔFmax values of microleakage areas showed a strong significant correlation with the histological scores of dye penetration (r = - 0.72, P = 0.001). AUC analysis showed a high diagnostic accuracy for microleakage depth (AUC = 0.83-0.91). The highest AUC of 0.91 was found when differentiating the outer half microleakage of the sealant (histological score 0 vs. 1-3). QLF technology is effective in assessing the presence and severity of microleakage, suggesting its potential for noninvasive detection and monitoring of sealant microleakage in clinical settings.
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Affiliation(s)
- Sang-Mi Nam
- Department of Dental Hygiene, SahmYook Health University, Seoul, Republic of Korea
| | - Hye-Min Ku
- Department of Preventive Dentistry & Public Oral Health, BK21 FOUR Project, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 120-749, Republic of Korea
| | - Eun-Song Lee
- Department of Preventive Dentistry & Public Oral Health, BK21 FOUR Project, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 120-749, Republic of Korea
| | - Baek-Il Kim
- Department of Preventive Dentistry & Public Oral Health, BK21 FOUR Project, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 120-749, Republic of Korea.
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Winkler JR, Dixon BL, Singh I, Soto R, Qiu Y, Zhang Y, Porucznik CA, Stanford JB. Prenatal exposure to environmental toxins and comprehensive dental findings in a population cohort of children. BMC Oral Health 2024; 24:326. [PMID: 38468230 DOI: 10.1186/s12903-023-03786-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Accepted: 12/15/2023] [Indexed: 03/13/2024] Open
Abstract
Environmental toxins are known to have many impacts on growth and development in humans, starting in utero. Alterations in amelogenesis, caused by chemical and physical trauma that occur during the antenatal, perinatal and postnatal time periods, may result in developmental defects in deciduous and permanent tooth enamel, as demonstrated in animal studies. These defects can be clinically visible and result in a variety of morphological and functional problems in the dentition. Since enamel does not remodel after formation, it may serve as a permanent record of insults during organ development.Our primary purpose was to investigate any possible relationship between intrauterine exposure to endocrine disrupting chemicals (phenols and phthalates) and developmental defects in enamel in children, while also accounting for fluoride exposure. Our secondary purpose was to report descriptively on findings from comprehensive dental examinations performed on 356 children that were drawn from the general paediatric population. A cohort of children from the Utah Children's Project (N = 356) that had full medical exams, comprehensive medical and family histories and available biospecimens were given extraoral and intraoral examinations. They also completed an oral health questionnaire. Standardized intraoral photographs were taken of the teeth and viewed by standardised examiners and the dental observations were recorded for a full inventory of findings, including: tooth morphology, caries, restorations, colorations, attrition, erosion, fractures and hypomineralization. Perinatal maternal urine samples were assessed for the concentration of fluoride, phenols and phthalates, including bisphenol A (BPA).Pairwise statistical analyses were done to correlate the dental findings with one another and with the presence of environment chemicals found in the urine samples. Hypomineralization was the most common finding (96% of children; 37% of deciduous teeth, 42% of permanent teeth), consistent with molar incisor hypomineralization (MIH) described in other human populations. No consistent correlations were seen between dental findings and the presence of phenols and phthalates in prenatal urine, but the number of samples available for the assessment was limited (n = 35).In conclusion, we found a high proportion of dental hypomineralization in a population based paediatric cohort, but did not find an association with prenatal exposure to phenols and phthalates.
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Affiliation(s)
- James R Winkler
- School of Dentistry, University of Utah, Salt Lake City, UT, USA
| | - Barbara L Dixon
- School of Dentistry, University of Utah, Salt Lake City, UT, USA
| | - Ishita Singh
- Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT, USA
| | - Ray Soto
- Division of Public Health, Department of Family and Preventive Medicine, University of Utah School of Medicine, 375 Chipeta Way, Suite A, Salt Lake City, UT, 84108, USA
| | - Yuqing Qiu
- Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA
| | - Yue Zhang
- Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA
| | - Christina A Porucznik
- Division of Public Health, Department of Family and Preventive Medicine, University of Utah School of Medicine, 375 Chipeta Way, Suite A, Salt Lake City, UT, 84108, USA
| | - Joseph B Stanford
- Division of Public Health, Department of Family and Preventive Medicine, University of Utah School of Medicine, 375 Chipeta Way, Suite A, Salt Lake City, UT, 84108, USA.
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11
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Kibe K, Hatayama T, Shimada Y. In vitro performance of an autocured universal adhesive system in bonding to dentin. BMC Oral Health 2023; 23:933. [PMID: 38012568 PMCID: PMC10683120 DOI: 10.1186/s12903-023-03645-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Accepted: 11/09/2023] [Indexed: 11/29/2023] Open
Abstract
BACKGROUND The successful integration of resin-based dental adhesives significantly impacts restorative dentistry, providing efficient and aesthetically pleasing caries treatments. Among various adhesives, one-step self-etching adhesives (1-SEAs) have gained popularity due to their simplicity and short application time. However, concerns have been raised regarding their bonding performance and marginal adaptation characteristics, which differ from two-step self-etching adhesives (2-SEAs) and three-step etch-and-rinse adhesives. Additionally, light-cured bonding materials may encounter challenges in deep cavities and inaccessible areas, necessitating extended light irradiation time. Autocured bonding materials are a potential solution, but limited comparative studies have been conducted on their performance. METHODS In this in vitro study, we evaluated a new autocured universal bonding material (Bondmer Lightless 2) and compared the results with recent light-cured bonding materials. Microshear bond strength (μSBS) tests were performed on 25 human molars using five different combinations of adhesives and composite resins: Bondmer Lightless 2 with Estelite Bulk Fill Flow (BE group), Bondmer Lightless 2 with a prototype composite resin (BO group), Prime&Bond Universal with SDR flow + (PS group), Scotchbond Universal with Filtek Bulk Fill (SF group), and G-Premio Bond with Gracefil BulkFlo (GG group). The bond strengths and failure modes were assessed using a universal testing machine and scanning electron microscope (SEM), respectively. Marginal adaptation was evaluated using swept-source optical coherence tomography (SS-OCT) and confocal laser scanning microscopy (CLSM) on 40 sound bovine maxillary incisors. RESULTS The μSBS test showed no significant differences in bond strength among the tested groups. Most failure modes were observed at the bond interface between the adhesive and the dentin. The autocured bonding material demonstrated significantly higher marginal adaptation (SI%) than PS, SF, and GG. The CLSM images corresponded with gaps observed in the SS-OCT images, indicating improved marginal sealing in the autocured group. CONCLUSIONS The new autocured universal bonding material exhibited comparable bond strength to a conventional light-cured material while demonstrating a superior marginal adaptation level. This finding suggested that the autocured material could be a valuable alternative, especially when extended light irradiation would pose a challenge. Further clinical studies would be warranted to evaluate the performance of the autocured bonding material in actual restorative dental practice.
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Affiliation(s)
- Kota Kibe
- Division of Oral Health Sciences, Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan
| | - Takashi Hatayama
- Division of Oral Health Sciences, Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan.
| | - Yasushi Shimada
- Division of Oral Health Sciences, Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan
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12
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Yang Y, Xue Q, Zhang Y, He X, Li Z, Yang J. Quantitative analysis of the degree of demineralization for bleached enamel by optical coherence tomography. Photodiagnosis Photodyn Ther 2023; 43:103686. [PMID: 37399915 DOI: 10.1016/j.pdpdt.2023.103686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Revised: 06/14/2023] [Accepted: 06/30/2023] [Indexed: 07/05/2023]
Abstract
BACKGROUND Tooth bleaching imparts whitening effects along with adverse effects such as increased tooth sensitivity and enamel surface changes. Herein, we employed optical coherence tomography (OCT), a nondestructive optical detection technique, for evaluation of tooth enamel after treatment with peroxide-based bleaching agents. METHODS Fifteen enamel samples were bleached using 38% acidic hydrogen peroxide-based bleach, subjected to OCT scanning, and then cross-sectioned and imaged under polarized light microscopy (PLM) and transverse microradiography (TMR). OCT cross-sectional images were compared with PLM and TMR. The depth and severity of demineralization produced in the bleached enamel were measured by OCT, PLM, and TMR. Comparison between the three techniques was performed using Kruskal-Wallis H non-parametric test and Pearson correlation. RESULTS In comparison with PLM and TMR, OCT clearly detected the changes in the enamel surface after hydrogen peroxide bleaching. Significant correlations (p<0.05) were observed in lesion depth between OCT and PLM (r=0.820), OCT and TMR (r=0.822), and TMR and PLM (r=0.861). There was no statistically significant difference in demineralization depth values measured by OCT, PLM, and TMR (p>0.05). CONCLUSION OCT can allow real-time, non-invasive imaging of artificially bleached tooth models and automatically measure the early changes in the enamel lesion structure upon exposure to hydrogen peroxide-based bleaching agents.
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Affiliation(s)
- Yuhao Yang
- Department of Endodontics, Affiliated Stomatological Hospital, Nanchang University, Nanchang, Jiangxi 330006, China; Jiangxi Key Laboratory of Oral Biomedicine, Nanchang, Jiangxi 330006, China
| | - Qiaoqiao Xue
- Key Laboratory of Opto-Electronic Information Science and Technology of Jiangxi Province and Jiangxi Engineering Laboratory for Optoelectronics Testing Technology, Nanchang Hangkong University, Nanchang, Jiangxi 330063, China
| | - Yubao Zhang
- Key Laboratory of Opto-Electronic Information Science and Technology of Jiangxi Province and Jiangxi Engineering Laboratory for Optoelectronics Testing Technology, Nanchang Hangkong University, Nanchang, Jiangxi 330063, China
| | - Xingdao He
- Key Laboratory of Opto-Electronic Information Science and Technology of Jiangxi Province and Jiangxi Engineering Laboratory for Optoelectronics Testing Technology, Nanchang Hangkong University, Nanchang, Jiangxi 330063, China
| | - Zekun Li
- Department of Endodontics, Affiliated Stomatological Hospital, Nanchang University, Nanchang, Jiangxi 330006, China; Jiangxi Key Laboratory of Oral Biomedicine, Nanchang, Jiangxi 330006, China
| | - Jian Yang
- Department of Endodontics, Affiliated Stomatological Hospital, Nanchang University, Nanchang, Jiangxi 330006, China; Jiangxi Key Laboratory of Oral Biomedicine, Nanchang, Jiangxi 330006, China.
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13
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Desoutter A, Felbacq D, Gergely C, Varga B, Bonnet L, Etienne P, Vialla R, Cuisinier F, Salehi H, Rousseau E, Rufflé B. Properties of dentin, enamel and their junction, studied with Brillouin scattering and compared to Raman microscopy. Arch Oral Biol 2023; 152:105733. [PMID: 37247560 DOI: 10.1016/j.archoralbio.2023.105733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 05/18/2023] [Accepted: 05/19/2023] [Indexed: 05/31/2023]
Abstract
OBJECTIVE Dentin, enamel and the transition zone, called the dentin-enamel junction (DEJ), have an organization and properties that play a critical role in tooth resilience and in stopping the propagation of cracks. Understanding their chemical and micro-biomechanical properties is then of foremost importance. The aim of this study is to apply Brillouin microscopy on a complex biological structure, that is, the DEJ, and to compare these results with those obtained with Raman microscopy. DESIGN Both techniques allow noncontact measurements at the microscopic scale. Brillouin microscopy is based on the interaction between acoustic phonons and laser photons and gives a relation between the frequency shift of the scattered light and the stiffness of the sample. Raman spectra contain peaks related to specific chemical bonds. RESULTS Comparison of the Brillouin and Raman cartographies reveals correlations between mechanical and chemical properties. Indeed, the shapes of the phosphate content and stiffness curves are similar. The two spectroscopies give compatible values for the mean distance between two tubules, i.e., 4-6 µm. Moreover, for the first time, the daily cross striations of enamel could be studied, indicating a relationship between the variation in the phosphate concentration and the variation in the rigidity within the enamel prisms. CONCLUSIONS We demonstrate here the possibility of using Brillouin scattering microscopy to both study complex biological materials such as the enamel-dentin junction and visualize secondary structures. Correlations between the chemical composition and mechanical properties could help in better understanding the tissue histology.
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Affiliation(s)
- Alban Desoutter
- LBN, Univ. Montpellier, 545 avenue Professeur Jean-Louis Viala, 34193 Montpellier Cedex 5, France.
| | - Didier Felbacq
- L2C, Univ. Montpellier, CNRS, place Eugène Bataillon, 34090 Montpellier, France
| | - Csilla Gergely
- L2C, Univ. Montpellier, CNRS, place Eugène Bataillon, 34090 Montpellier, France
| | - Béla Varga
- L2C, Univ. Montpellier, CNRS, place Eugène Bataillon, 34090 Montpellier, France
| | - Laurent Bonnet
- L2C, Univ. Montpellier, CNRS, place Eugène Bataillon, 34090 Montpellier, France
| | - Pascal Etienne
- L2C, Univ. Montpellier, CNRS, place Eugène Bataillon, 34090 Montpellier, France
| | - Remy Vialla
- L2C, Univ. Montpellier, CNRS, place Eugène Bataillon, 34090 Montpellier, France
| | - Frédéric Cuisinier
- LBN, Univ. Montpellier, 545 avenue Professeur Jean-Louis Viala, 34193 Montpellier Cedex 5, France
| | - Hamideh Salehi
- LBN, Univ. Montpellier, 545 avenue Professeur Jean-Louis Viala, 34193 Montpellier Cedex 5, France
| | - Emmanuel Rousseau
- L2C, Univ. Montpellier, CNRS, place Eugène Bataillon, 34090 Montpellier, France
| | - Benoit Rufflé
- L2C, Univ. Montpellier, CNRS, place Eugène Bataillon, 34090 Montpellier, France
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14
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Mahmoud A, Elbasuney S, El-Sharkawy YH. Instant identification of dental white spot using K-means algorithm via laser-induced fluorescence and associated hyperspectral imaging. JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY. B, BIOLOGY 2023; 245:112749. [PMID: 37384964 DOI: 10.1016/j.jphotobiol.2023.112749] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 06/18/2023] [Accepted: 06/20/2023] [Indexed: 07/01/2023]
Abstract
Dental caries (DC) is a chronic illness that affects 2 billion individuals worldwide, with 520 million of those suffering from it in their primary teeth. It is apparent that early DC detection and subsequent minimally invasive therapy are crucial clinical requirements. The first reversible clinical indication of demineralization is dental white spot (DWS) lesions. However, diagnosing DWS poses extreme challenges for practitioners. In this investigation, a customized laser-induced fluorescence system with a hyperspectral imaging (HI) camera and a non-ionization laser light supply was created for DWS localization and early DC detection. A UV laser diode source with a wavelength of 395 nm was used for light stimulation for the 10 test samples of teeth. The emitted signature of the main tooth components, including dentin, DWS, enamel, and DC, was recorded. An attempt was made to increase the system's sensitivity to the fluorescent signal by applying a logarithmic scale to the spectral signature. Moreover, further discrimination may be achieved by signal strength. We identified that the fluorescent signal's peak intensity at 771 nm works best for discriminating DWS from normal areas, or DC. For characterizing dentin, the re-emitted frequency at 500 nm has the maximum intensity. Next, we presented our imaging grouping strategy that combines visual enhancement through a moving average, MA, filtering and segmenting an image using K-means clustering (K-mc) (K = 8) for instant and precise DWS grouping for the constructed HI images at (500 nm and 771 nm). Despite the tiny structure and its DWS white appearance, our approach could successfully demarcate the DWS on the tested teeth. Dental examiners might benefit from our simple, non-invasive, non-ionizing optical diagnosis approach to help them make their first assessments and experience accurate and exact delineation of the DWS to obtain immediate and higher rates of early-stage DC detection.
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Affiliation(s)
- Alaaeldin Mahmoud
- Optoelectronics and Automatic Control Systems Department, Military Technical College, Kobry El-Kobba, Cairo, Egypt.
| | - Sherif Elbasuney
- Nanotechnology Center, Military Technical College, Kobry El-Kobba, Cairo, Egypt
| | - Yasser H El-Sharkawy
- Optoelectronics and Automatic Control Systems Department, Military Technical College, Kobry El-Kobba, Cairo, Egypt
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15
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Liu Z, Lu J, Chen X, Xiu P, Zhang Y, Lv X, Jiang X, Wang K, Zhang L. A novel amelogenesis-inspired hydrogel composite for the remineralization of enamel non-cavitated lesions. J Mater Chem B 2022; 10:10150-10161. [PMID: 36472307 DOI: 10.1039/d2tb01711c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Enamel non-cavitated lesions (NCLs) are subsurface enamel porosity from carious demineralization. The developed enamel cannot repair itself once NCLs occurs. The regeneration of mineral crystals in a biomimetic environment is an effective way to repair enamel subsurface defects. Previously, an amelogenin-derived peptide named QP5 was proven to repair demineralized enamel. In this work, inspired by amelogenesis, a novel biomimetic hydrogel composite containing the QP5 peptide and bioactive glass (BG) was designed, in which QP5 could promote enamel remineralization by guiding the calcium and phosphorus ions provided by BG. Also, BG could adjust the mineralization micro-environment to alkalinity, simulating the pH regulation of ameloblasts during enamel maturity. The BQ hydrogel composite showed biosafety and possessed capacity for enamel binding, ion release and pH buffering. Enamel NCLs treated with the BQ hydrogel composite showed a higher reduction in lesion depth and mineral loss both in vitro and in vivo. Moreover, compared to the hydrogels containing only BG or QP5, groups treated with the BQ hydrogel composite attained more surface microhardness recovery and color recovery, exhibiting resistance to erosion and abrasion of the remineralization layer. We envision that the BQ hydrogel composite can provide a biomimetic micro-environment to favor enamel remineralization, thus reducing the lesion depth and increasing the mineral content as a promising biomimetic material for enamel NCLs.
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Affiliation(s)
- Zhenqi Liu
- State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China. .,Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China
| | - Junzhuo Lu
- State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China. .,Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China
| | - Xiangshu Chen
- State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China. .,Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China
| | - Peng Xiu
- State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China. .,Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China
| | - Yinmo Zhang
- State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China. .,Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China
| | - Xiaohui Lv
- State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China. .,Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China
| | - Xinyi Jiang
- Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China
| | - Kun Wang
- State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China. .,Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China
| | - Linglin Zhang
- State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China. .,Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No.14, Section 3, Renmin Road South, Chengdu, China
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16
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Pink K, Hein S, Foschum F, Kienle A. Determination of the spectrally resolved extinction coefficient of human dental enamel using collimated transmission spectroscopy. Dent Mater 2022; 38:1661-1668. [PMID: 36085084 DOI: 10.1016/j.dental.2022.08.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Revised: 08/22/2022] [Accepted: 08/29/2022] [Indexed: 11/03/2022]
Abstract
OBJECTIVES The determination of the extinction coefficient of human dental enamel to deliver further optical properties of enamel to improve the understanding of light propagation in teeth and to improve restoration materials. METHODS The extinction coefficient was measured within a spectral range of 300-980 nm using a collimated transmission setup. 35 specimens from 16 donors were examined. The donors were categorized by age and the researched specimen were categorized by tooth type, tooth quality and lateral expansion of the enamel to clarify the influence of these parameters. RESULTS The obtained spectrally resolved extinction coefficient was accurately described by a power law, which agrees with theoretical scattering models. The results were evaluated with regard to the influence of parameters such as subject age, tooth type, enamel sample quality and enamel width. For this purpose, both the average values of multiple measurements of a single sample in a defined spectral range as well as the curve slope of the averaged results versus wavelength were compared. SIGNIFICANCE The results provide detailed information about the optical properties of human enamel. The wide spectrum investigated provides important information for the evaluation of the main scatterers and the optical impression under any light condition. However, the deviation of the extinction coefficient varies less between the mean values for the specimens grouped by several parameters than between the specimens themselves within a group. This indicates a unique optical behaviour for every specimen and this requires consideration in the development of artificial materials.
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Affiliation(s)
- Karsten Pink
- Institut für Lasertechnologien in der Medizin und Meßtechnik an der Universität Ulm, Helmholzstr. 12, 89081 Ulm, Germany; Universität Ulm, Albert-Einstein-Allee 11, 89081 Ulm, Germany.
| | - Sascha Hein
- Emulation S. Hein, Rennweg 17, 79106 Freiburg im Breisgau, Germany
| | - Florian Foschum
- Institut für Lasertechnologien in der Medizin und Meßtechnik an der Universität Ulm, Helmholzstr. 12, 89081 Ulm, Germany
| | - Alwin Kienle
- Institut für Lasertechnologien in der Medizin und Meßtechnik an der Universität Ulm, Helmholzstr. 12, 89081 Ulm, Germany; Universität Ulm, Albert-Einstein-Allee 11, 89081 Ulm, Germany
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17
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Miyagi H, Oki K, Tsukiyama Y, Ayukawa Y, Koyano K. Assessment of the Accuracy in Measuring the Enamel Thickness of Maxillary Incisors with Optical Coherence Tomography. Diagnostics (Basel) 2022; 12:diagnostics12071634. [PMID: 35885539 PMCID: PMC9315606 DOI: 10.3390/diagnostics12071634] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 06/27/2022] [Accepted: 06/28/2022] [Indexed: 11/25/2022] Open
Abstract
Although the clinical assessment of enamel thickness is important, hardly any tools exist for accurate measurements. The purpose of this study was to verify the precision of enamel thickness measurements using swept-source optical coherence tomography (SS-OCT). Human extracted maxillary central and lateral incisors were used as specimens. Twenty-eight sites were measured in each specimen. The optical path length (OPL) at each measurement site was measured on the OCT images, and enamel thickness (e1) was calculated by dividing OPL by the mean refractive index of enamel, 1.63. The specimens were then sectioned, and a light microscope was used to measure enamel thickness (e2). e1 and e2 were then compared. Measurement errors between e1 and e2 for the central and lateral incisors were 0.04 (0.02; 0.06) mm and 0.04 (0.02; 0.07) mm [median value: (25%, 75% percentile)], respectively. No significant differences between measurement sites were noted for measurement errors between e1 and e2. These results demonstrate that OCT can be used for noninvasive, accurate measurements of enamel thickness.
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Affiliation(s)
- Hiroshi Miyagi
- Section of Implant and Rehabilitative Dentistry, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka 812-8582, Japan; (H.M.); (Y.A.)
| | - Kyosuke Oki
- Section of Fixed Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka 812-8582, Japan
- Correspondence: (K.O.); (Y.T.); Tel.: +81-92-642-6371 (K.O.)
| | - Yoshihiro Tsukiyama
- Section of Dental Education, Faculty of Dental Science, Kyushu University, Fukuoka 812-8582, Japan
- Correspondence: (K.O.); (Y.T.); Tel.: +81-92-642-6371 (K.O.)
| | - Yasunori Ayukawa
- Section of Implant and Rehabilitative Dentistry, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka 812-8582, Japan; (H.M.); (Y.A.)
- Section of Fixed Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka 812-8582, Japan
| | - Kiyoshi Koyano
- Division of Advanced Dental Devices and Therapeutics, Faculty of Dental Science, Kyushu University, Fukuoka 812-8582, Japan;
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18
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Bakhsh TA, Abuljadayel JA, Alshouibi E, Abuljadayel RA. Advanced imaging of dentin microstructure. Biomed Phys Eng Express 2021; 7. [PMID: 34340215 DOI: 10.1088/2057-1976/ac19cf] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Accepted: 08/02/2021] [Indexed: 11/11/2022]
Abstract
This study aimed to demonstrate the feasibility of using optical coherence tomography (OCT) for locating the sectioning site of a specimen before characterizing the ultrastructural features of dentin surfaces as well as the inner wall of the dentinal tubules (DT) using a field emission scanning electron microscope (FESEM). Eight sound human molar teeth were extracted, examined via cross-polarization optical coherence tomography (CP-OCT), embedded, and hemisectioned using a low-speed diamond sawing machine. Next, each sectioned surface was further trimmed, polished, and examined under a confocal laser scanning microscope (CLSM) to locate the target area on the superficial dentin. Subsequently, each section was gold-coated and examined using FESEM. Backscattered reflection from the dentin layer was less than that from the enamel under CP-OCT. Distinct reflections from certain enamel and dentin microstructures were observed before sectioning the specimens. Areas with enamel cracks and dentin defects were identified and avoided during sectioning. At the micron level, the CLSM images exhibited a homogenous distribution of the DT orifices. Low magnification FESEM images showed intertubular dentin as a loosely condensed globular layer with shallow grooves in between, whereas peritubular dentin exhibited more organized condensation of apatite crystals surrounding the DT orifices. High magnification of the DT revealed a cross-linking layer of mineralized collagen network extending in the peri-intratubular lumen, with scattered globules of matrix vesicles. CP-OCT enabled the realization of rapid initial scanning and image acquisition with high contrast at the micron scale before profound insights into dentin ultrastructures at the nano scale were provided by FESEM. The variations in structural densities of the dental tissues significantly affected the image contrast and helped identify underlying structures.
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Affiliation(s)
- T A Bakhsh
- Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, PO Box 80209, Jeddah 215-89, Saudi Arabia
| | - J A Abuljadayel
- Preventive Dentistry Department, Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia
| | - E Alshouibi
- Dental Public Health Department, Faculty of Dentistry, King Abdulaziz University, PO Box 80209, Jeddah 215-89, Saudi Arabia
| | - R A Abuljadayel
- Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, PO Box 80209, Jeddah 215-89, Saudi Arabia
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The Effect of Thermocycling on Interfacial Bonding Stability of Self-Etch Adhesives: OCT Study. BIOMED RESEARCH INTERNATIONAL 2021; 2021:5578539. [PMID: 34212034 PMCID: PMC8208845 DOI: 10.1155/2021/5578539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Revised: 04/20/2021] [Accepted: 05/24/2021] [Indexed: 11/17/2022]
Abstract
Objective The aim of this study was to monitor the behavior of interfacial gaps formed under different bonded polymeric restorations before and after thermocycling (TC), using swept-source optical coherence tomography (SS-OCT) and confirming the obtained findings with confocal laser scanning microscopy (CLSM). Materials and Methods Cylindrical class I cavities were prepared in twenty noncarious human premolar teeth (1.5 mm depth × 3.5 mm diameter) and divided randomly into two groups: TS and SN, according to the adhesive system (n = 10). In the TS group, one-step self-etch adhesive Clearfil Tri-S Bond Plus (Kuraray Noritake Dental, Japan) was used, followed by composite restoration using Estelite Sigma Quick (Tokuyama Dental, Japan). In the SN group, the cavities were restored with the two-step self-etch/composite silorane-based resin restoration system (3M ESPE, USA). All specimens were restored in bulk filling technique and cured in accordance with the manufacturers' instructions. Both groups were imaged under SS-OCT after 24 h and recorded as controls. Then, each group was subjected to thermal challenge using the TC machine (5–55°C) and B-scans were recorded at different TC intervals (2600, 5200, and 10000). In order to confirm the SS-OCT findings, additional specimens were prepared, scanned, and sectioned for CLSM observation. Results B-scans demonstrated white clusters at the tooth-resin interface that corresponded to the gap location on CLSM images. The TS group showed significantly less gap formation than the SN group before and after TC (p < 0.001). Conclusions An optimal composite adaptation can be achieved when the bonded restoration comprises a combination of an adhesive containing 10-MDP monomer and a considerable highly filled composite.
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Rodrigues RV, Sampaio CS, Girotto AC, Pinhatti CP, Iwamoto AS, de Freitas AZ, Ambrosano GMB, Puppin-Rontani RM, Pascon FM. Analysis of enamel/restoration interface submitted cariogenic challenge and fluoride release. Microsc Res Tech 2021; 84:2857-2866. [PMID: 34048111 DOI: 10.1002/jemt.23844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 04/23/2021] [Accepted: 05/14/2021] [Indexed: 11/07/2022]
Abstract
The treatment of high-risk patients still is a challenge. The understanding and development non-invasive, non-destructive, and non-ionizing techniques, can help to guide the treatment and the diagnosis of primary and recurrent caries. The present study evaluated the behavior of enamel/restoration interface after a cariogenic challenge by Fourier domain optical coherence tomography (FD-OCT), scanning electron microscopy (SEM) examination, and the fluoride release of the different restorative materials. Cavities (1.5 × 0.5 mm) were performed in enamel surface and divided into groups (n = 8): glass ionomer cement (GIC), resin-modified glass ionomer cement (RMGIC), and resin composite (RC). The samples were submitted to pH-cycling, and the solutions analyzed for cumulative fluoride by ion-analyzer. The morphology was analyzed by SEM through replicas. The optical attenuation coefficient (OAC) was calculated through exponential decay from the images generated by FD-OCT. Data were analyzed considering α = 0.05. OAC values increased for all groups after pH-cycling indicating demineralization (p < .05). Considering the remineralizing solution, RMGIC presented higher fluoride release rate, followed by GIC, while RC did not release any fluoride. Yet for the demineralizing solution, RMGIC and GIC released similar fluoride rates, overcoming RC (p < .05). Micrographs revealed no changes on the restorations margins, although enamel detachment was observed for RC and GIC after pH-cycling.
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Affiliation(s)
- Raquel Viana Rodrigues
- Department of Restorative Dentistry, Piracicaba Dental School, UNICAMP, Piracicaba, Brazil.,Department of Oral Health Sciences, UBC Faculty of Dentistry, Vancouver, Canada
| | - Camila Sobral Sampaio
- Department of Restorative Dentistry, Piracicaba Dental School, UNICAMP, Piracicaba, Brazil.,Department of Biomaterials, Universidad de Los Andes, Santiago, Chile
| | - Aline Carvalho Girotto
- Department of Restorative Dentistry, Piracicaba Dental School, UNICAMP, Piracicaba, Brazil
| | - Caroline Paiuta Pinhatti
- Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, UNICAMP, Piracicaba, Brazil
| | - Alexsandra Shizue Iwamoto
- Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, UNICAMP, Piracicaba, Brazil
| | | | | | - Regina Maria Puppin-Rontani
- Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, UNICAMP, Piracicaba, Brazil
| | - Fernanda Miori Pascon
- Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, UNICAMP, Piracicaba, Brazil
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21
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Xing H, Eckert GJ, Ando M. Detection and analyzing plane of non-cavitated approximal caries by cross-polarized optical coherence tomography (CP-OCT). J Dent 2021; 110:103679. [PMID: 33895241 DOI: 10.1016/j.jdent.2021.103679] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Revised: 04/08/2021] [Accepted: 04/19/2021] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE The objective was to assess the detection ability and the effect of analyzing plane of CP-OCT for non-cavitated approximal caries. METHODS Thirty human extracted premolars were selected based on micro-computed tomography [μ-CT: μ- CT = 0: sound (n = 12), μ-CT = 1/2: caries into outer-/inner-half of enamel (n = 6 each), μ-CT = 3: caries into outer one-third of dentine (n = 6)]. Teeth were mounted in a custommade device to simulate approximal contact, and scanned from the marginal ridge above the contact area. CP-OCT images were analyzed by deepest caries extension from horizontal and coronal planes, and repeated 48-hrs later. Sensitivity, specificity,percent correct, area under the ROC curve (Az), intra-examiner repeatability and correlation with μ-CT were determined. RESULTS Sensitivity/specificity/Az for Horizontalplane, Coronal-plane, and Deepest from both planes were 94percent/58percent/0.76,81percent/100percent/0.90, and 94 %/58 %/0.82. Coronal-plane had significantly higher specificity than Horizontal-plane and Deepest (p = 0.004) but Horizontal-plane and Deepest were not different (p = 1.00). Horizontal-plane had significantly lower Az than Deepest (p = 0.048), but Coronal-plane was not different than Horizontal-plane (p = 0.07) or Deepest (p = 0.20). Correlation coefficients were Horizontal-plane (0.53, p < 0.001), Coronal-plane (0.84, p < 0.001), and Deepest (0.66, p < 0.001). CONCLUSION Within the limitations of this study, CP-OCT could be used to detect non-cavitated approximal caries. Analysis using the Coronal-plane is superior to the Horizontal-plane. CLINICAL SIGNIFICANCE It is challenging to detect non-cavitated approximal caries clinically due to the adjacent tooth. CP-OCT is a nondestructive, no ionized-radiation caries detection technique. CP-OCT seems suitable to detect non-cavitated approximal caries and observing the Coronal-plane appears better than Horizontal-plane.
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Affiliation(s)
- Haixia Xing
- Department of General Dentistry, Peking University School and Hospital of Stomatology, Beijing, China; Department of Cariology, Operative Dentistry and Dental Public Health, Indiana University School of Dentistry, Indianapolis, IN, USA
| | - George J Eckert
- Department of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Masatoshi Ando
- Department of Cariology, Operative Dentistry and Dental Public Health, Indiana University School of Dentistry, Indianapolis, IN, USA.
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22
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Ali S, Gilani SBS, Shabbir J, Almulhim KS, Bugshan A, Farooq I. Optical coherence tomography's current clinical medical and dental applications: a review. F1000Res 2021; 10:310. [PMID: 33976868 PMCID: PMC8086034 DOI: 10.12688/f1000research.52031.1] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/31/2021] [Indexed: 11/20/2022] Open
Abstract
Optical coherence tomography (OCT) is a non-invasive investigative technique that is used to obtain high-resolution three-dimensional (3D) images of biological structures. This method is useful in diagnosing diseases of specific organs like the eye, where a direct biopsy cannot be conducted. Since its inception, significant advancements have been made in its technology. Apart from its initial application in ophthalmology for retinal imaging, substantial technological innovations in OCT brought by the research community have enabled its utilization beyond its original scope and allowed its application in many new clinical areas. This review presents a summary of the clinical applications of OCT in the field of medicine (ophthalmology, cardiology, otology, and dermatology) and dentistry (tissue imaging, detection of caries, analysis of dental polymer composite restorations, imaging of root canals, and diagnosis of oral cancer). In addition, potential advantages and disadvantages of OCT are also discussed.
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Affiliation(s)
- Saqib Ali
- Department of Biomedical Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Saqlain Bin Syed Gilani
- Department of Oral Biology, Islamic International Dental College, Riphah International University, Islamabad, Pakistan
| | - Juzer Shabbir
- Department of Operative Dentistry and Endodontics, Liaquat College of Medicine and Dentistry, Karachi, Pakistan
| | - Khalid S. Almulhim
- Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Amr Bugshan
- Department of Biomedical Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Imran Farooq
- Faculty of Dentistry, University of Toronto, Toronto, ON, M5G 1G6, Canada
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23
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Matsuzaki K, Shimada Y, Shinno Y, Ono S, Yamaji K, Ohara N, Sadr A, Sumi Y, Tagami J, Yoshiyama M. Assessment of Demineralization Inhibition Effects of Dentin Desensitizers Using Swept-Source Optical Coherence Tomography. MATERIALS 2021; 14:ma14081876. [PMID: 33918865 PMCID: PMC8069961 DOI: 10.3390/ma14081876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 04/07/2021] [Accepted: 04/07/2021] [Indexed: 11/16/2022]
Abstract
The purpose of this study was to evaluate the mechanism of action and the inhibiting effects of two types of desensitizers against dentin demineralization using pre-demineralized hypersensitivity tooth model in vitro. In this study, we confirmed that a hypersensitivity tooth model from our preliminary experiment could be prepared by immersing dentin discs in an acetic acid-based solution with pH 5.0 for three days. Dentin discs with three days of demineralization were prepared and applied by one of the desensitizers containing calcium fluoro-alumino-silicate glass (Nanoseal, NS) or fluoro-zinc-silicate glass (Caredyne Shield, CS), followed by an additional three days of demineralization. Dentin discs for three days of demineralization (de3) and six days of demineralization (de6) without the desensitizers were also prepared. The dentin discs after the experimental protocol were scanned using swept-source optical coherence tomography (SS-OCT) to image the cross-sectional (2D) view of the samples and evaluate the SS-OCT signal. The signal intensity profiles of SS-OCT from the region of interest of 300, 500, and 700 µm in depth were obtained to calculate the integrated signal intensity and signal attenuation coefficient. The morphological differences and remaining chemical elements of the dentin discs were also analyzed using scanning electron microscopy and energy-dispersive X-ray spectroscopy. SS-OCT images of CS and NS groups showed no obvious differences between the groups. However, SS-OCT signal profiles for both the CS and NS groups showed smaller attenuation coefficients and larger integrated signal intensities than those of the de6 group. Reactional deposits of the desensitizers even after the additional three days of demineralization were observed on the dentin surface in NS group, whereas remnants containing Zn were detected within the dentinal tubules in CS group. Consequently, both CS and NS groups showed inhibition effects against the additional three days of demineralization in this study. Our findings demonstrate that SS-OCT signal analysis can be used to monitor the dentin demineralization and inhibition effects of desensitizers against dentin demineralization in vitro.
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Affiliation(s)
- Kumiko Matsuzaki
- Department of Operative Dentistry, Field of Study of Biofunctional Recovery and Reconstruction, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan; (Y.S.); (Y.S.); (S.O.); (K.Y.); (N.O.); (M.Y.)
- Correspondence: ; Tel.: +81-86-235-6672
| | - Yasushi Shimada
- Department of Operative Dentistry, Field of Study of Biofunctional Recovery and Reconstruction, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan; (Y.S.); (Y.S.); (S.O.); (K.Y.); (N.O.); (M.Y.)
| | - Yasuo Shinno
- Department of Operative Dentistry, Field of Study of Biofunctional Recovery and Reconstruction, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan; (Y.S.); (Y.S.); (S.O.); (K.Y.); (N.O.); (M.Y.)
| | - Serina Ono
- Department of Operative Dentistry, Field of Study of Biofunctional Recovery and Reconstruction, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan; (Y.S.); (Y.S.); (S.O.); (K.Y.); (N.O.); (M.Y.)
| | - Kozo Yamaji
- Department of Operative Dentistry, Field of Study of Biofunctional Recovery and Reconstruction, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan; (Y.S.); (Y.S.); (S.O.); (K.Y.); (N.O.); (M.Y.)
| | - Naoko Ohara
- Department of Operative Dentistry, Field of Study of Biofunctional Recovery and Reconstruction, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan; (Y.S.); (Y.S.); (S.O.); (K.Y.); (N.O.); (M.Y.)
| | - Alireza Sadr
- Biomimetics Biomaterials Biophotonics Biomechanics & Technology Laboratory, Department of Restorative Dentistry, University of Washington, Seattle, WA 98195-7456, USA;
| | - Yasunori Sumi
- Center of Advanced Medicine for Dental and Oral Diseases, Department for Advanced Dental Research, National Center for Geriatrics and Ger Ontology, Aichi 474-8511, Japan;
| | - Junji Tagami
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8549, Japan;
| | - Masahiro Yoshiyama
- Department of Operative Dentistry, Field of Study of Biofunctional Recovery and Reconstruction, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan; (Y.S.); (Y.S.); (S.O.); (K.Y.); (N.O.); (M.Y.)
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24
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Liu HC, Abbasi M, Ding YH, Polley EC, Fitzgerald S, Kadirvel R, Kallmes DF, Brinjikji W, Urban MW. Characterizing thrombus with multiple red blood cell compositions by optical coherence tomography attenuation coefficient. JOURNAL OF BIOPHOTONICS 2021; 14:e202000364. [PMID: 33314731 PMCID: PMC8258800 DOI: 10.1002/jbio.202000364] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 12/08/2020] [Accepted: 12/09/2020] [Indexed: 06/12/2023]
Abstract
Embolectomy is one of the emergency procedures performed to remove emboli. Assessing the composition of human blood clots is an important diagnostic factor and could provide guidance for an appropriate treatment strategy for interventional physicians. Immunostaining has been used to identity compositions of clots as a gold-standard procedure, but it is time-consuming and cannot be performed in situ. Here, we proposed that the optical attenuation coefficient of optical coherence tomography (OCT) can be a reliable indicator as a new imaging modality to differentiate clot compositions. Fifteen human blood clots with multiple red blood cell (RBC) compositions from 21% to 95% were prepared using healthy human whole blood. A homogeneous gelatin phantom experiment and numerical simulation based on the Lambert-Beer's law were examined to verify the validity of the attenuation coefficient estimation. The results displayed that optical attenuation coefficients were strongly correlated with RBC compositions. We reported that attenuation coefficients could be a promising biomarker to guide the choice of an appropriate interventional device in a clinical setting and assist in characterizing blood clots.
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Affiliation(s)
- Hsiao-Chuan Liu
- Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
| | - Mehdi Abbasi
- Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
| | - Yong Hong Ding
- Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
| | - Eric C. Polley
- Health Sciences Research, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
| | - Seán Fitzgerald
- Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
- Deptartment of Physiology, National University of Ireland Galway, University Road, Galway, Ireland
| | - Ramanathan Kadirvel
- Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
| | - David F. Kallmes
- Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
| | - Waleed Brinjikji
- Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
| | - Matthew W. Urban
- Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
- Department of Physiology and Biomedical Engineering, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA
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25
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Potential for direct application of blue light for photo-disinfection of dentine. JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY B-BIOLOGY 2021; 215:112123. [PMID: 33454542 DOI: 10.1016/j.jphotobiol.2021.112123] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Revised: 10/31/2020] [Accepted: 01/05/2021] [Indexed: 12/24/2022]
Abstract
The direct application of light for photo-disinfection potentially provides a safe and novel modality to inhibit or eliminate cariogenic bacteria residing upon and within dentine. This study aimed to both; characterize the pattern of transmission of 405 nm light through molar dentine at different tooth locations, as well as, determine the irradiation parameters that are antibacterial for Streptococcus mutans under various growth conditions, including lawns, planktonic cultures, and biofilms. To determine the amount of light (405 nm) transmitted at different anatomical tooth locations; irradiance values were recorded after blue light (470-4054 mW/cm2) had traversed through occlusal, oblique, and buccal dentine sections; and three thicknesses - 1, 2 and 3 mm were investigated. To determine tubular density; scanning electron micrographs from 2 mm outer (dentine-enamel junction) and inner (pulp) dentine sections were analysed. For photo-disinfection studies; S. mutans was irradiated using the same 405 nm wavelength light at a range of doses (110-1254 J/cm2) in both biofilm and planktonic cultures. The inhibitory effect of the irradiation on bacterial lawns was compared by measuring zones of inhibition; and for planktonic cultures both spectrophotometric and colony forming unit (CFU) assays were performed. A live/dead staining assay was utilised to determine the effect of irradiation on bacterial viability in mature biofilms. Data indicated that increasing dentine thickness decreased light transmission significantly irrespective of its orientation. Occlusal and oblique samples exhibited higher transmission compared with buccal dentine. Oblique dentine 405 nm light transmission was comparable with that of occlusal dentine independent of section thickness. An increased tubule density directly positively correlated with light transmission. Irradiation at 405 nm inhibited S. mutans growth in both biofilm and planktonic cultures and a dose response relationship was observed. Irradiation at doses of 340 and 831 J/cm2 led to significant reductions in bacterial growth and viability; as determined by CFU counting and live/dead staining. Data suggests that phototherapy approaches utilising a 405 nm wavelength have therapeutic potential to limit cariogenic bacterial infections both at the surface and within dentine.
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26
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Lusche I, Dirk C, Frentzen M, Meister J. Cavity Disinfection With a 445 nm Diode Laser Within the Scope of Restorative Therapy - A Pilot Study. J Lasers Med Sci 2021; 11:417-426. [PMID: 33425292 DOI: 10.34172/jlms.2020.66] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Introduction: Cavity disinfection is necessary to prevent a progressive infection of the crown dentin and pulp. Increasing intolerance and resistance to antiseptics and antibiotics as well as the controversy over the effects of those on the dental hard tissue and composite have prompted the investigation of alternative treatment options. The objective of this pilot study is to evaluate the antibacterial potential of a diode laser with a wavelength of 445 nm in the cavity preparation using the bacterium Streptococcus salivarius associated with caries in conjunction with the characteristics and influences of dentin on light transmission. Methods: The bactericidal effect of the laser irradiation was determined in culture experiments by using caries-free human dentin samples on bacteria-inoculated agar. For this, dentin discs (horizontally cut coronal dentin) of 500 µm and 1000 µm thicknesses were produced and irradiated with the laser with irradiation parameters of 0.7-1 W in a cw-mode and exposure times of between 5-30 s. Based on the different sample thicknesses, the penetration depth effect of the irradiation was ascertained after the subsequent incubation of the bacteria-inoculated agar. Additional influential parameters on the irradiation transmission were investigated, including surface moisture, tooth color as well as the presence of a smear layer on the dentin surface. Results: The optical transmission values of the laser radiation for dentin were significantly dependent on the sample thickness (P = 0.006) as well as its moisture content (P = 0.013) and were independent of the presence of a smear layer. There was a 40% reduction in bacteria after the radiography of the 500-µm-thick dentin samples, which was shown as the lowest laser dose (443 J/cm2). Conclusion: These findings indicate that the diode laser with light emission at a wavelength of 445 nm is interesting for the supportive cavity disinfection within the scope of caries therapy and show potential for clinical applications.
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Affiliation(s)
- Inés Lusche
- Department of Operative and Preventive Dentistry, Bonn University, Welschnonnenstrasse 17, D-53111 Bonn, Germany
| | - Cornelius Dirk
- Oral Technology, Bonn University, Wilhelmsplatz 5, 53111 Bonn, Germany
| | - Matthias Frentzen
- Department of Operative and Preventive Dentistry, Bonn University, Welschnonnenstrasse 17, D-53111 Bonn, Germany.,Center of Dento-Maxillo-Facial Medicine, Bonn University, Welschnonnenstrasse 17, D-53111 Bonn, Germany
| | - Jörg Meister
- Center of Dento-Maxillo-Facial Medicine, Bonn University, Welschnonnenstrasse 17, D-53111 Bonn, Germany.,Center of Applied Medical Laser Research and Biomedical Optics (AMLaReBO), Bonn University, Welschnonnenstrasse 17, D-53111 Bonn, Germany.,Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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27
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Almasabi W, Tichy A, Abdou A, Hosaka K, Nakajima M, Tagami J. Effect of water storage and thermocycling on light transmission properties, translucency and refractive index of nanofilled flowable composites. Dent Mater J 2020; 40:599-605. [PMID: 33361663 DOI: 10.4012/dmj.2020-154] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The effect of 1-week water storage and subsequent 10,000 thermal cycles on light transmission properties (straight-line transmission (G0), diffusion (DF), the amount of transmitted light (AV)), translucency parameter (TP) and refractive index (RI) of four nanofilled flowable composites was examined. The composites included Filtek Supreme Ultra Flowable Restorative (FSU), Estelite Flow Quick (EFQ), Estelite Universal Flow, (EUF), and Clearfil Majesty ES Flow (ESF), all of A3 shade. For composites with lower filler load (FSU, EFQ), water storage increased G0, AV and TP, but subsequent thermocycling decreased them. An opposite tendency was found for DF. Materials with higher filler load (EUF, ESF) were not significantly affected by aging conditions. RI of EFQ and EUF containing bisphenol A polyethoxy methacrylate (Bis-MPEPP) increased significantly after thermocycling. Additionally, morphological changes were observed using scanning electron microscopy which revealed cracks within nanocluster fillers and dislocation of particles in FSU and EFQ after thermocycling.
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Affiliation(s)
- Waleed Almasabi
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Antonin Tichy
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.,Institute of Dental Medicine, First Faculty of Medicine of the Charles University and General University Hospital in Prague
| | - Ahmed Abdou
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.,Biomaterials Department, Faculty of Dentistry, Modern University for Technology and Information
| | - Keiichi Hosaka
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Masatoshi Nakajima
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Junji Tagami
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
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28
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Hayashi J, Tagami J, Chan D, Sadr A. New bulk-fill composite system with high irradiance light polymerization: Integrity and degree of conversion. Dent Mater 2020; 36:1615-1623. [PMID: 33168226 DOI: 10.1016/j.dental.2020.10.012] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Revised: 09/05/2020] [Accepted: 10/06/2020] [Indexed: 01/05/2023]
Abstract
OBJECTIVE The study used optical coherence tomography (OCT) and micro Raman microscopy (mRM) to investigate internal defect (ID) and degree of conversion (DC) of two bulk-fill composite systems with high-irradiance or conventional light polymerization settings. METHODS The ID and DC of the new bulk-fill composites; Tetric PowerFill (PwrPst) and Tetric PowerFlow (PwrFlw) were compared with the predecessor bulk-fill composites; Tetric EvoCeram Bulkfill (EvoPst) and Tetric EvoFlow Bulkfill (EvoFlw), using LED light curing unit in two settings; normal (LED-Nrm: 1000 mW/cm2, 10-s) or PowerCure (LED-Pwr: 3000 mW/cm2, 3-s). ID formation was observed in bonded cylindrical composite cavities (4-mm depth, 3-mm diameter) using Yoshida Dental OCT. From the vertically projected 2D image, ID area percentage (ID-A%) was calculated. DC at the top and bottom and bottom/top DC ratio (DC-R%) of 4-mm thick discs was calculated using mRM. All data were statistically analyzed at significance level of α = 0.05. RESULTS Flowable composites in LED-Pwr showed smaller ID frequencies than other groups (PwrFlw: 0/8, EvoFlw: 2/8) (p < 0.05). Composite type significantly affected ID-A%, DC and DC-R% (p < 0.001), while light settings significantly affected ID-A% but not DC and DC-R% (p > 0.05). In both light settings, EvoPst showed the lowest DC-R% (<80%). SIGNIFICANCE Internal defect and degree of conversion of bulk-fill composites were affected by their composition and light settings. There was a tendency for less defects and better polymerization for the flowable bulk-fills. The new flowable bulk-fill composite with 3-seconds high irradiance light curing showed no defect formation.
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Affiliation(s)
- Juri Hayashi
- Department of Restorative Dentistry, Biomimetics Biomaterials Biophotonics Biomechanics & Technology Laboratory, School of Dentistry, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195-7456, USA; Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, Japan
| | - Junji Tagami
- Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, Japan
| | - Daniel Chan
- Department of Restorative Dentistry, Biomimetics Biomaterials Biophotonics Biomechanics & Technology Laboratory, School of Dentistry, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195-7456, USA
| | - Alireza Sadr
- Department of Restorative Dentistry, Biomimetics Biomaterials Biophotonics Biomechanics & Technology Laboratory, School of Dentistry, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195-7456, USA.
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Bakhsh TA, Tagami J, Sadr A, Luong MN, Turkistani A, Almhimeed Y, Alshouibi E. Effect of light irradiation condition on gap formation under polymeric dental restoration; OCT study. Z Med Phys 2020; 30:194-200. [PMID: 32113749 DOI: 10.1016/j.zemedi.2020.02.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2019] [Revised: 01/20/2020] [Accepted: 02/02/2020] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To investigate the effect of two light-curing systems; quartz tungsten-halogen (QTH) and light-emitting diode (LED), and irradiation time on interfacial gap formation of dental composite resin restorations bonded with an adhesive resin using optical coherence tomography (OCT). MATERIALS AND METHODS Forty cavities were prepared in extracted human molar teeth and divided into four groups (n=10) based on the type of light curing system QTH (LITEX 680A) and LED (Demi Plus) and curing duration (10 s or 40 s). A single-step self-etching dental adhesive (Tetric® N-Bond; Ivoclar Vivadent AG, Schaan, FL, Liechtenstein) was applied and polymerized with QTH for 10 s (QTH-10), or for 40 s (QTH-40). Similarly, the adhesive in LED-10 and LED-40 groups was polymerized with an LED for 10 s or 40 s, respectively. Then, all specimens were restored with Filtek™ Z350 XT flowable composite (3M ESPE AG, St. Paul, MN, USA) and immersed in ammoniacal silver-nitrate contrasting solution. Cross-sectional images were recorded at every 250μm using cross-polarization OCT system (CP-OCT; IVS-300, Santec, Komaki, Aichi, Japan). Image analysis to quantify the percentage of gap at resin-dentin interface was performed using a custom plugin for ImageJ software. RESULTS Data analysis using one-way ANOVA showed a significant difference in mean gap percentage between the four test groups (p<0.0001). Mean gap percentage values were 75.8%, 53.2%, 9.9% and 5.6%. The highest for LED-10 followed by LED-40 (p <0.05). QTH-40 revealed a slightly better adaptation compared with QTH-10, but the difference between them was not significant (p <0.05). CONCLUSION CP-OCT with a contrast agent is a useful non-invasive imaging tool for dental composite resin materials. QTH showed better results than LED under the experimental conditions. When using an LED light-curing unit, prolonged irradiation improved interfacial adaptation of dental composite bonded with a self-etching adhesive.
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Affiliation(s)
- Turki A Bakhsh
- Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah 215-89, Saudi Arabia; School of Dentistry, Alfarabi Private College, Jeddah, Saudi Arabia.
| | - Jyunji Tagami
- Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, Japan
| | - Alireza Sadr
- Department of Restorative Dentistry, University of Washington School of Dentistry, Box 357456, 1959 NE Pacific Street, Seattle, WA 98195-7456, USA
| | - Minh N Luong
- Department of Restorative Dentistry, University of Washington School of Dentistry, Box 357456, 1959 NE Pacific Street, Seattle, WA 98195-7456, USA
| | - Alaa Turkistani
- Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah 215-89, Saudi Arabia
| | - Yasser Almhimeed
- Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah 215-89, Saudi Arabia
| | - Ehab Alshouibi
- Dental Public Health, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah 215-89, Saudi Arabia
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Ashraf Y, Sabet A, Hamdy A, Ebeid K. Influence of Preparation Type and Tooth Geometry on the Accuracy of Different Intraoral Scanners. J Prosthodont 2020; 29:800-804. [PMID: 32406156 DOI: 10.1111/jopr.13202] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/11/2020] [Indexed: 11/27/2022] Open
Abstract
PURPOSE To evaluate the influence of preparation design and tooth geometry on the accuracy of scans obtained from three different intraoral scanners (IOS). MATERIALS AND METHODS Full coverage crown and inlay preparations with known axial wall tapers (6ᵒ and 12ᵒ) were performed on typodont teeth using a computer numerical control machine. Reference models were scanned with a highly accurate reference scanner (Ineos X5) and saved in standard tessellation language (STL) format then each IOS (Omnicam, Trios, and i500) scanned each model 10 times. The STL files obtained from the intraoral scanners were compared to the reference models (trueness) and within each test group (precision). Data were statistically analyzed using three- way ANOVA and one- way ANOVA. RESULTS When comparing trueness values extracoronal preparations (32.30 ± 11.23 µm) was significantly better than intra-coronal preparation (59.61 ± 16.42 µm). As for opposing wall taper, one-way ANOVA revealed that the more the convergence or divergence between opposing walls the better is the trueness. Significant differences were observed between the scanners. 3 Shape Trios (35.70 ± 14.12 µm) and medit i500 (44.31 ± 11.41 µm) showed no statistically significant differences. However, both showed significantly better precision results when compared to Omnicam (57.83 ± 22.14 µm). CONCLUSION Extracoronal preparations show better trueness and precision in comparison to intracoronal preparations. Trios and i500 have better trueness and precision than Omnicam. Increasing the taper of the axial wall has a direct effect on trueness of scans obtained from the IOS.
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Affiliation(s)
- Yasmine Ashraf
- Department of Fixed Prosthodontics, Faculty of Dentistry, Ain Shams University, Egypt
| | - Ahmed Sabet
- Department of Fixed Prosthodontics, Faculty of Dentistry, Ain Shams University, Egypt.,Department of Fixed Prosthodontics, Faculty of Dentistry, British University, Egypt
| | - Amina Hamdy
- Department of Fixed Prosthodontics, Faculty of Dentistry, Ain Shams University, Egypt
| | - Kamal Ebeid
- Department of Fixed Prosthodontics, Faculty of Dentistry, Ain Shams University, Egypt
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Luong MN, Shimada Y, Araki K, Yoshiyama M, Tagami J, Sadr A. Diagnosis of Occlusal Caries with Dynamic Slicing of 3D Optical Coherence Tomography Images. SENSORS 2020; 20:s20061659. [PMID: 32192069 PMCID: PMC7146590 DOI: 10.3390/s20061659] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Revised: 03/06/2020] [Accepted: 03/14/2020] [Indexed: 12/20/2022]
Abstract
Detecting the extent of occlusal caries is a clinically important but challenging task required for treatment decision making. The aim of this study was to assess the diagnostic power of 3D swept-source optical coherence tomography (OCT) for evaluation of occlusal caries in comparison with X-ray radiography. Extracted human molars not exhibiting American Dental Association (ADA) criteria advanced caries were mounted in a silicone block and digital dental radiographs were captured from the buccal side. Subsequently, occlusal surfaces were scanned with a prototype Yoshida Dental OCT. Thirteen examiners evaluated the presence and extent of caries on radiographs and dynamically sliced 3D OCT video images, using a 4 level scale—0: intact; 1: enamel demineralization without cavitation; 2: enamel caries with cavitation; 3: dentin caries with or without cavitation. Sensitivity, specificity and area under operating characteristic curves (Az) were statistically analyzed (α = 0.05). Reliability analysis showed an excellent agreement among the 13 examiners for both methods. The OCT presented a significantly higher sensitivity and Az value for the detection of caries compared to radiographs (p < 0.05). Radiography showed especially low sensitivity for dentin caries (0–2 versus 3). Dynamic slicing of 3D OCT volumes is a powerful adjunct tool to visual inspection to diagnose the dentin occlusal caries in vitro.
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Affiliation(s)
- Minh N. Luong
- Department of Restorative Dentistry, University of Washington, Seattle, WA 98195, USA;
| | - Yasushi Shimada
- Department of Operative Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8525, Japan;
- Correspondence: (Y.S.); (A.S.)
| | - Kazuyuki Araki
- Division of Radiology, Department of Oral Diagnostic Sciences, Showa University School of Dentistry, Tokyo 145-8515, Japan;
| | - Masahiro Yoshiyama
- Department of Operative Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8525, Japan;
| | - Junji Tagami
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8549, Japan;
| | - Alireza Sadr
- Department of Restorative Dentistry, University of Washington, Seattle, WA 98195, USA;
- Correspondence: (Y.S.); (A.S.)
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Lainović T, Margueritat J, Martinet Q, Dagany X, Blažić L, Pantelić D, Rabasović MD, Krmpot AJ, Dehoux T. Micromechanical imaging of dentin with Brillouin microscopy. Acta Biomater 2020; 105:214-222. [PMID: 31988041 DOI: 10.1016/j.actbio.2020.01.035] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2019] [Revised: 01/20/2020] [Accepted: 01/21/2020] [Indexed: 01/10/2023]
Abstract
The structure of teeth can be altered by diet, age or diseases such as caries and sclerosis. It is very important to characterize their mechanical properties to predict and understand tooth decay, design restorative dental procedures, and investigate their tribological behavior. However, existing imaging techniques are not well suited to investigating the micromechanics of teeth, in particular at tissue interfaces. Here, we describe a microscope based on Brillouin light scattering (BLS) developed to probe the spectrum of the light scattered from tooth tissues, from which the mechanical properties (sound velocity, viscosity) can be inferred with a priori knowledge of the refractive index. BLS is an inelastic process that uses the scattering of light by acoustic waves in the GHz range. Our microscope thus reveals the mechanical properties at the micrometer scale without contact with the sample. BLS signals show significant differences between sound tissues and pathological lesions, and can be used to precisely delineate carious dentin. We also show maps of the sagittal and transversal planes of sound tubular dentin that reveal its anisotropic microstructure at 1 µm resolution. Our observations indicate that the collagen-based matrix of dentine is the main load-bearing structure, which can be considered as a fiber-reinforced composite. In the vicinity of polymeric tooth-filling materials, we observed the infiltration of the adhesive complex into the opened tubules of sound dentine. The ability to probe the quality of this interfacial layer could lead to innovative designs of biomaterials used for dental restorations in contemporary adhesive dentistry, with possible direct repercussions on decision-making during clinical work. STATEMENT OF SIGNIFICANCE: Mechanical properties of teeth can be altered by diet, age or diseases. Yet existing imaging modalities cannot reveal the micromechanics of the tooth. Here we developed a new type of microscope that uses the scattering of a laser light by naturally-occurring acoustic waves to probe mechanical changes in tooth tissues at a sub-micrometer scale without contact to the sample. We observe significant mechanical differences between healthy tissues and pathological lesions. The contrast in mechanical properties also reveals the microstructure of the polymer-dentin interfaces. We believe that this new development of laser spectroscopy is very important because it should lead to innovative designs of biomaterials used for dental restoration, and allow delineating precisely destructed dentin for minimally-invasive strategies.
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Alshahni RZ, Shimada Y, Zhou Y, Yoshiyama M, Sadr A, Sumi Y, Tagami J. Cavity adaptation of composite restorations prepared at crown and root: Optical assessment using SS-OCT. Dent Mater J 2019; 38:779-789. [PMID: 31341148 DOI: 10.4012/dmj.2018-265] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Evaluation of gap formation at the interfaces of a two-step self-etching adhesive with/without pre-etching was performed using sweptsource optical coherence tomography (SS-OCT). Round cavities were prepared in bovine incisors at the middle (MC) and cervical (CC) thirds of the crown and the cervical third of the root (CR). Clearfil SE bond was directly applied to one group (SE) and another (PA) was pretreated with K-etchant gel. Following restoration by flowable composite resin, the teeth were thermally challenged and stored for 2 months. Interfacial gaps observed in the cross-sectional OCT images were analyzed and the bottom cavities exhibited increased gaps compared to the margin and dentin-enamel junction (DEJ). The CR site had a larger gap than at MC and CC in the SE group. DEJ separation at the MC was significantly smaller than that at CC in both groups. Therefore, gap formation depends on the cavity region, location, and bonding protocol.
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Affiliation(s)
- Rima Zakzuk Alshahni
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Yasushi Shimada
- Department of Operative Dentistry, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
| | - Yuan Zhou
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Masahiro Yoshiyama
- Department of Operative Dentistry, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
| | - Alireza Sadr
- Department of Restorative Dentistry, University of Washington, School of Dentistry
| | - Yasunori Sumi
- Division of Oral and Dental Surgery, Department of Advanced Medicine, National Center for Geriatrics and Gerontology, National Hospital for Geriatric Medicine
| | - Junji Tagami
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
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Dutton E, Ludlow M, Mennito A, Kelly A, Evans Z, Culp A, Kessler R, Renne W. The effect different substrates have on the trueness and precision of eight different intraoral scanners. J ESTHET RESTOR DENT 2019; 32:204-218. [PMID: 31568660 DOI: 10.1111/jerd.12528] [Citation(s) in RCA: 43] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2019] [Revised: 07/15/2019] [Accepted: 08/25/2019] [Indexed: 11/29/2022]
Abstract
OBJECTIVE This in vitro study compares the newest generation of intraoral scanners to their older counterparts, and tests whether material substrates affect the trueness and precision of intraoral scanners (IOS). MATERIAL AND METHODS A custom model, used as the reference standard, was fabricated with teeth composed of different dental materials. The reference standard scan was obtained using a three-dimensional (3D) optical scanner, the ATOS III. Experimental scans were obtained using eight different IOS, operated by experienced clinicians, using the manufacturer's recommended scanning strategy. A comprehensive metrology program, Geomagic Control X, was used to compare the reference standard scan with the experimental scans. RESULTS For all scanners tested, except Trios3, the substrate does influence the trueness and precision of the scan. Furthermore, differences exist when comparing the same substrate across different scanners with some of the latest generation scanners clearly leaping ahead of the older generation regarding both trueness and precision. CONCLUSIONS Substrate type affects the trueness and precision of a scan. Active Triangulation scanners are more sensitive to substrate differences than their parallel confocal counterparts. Some scanners scan certain substrates better, but in general the new generation of scanners outperforms the old, across all substrates. CLINICAL SIGNIFICANCE The substrates being scanned play an import role in the trueness and precision of the 3D model. The new generation of scanners is remarkably accurate across all substrates and for complete-arch scanning.
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Affiliation(s)
- Ethan Dutton
- College of Dental Medicine, Medical University of South Carolina, Charleston, South Carolina
| | - Mark Ludlow
- Department of Oral Rehabilitation and Restorative Dentistry, College of Dental Medicine, Medical University of South Carolina, Charleston, South Carolina
| | - Anthony Mennito
- Department of Oral Rehabilitation and Restorative Dentistry, College of Dental Medicine, Medical University of South Carolina, Charleston, South Carolina
| | - Abigail Kelly
- Department of Stomatology, College of Dental Medicine, Medical University of South Carolina, Charleston, South Carolina
| | - Zachary Evans
- Department of Stomatology, College of Dental Medicine, Medical University of South Carolina, Charleston, South Carolina
| | - Alexander Culp
- Department of Orthodontics, College of Dental Medicine, Medical University of South Carolina, Charleston, South Carolina
| | - Raymond Kessler
- Department of Stomatology, College of Dental Medicine, Medical University of South Carolina, Charleston, South Carolina
| | - Walter Renne
- Department of Oral Rehabilitation and Restorative Dentistry, College of Dental Medicine, Medical University of South Carolina, Charleston, South Carolina
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Ding J, Liu W, Sadr A, He Y, Ebihara A, Li Y. Detection of Simulated Periradicular Lesions in Porcine Bone by Optical Coherence Tomography. J Endod 2019; 45:1024-1029. [PMID: 31248699 DOI: 10.1016/j.joen.2019.05.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2018] [Revised: 04/18/2019] [Accepted: 05/09/2019] [Indexed: 11/16/2022]
Abstract
INTRODUCTION The accurate detection of periradicular lesions located under a nonperforated cortical plate poses a challenge in endodontic microsurgery. Optical coherence tomography (OCT) is a noninvasive imaging method that has been successfully used in many dental applications. In this study, we investigated if spectral-domain OCT (SD-OCT) could be used to determine simulated periradicular lesions. METHODS Twenty-eight cavities with different depths were prepared on bone plates obtained from 5 porcine mandibles. Both 3-dimensional SD-OCT imaging and micro-computed tomographic (micro-CT) imaging were used to image the bottom of the air-filled cavity and the cavity filled with soft tissue for comparison. The residual bone thickness under the cavity was measured by SD-OCT and micro-CT imaging and compared using the Pearson correlation. RESULTS The air-filled lesions were readily detected; yet, filling of the cavity with soft tissue diminished the appearance of the lesion boundaries in the SD-OCT images. The optical values of residual bone thickness obtained from SD-OCT ranged from 0.14-2.11 mm, which corresponded to the range of 0.26-1.18 mm from micro-CT imaging. A strong correlation was found between the 2 imaging modalities (r = 0.96; range, 0.94-0.98). The slope (1.56) of the linear regression matched the bulk refractive index of bone tissues. CONCLUSIONS SD-OCT allows for visualization of the lesion boundaries via intact bone surfaces and may be a promising, practical, and nonirradiating adjunct tool for chairside localization of periradicular lesions in bone.
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Affiliation(s)
- Jiangfeng Ding
- Department of Stomatology, Shenzhen Nanshan People's Hospital and the Affiliated Shenzhen Sixth Hospital of Guangdong Medical University, Guangdong Province, China; Central Laboratory, Shenzhen Nanshan People's Hospital and the Affiliated Shenzhen Sixth Hospital of Guangdong Medical University, Guangdong Province, China
| | - Weixiang Liu
- School of Biomedical Engineering, Health Science Center, Shenzhen University, Shenzhen, Guangdong, China
| | - Alireza Sadr
- Department of Restorative Dentistry, University of Washington School of Dentistry, Seattle, Washington
| | - Yonghong He
- Institute of Optical Imaging and Sensing, Shenzhen Key Laboratory for Minimal Invasive Medical Technologies, Graduate School at Shenzhen, Tsinghua University, Shenzhen, China
| | - Arata Ebihara
- Division of Oral Health Sciences, Medical and Dental Sciences Track, Department of Pulp Biology and Endodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
| | - Yifan Li
- Central Laboratory, Shenzhen Nanshan People's Hospital and the Affiliated Shenzhen Sixth Hospital of Guangdong Medical University, Guangdong Province, China.
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Bocklet C, Renne W, Mennito A, Bacro T, Latham J, Evans Z, Ludlow M, Kelly A, Nash J. Effect of scan substrates on accuracy of 7 intraoral digital impression systems using human maxilla model. Orthod Craniofac Res 2019; 22 Suppl 1:168-174. [DOI: 10.1111/ocr.12273] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Accepted: 12/08/2018] [Indexed: 11/26/2022]
Affiliation(s)
- Chris Bocklet
- College of Dental MedicineMedical University of South Carolina Charleston South Carolina
| | - Walter Renne
- Department of Oral Rehabilitation and Restorative DentistryCollege of Dental MedicineMedical University of South Carolina Charleston South Carolina
| | - Anthony Mennito
- Department of Oral Rehabilitation and Restorative DentistryCollege of Dental MedicineMedical University of South Carolina Charleston South Carolina
| | - Thierry Bacro
- Department of Regenerative Medicine and Cell BiologyCenter for Anatomical Studies and EducationMedical University of South Carolina Charleston South Carolina
| | - Jason Latham
- Department of OrthodonticsCollege of Dental MedicineMedical University of South Carolina Charleston South Carolina
| | - Zachary Evans
- Department of Regenerative Medicine and Cell BiologyCenter for Anatomical Studies and EducationMedical University of South Carolina Charleston South Carolina
| | - Mark Ludlow
- Department of Regenerative Medicine and Cell BiologyCenter for Anatomical Studies and EducationMedical University of South Carolina Charleston South Carolina
| | - Abigail Kelly
- Division of Population Oral HealthDepartment of StomatologyCollege of Dental MedicineMedical University of South Carolina Charleston South Carolina
| | - Jansen Nash
- College of Dental MedicineMedical University of South Carolina Charleston South Carolina
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Ei TZ, Shimada Y, Abdou A, Sadr A, Yoshiyama M, Sumi Y, Tagami J. Three-dimensional assessment of proximal contact enamel using optical coherence tomography. Dent Mater 2019; 35:e74-e82. [DOI: 10.1016/j.dental.2019.01.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2018] [Revised: 11/27/2018] [Accepted: 01/11/2019] [Indexed: 11/15/2022]
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Hayashi J, Espigares J, Takagaki T, Shimada Y, Tagami J, Numata T, Chan D, Sadr A. Real-time in-depth imaging of gap formation in bulk-fill resin composites. Dent Mater 2019; 35:585-596. [PMID: 30819550 DOI: 10.1016/j.dental.2019.01.020] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2018] [Revised: 01/29/2019] [Accepted: 01/30/2019] [Indexed: 11/18/2022]
Abstract
OBJECTIVES This study visualized in real-time the gap forming of bulk-fill resin composites during polymerization using optical coherence tomography (OCT). METHODS Light-cured bulk-fill resin composites; Tetric N-ceram Bulk Fill (TNB), SonicFill (SNF), Surefil SDR (SDR), dual-cured bulk-fill resin composite Bulk EZ (BEZ), and light-cured core resin composite Clearfil Photo Core (CPC) were investigated. Swept-source OCT real-time cross-sectional monitoring was obtained during resin composite placement and curing procedure. Gap formation was observed in bonded cylindrical resin composite molds (4-mm depth, 3-mm diameter) and free shrinkage volume was observed at the top and bottom of a tube with similar dimensions (n=10). OCT 3D data were analyzed to calculate sealing floor area percentage (SFA%) and volumetric shrinkage in bonded tube (VS%). Data were analyzed by ANOVA at significance level of 0.05. The bottom-top degree of conversion ratio (DC%-R) through 4-mm depth was measured using the XploRA Plus micro-Raman spectroscopy. RESULTS BEZ showed no gap formation at the cavity floor in any specimens while SNF showed the highest gap formation; the statistical order in terms of SFA% was BEZ (100±0)>TNB (84.97±2.98)>CPC (52.13±8.23)=SDR (45.97±9.21)>SNF (16.23±6.00) (p<0.05). On the other hand, total VS% was statistically ordered as BEZ (3.40±0.14)>SDR (3.22±0.09)>TNB (1.82±0.11)>SNF (1.65±0.04)=CPC (1.56±0.04) (p<0.05). Unlike BEZ, the light-cured resin composites showed larger shrinkage at specimen bottom than top. TNB showed the lowest DC%-R followed by SNF (p<0.05). SIGNIFICANCE Light-cured bulk-fill resin composites showed various degrees of gap formation and shrinkage at 4-mm deep cavity. The dual-cured bulk-filled resin composite showed no decrease of degree of conversion through the depth and the highest cavity adaptation despite its tendency for higher volumetric shrinkage.
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Affiliation(s)
- Juri Hayashi
- Department of Restorative Dentistry, Biomimetics Biomaterials Biophotonics Biomechanics & Technology Laboratory, School of Dentistry, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195-7456, USA; Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, Japan
| | - Jorge Espigares
- Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, Japan
| | - Tomohiro Takagaki
- Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, Japan
| | - Yasushi Shimada
- Department of Operative Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8525, Japan
| | - Junji Tagami
- Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, Japan
| | - Tomoko Numata
- Analytical Technology Center, Horiba Techno Service Co., Ltd., 2-6 Awaji-cho, Kanda, Chiyoda-ku, Tokyo 101-0063, Japan
| | - Daniel Chan
- Department of Restorative Dentistry, Biomimetics Biomaterials Biophotonics Biomechanics & Technology Laboratory, School of Dentistry, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195-7456, USA
| | - Alireza Sadr
- Department of Restorative Dentistry, Biomimetics Biomaterials Biophotonics Biomechanics & Technology Laboratory, School of Dentistry, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195-7456, USA; Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, Japan.
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VELUSAMY P, SHIMADA Y, KANNO Z, ONO T, TAGAMI J. Optical evaluation of enamel white spot lesions around orthodontic brackets using swept-source optical coherence tomography (SS-OCT): An <i>in vitro</i> study. Dent Mater J 2019; 38:22-27. [DOI: 10.4012/dmj.2017-262] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Pavethynath VELUSAMY
- Department of Orthodontic Science, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Yasushi SHIMADA
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
- Department of Operative Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
| | - Zuisei KANNO
- Department of Orthodontic Science, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Takashi ONO
- Department of Orthodontic Science, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Junji TAGAMI
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
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Rashed B, Iino Y, Ebihara A, Okiji T. Evaluation of Crack Formation and Propagation with Ultrasonic Root-End Preparation and Obturation Using a Digital Microscope and Optical Coherence Tomography. SCANNING 2019; 2019:5240430. [PMID: 31969970 PMCID: PMC6955132 DOI: 10.1155/2019/5240430] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Accepted: 12/19/2019] [Indexed: 05/21/2023]
Abstract
OBJECTIVE This study is aimed at determining (1) the effect of root-end resection, ultrasonic root-end preparation, and root-end filling on the incidence of crack formation and propagation by using a digital microscope (DM) and optical coherence tomography (OCT) and (2) the performance of OCT on the detection of cracks by comparing with microcomputed tomography (micro-CT) as a reference standard. METHODOLOGY Thirty extracted lower incisors were endodontically treated and subjected to root-end resection and ultrasonic root-end cavity preparation. Then, the teeth were divided into three groups (n = 10, each), and the root-end cavity was either left unfilled or filled with mineral trioxide aggregate (MTA) or super-EBA. The resected surface was observed with OCT and DM after the root-end resection, ultrasonic root-end preparation, and root-end filling, and the frequency of incomplete and complete cracks were recorded. The observation was repeated after two weeks, one month, and two months, and micro-CT scans after two months were taken as the gold standard. RESULTS The DM results show dentinal crack formation in 47% of the samples following root-end resection and in 87% following ultrasonic preparation. After the ultrasonic preparation, no existing crack propagated to a complete crack, but new cracks were formed. MTA and super-EBA had no effect on crack formation. The Spearman correlation coefficient between OCT and DM was 0.186 (very weak correlation; p = 0.015). Sensitivity and specificity in comparison to micro-CT were 0.50 and 0.55 in OCT and 1.00 and 0.35 in DM, respectively. McNemar's test showed a significant difference between OCT and DM (p < 0.05). CONCLUSION Apical resection and ultrasonic preparation could form dentinal cracks. OCT and DM showed different detection frequencies of cracks with very weak correlation. DM showed superior sensitivity compared with OCT.
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Affiliation(s)
- Bayan Rashed
- Department of Pulp Biology and Endodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
- King Abdul-Aziz Airbase Hospital, Dhahran, Saudi Arabia
| | - Yoshiko Iino
- Department of Pulp Biology and Endodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Arata Ebihara
- Department of Pulp Biology and Endodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Takashi Okiji
- Department of Pulp Biology and Endodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
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41
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Al-Imam H, Michou S, Benetti AR, Gotfredsen K. Evaluation of marginal and internal fit of acrylic bridges using optical coherence tomography. J Oral Rehabil 2018; 46:274-281. [PMID: 30387868 DOI: 10.1111/joor.12746] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2018] [Revised: 10/25/2018] [Accepted: 10/31/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND The potential of non-invasive optical coherence tomography (OCT) as a tool for assessment of fit of indirect reconstructions is not fully explored. OBJECTIVES The objectives were to investigate the feasibility and validity of OCT, and to measure the internal and marginal fit of acrylic bridges fabricated using direct and indirect digitalisation. METHODS The accuracy of the employed swept source OCT (wavelength: 1310 nm) was assessed by comparing with an object with known dimensions. Validity was assessed by measuring an OCT measurements on replica, mimicking the cement film thickness, with stereomicroscopic measurements. The reconstructions were placed on the abutments without cementation. The internal and marginal fit of acrylic bridges from direct and indirect digitalisation techniques were then assessed by obtaining 5 OCT B-scans per abutment tooth at pre-defined positions located 250 μm apart. The marginal and internal cement gaps were measured using image-processing software (ImageJ). Mean and standard deviation were calculated for both groups and t test assuming unequal variances was carried out. The level of significance was defined at 0.05. RESULTS A strong linear correlation (r = 0.865) between OCT and stereomicroscopy was found. T test showed significantly (P < 0.01) better internal fit of bridges made from indirect digitalisation, but no difference in marginal fit. CONCLUSION OCT is a feasible and valid tool for investigating internal and marginal fit of acrylic dental reconstructions. Better internal fit was observed in bridges fabricated using the direct digitalisation technique. No difference in marginal fit was found between the two fabrication methods.
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Affiliation(s)
- Hiba Al-Imam
- Department of Odontology, Section of Oral Rehabilitation, Faculty of Health and Medical Sciences, University of Medical Sciences, University of Copenhagen, Copenhagen, Denmark.,Department of Odontology, Section of Dental Materials, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Stavroula Michou
- Department of Odontology, Section of Dental Materials, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Ana R Benetti
- Department of Odontology, Section of Dental Materials, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Klaus Gotfredsen
- Department of Odontology, Section of Oral Rehabilitation, Faculty of Health and Medical Sciences, University of Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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Santos SMM, Silva PD, Faria-E-Silva AL. Color Changes Caused by Reduction on the Dentin Shade Composite Thickness. Braz Dent J 2018; 29:469-474. [PMID: 30517446 DOI: 10.1590/0103-6440201802394] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2018] [Accepted: 10/16/2018] [Indexed: 11/22/2022] Open
Abstract
This study determined the reduction threshold in thickness of the dentin shade composite necessary to result in perceptible and acceptable color changes on simulated restorations. Three composite systems (Charisma Diamond, IPS Empress Direct, and Filtek Z350 XT) were evaluated using cylinder-shaped specimens built-up with dentin and enamel shades. The opacity of the composites was assessed using 1.0 mm thick specimens over black and white backgrounds. A baseline color was established for each system by combining 1.0 mm thick enamel shade with 3.0 mm of dentin shade cylinders over a dark background (n = 9). Then, the color changes (∆E00) caused by sequential 0.1 mm reductions on dentin shade cylinders were calculated. Opacity changes on dentin shade cylinders and combined enamel-dentin pair cylinders were also assessed after each thickness reduction. Polynomial regression was performed with averages of ∆E00 as a function of thickness of dentin shade cylinders; and acceptability (∆E = 1.77) and perceptibility (∆E = 0.81) thresholds were calculated. Linear regressions were also performed for ∆E00 as function of opacity of dentin shade cylinders and combined enamel-dentin pair of cylinders. Except for Charisma, enamel shades presented the lowest opacity than dentin one. Perceptible and acceptable color changes were observed for dentin shade cylinders thinner than 2.0-2.4 mm and 1.1-1.4 mm, respectively, were used. No difference among the composite systems was observed. In conclusion, reductions on dentin shade composite lower than 0.6-mm did not yield perceptible color changes, and clinically significant color changes only were observed within reductions higher than 1.6-mm.
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Affiliation(s)
| | - Paula Damasceno Silva
- Graduate Programa in Dentistry, UFS - Universidade Federal de Sergipe, Aracaju, SE, Brazil
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43
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Visualization of the pulp chamber roof and residual dentin thickness by spectral-domain optical coherence tomography in vitro. Lasers Med Sci 2018; 34:973-980. [DOI: 10.1007/s10103-018-2686-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2018] [Accepted: 11/07/2018] [Indexed: 02/07/2023]
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44
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LUONG MN, SHIMADA Y, SADR A, YOSHIYAMA M, SUMI Y, TAGAMI J. Cross-sectional imaging of tooth bonding interface after thermal stresses and mechanical fracture. Dent Mater J 2018; 37:754-760. [DOI: 10.4012/dmj.2017-289] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Minh Nguyet LUONG
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Yasushi SHIMADA
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
- Department of Operative Dentistry, Graduate School of Medicine and Dentistry, Okayama University
| | - Alireza SADR
- Biomimetics Biomaterials Biophotonics & Technology Laboratory, Department of Restorative Dentistry, University of Washington School of Dentistry
| | - Masahiro YOSHIYAMA
- Department of Operative Dentistry, Graduate School of Medicine and Dentistry, Okayama University
| | - Yasunori SUMI
- National Center for Geriatrics and Gerontology, Department for Advanced Dental Research, Center of Advanced Medicine for Dental and Oral Diseases
| | - Junji TAGAMI
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
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45
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Impact of Dentinal Tubule Orientation on Dentin Bond Strength. Curr Med Sci 2018; 38:721-726. [PMID: 30128884 DOI: 10.1007/s11596-018-1936-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2017] [Revised: 05/20/2018] [Indexed: 10/28/2022]
Abstract
This study aimed to determine the impact of dentinal tubule orientation on dentin bond strength to provide a reference for clinical cavity preparation in resin-bonded restoration. Patients aged 13-16 years were selected, including 18 males and 21 females. Forty-eight human maxillary first premolars from orthodontic extractions were chosen to prepare the test models with the dentinal tubule orientations perpendicular and parallel to the bonding substrate. The test models in the vertical and parallel groups were divided into three groups: total-etching with 20% phosphoric acid, total-etching with 35% phosphoric acid and self-etching, with the dentinal tubule surfaces bonded with composite resin blocks in each group. After the standard test models of dentinal tubule-composite resin blocks were placed in distilled water and stored at 37°C for 24 h, shearing tests were performed using a universal material testing machine at a crosshead speed of 0.5 mm/min. The bond strength values in the vertical group were 19.33±1.59 MPa for the 20% phosphoric acid group, 21.39±2.34 MPa for the 35% phosphoric acid group, and 16.88±1.54 MPa for the self-etching group. The bond strength values in the parallel group were 24.53±1.99 MPa for the 20% phosphoric acid group, 25.16±2.88 MPa for the 35% phosphoric acid group, and 20.83±1.99 for the self-etching group. After using same total-etching adhesive, the shear bond strength of the parallel group was higher than that of the vertical group, and the difference was statistically significant (P<0.05). Regardless of vertical group or parallel group, the difference in the bond strength value between the total-etching groups and the self-etching group was statistically significant (P<0.05). It was concluded that the dentin bonding substrate which was parallel to the direction of the dentin tubule achieved an improved bond strength; the total-etching adhesives achieved higher bond strengths in dentin bond than the self-etching adhesives.
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46
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Bakhsh TA, Altouki NH, Baeesa LS, Baamer RA, Alshebany RM, Natto Z, Nasir A, Turkistani A, Hasanain F, Naguib GH. Effect of self-etch adhesives on the internal adaptation of composite restoration: a CP-OCT Study. Odontology 2018; 107:165-173. [PMID: 30094650 DOI: 10.1007/s10266-018-0381-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2018] [Accepted: 07/10/2018] [Indexed: 12/20/2022]
Abstract
Despite improvements in dental adhesive materials, internal adaptation remains a challenge in bonded restorations. The aim of this study was to compare microgaps and internal floor adaptation between two different self-etch adhesives in class-V cavities using cross-polarization optical coherence tomography (CP-OCT). In this in vitro study, standardized round class-V cavities were prepared in 20 non-carious human upper central incisor teeth. They were randomly divided into two groups, TN and SE, with each group receiving a different dental adhesive. In TN group, the adhesive used was all-in-one Tetric N-Bond Self-Etch (TN; Ivoclar/Vivadent, Liechtenstein), while SE group was bonded with two-step self-etch Clearfil SE Bond 2 adhesive (SE; Kuraray Noritake Dental Inc, Japan). The prepared cavities were restored with flowable composite and then stored in distilled water for 24 h. Next, they were immersed in silver nitrate, followed by immersion in a photo-developing solution. Optical comparison was carried out by CP-OCT to assess microgaps and composite adaptation at the cavity floor. A Mann-Whitney test was applied to the data, which showed a statistically significant difference in composite adaptation among the two groups (p < 0.001) with the SE group showing superior adaptation. CP-OCT is a reliable tool for non-invasive imaging that gives an insight into composite performance. Better adaptation was found with the two-step self-adhesive for the composite used in this study.
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Affiliation(s)
- Turki A Bakhsh
- Operative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia. .,Dental Department, International Medical Center, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia.
| | - Nour H Altouki
- Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia
| | - Lina S Baeesa
- Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia
| | - Ruba A Baamer
- Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia
| | - Reema M Alshebany
- Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia
| | - Zuhair Natto
- Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia
| | - Adnan Nasir
- Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia
| | - Alaa Turkistani
- Operative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia
| | - Fatin Hasanain
- Operative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia
| | - Ghada H Naguib
- Division of Biomaterials, Department of Operative Dentistry, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 215-89, Saudi Arabia.,Department of Oral Biology, Faculty of Dentistry, Cairo University, Manual Al Roda, Cairo, Egypt
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Zhou Y, Shimada Y, Matin K, Sadr A, Yoshiyama M, Sumi Y, Tagami J. Assessment of root caries under wet and dry conditions using swept-source optical coherence tomography (SS-OCT). Dent Mater J 2018; 37:880-888. [PMID: 29962412 DOI: 10.4012/dmj.2017-273] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The purpose of this study was to compare optical properties of root caries under two observing conditions using swept-source optical coherence tomography (SS-OCT). In vitro and natural root caries were observed by SS-OCT under wet and dry conditions, followed by confocal laser scanning microscope (CLSM) and transverse microradiography (TMR). Signal intensity (SI), distance between SI peaks (SI-distance) and optical lesion depth were obtained from OCT. Lesion depth was measured from CLSM; lesion depth (LDTMR) and mineral loss (ML) were obtained from TMR. In vitro root caries under wet and dry conditions showed different OCT images and SI patterns. Lesion depth of OCT and that of CLSM, SI-distance and LDTMR, LDTMR and ML significantly correlated. Under dry conditions, half natural root caries showed similar OCT images and SI patterns as in vitro root caries. The base of demineralized dentin could be detected more clearly under dry conditions than under wet conditions.
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Affiliation(s)
- Yuan Zhou
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Yasushi Shimada
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.,Department of Operative Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
| | - Khairul Matin
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.,Endowed Department of International Oral Health Science (affiliated with Department of Translational Research), School of Dental Medicine, Tsurumi University
| | - Alireza Sadr
- Biomimetics Biomaterials Biophotonics Biomechanics & Technology Laboratory, Department of Restorative Dentistry, University of Washington
| | - Masahiro Yoshiyama
- Department of Operative Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
| | - Yasunori Sumi
- Division of Oral and Dental Surgery, Department of Advanced Medicine, National Hospital for Geriatric Medicine, National Center for Geriatrics and Gerontology
| | - Junji Tagami
- Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
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Tsubokawa M, Aoki A, Kakizaki S, Taniguchi Y, Ejiri K, Mizutani K, Koshy G, Akizuki T, Oda S, Sumi Y, Izumi Y. In vitro and clinical evaluation of optical coherence tomography for the detection of subgingival calculus and root cementum. J Oral Sci 2018; 60:418-427. [PMID: 29794398 DOI: 10.2334/josnusd.17-0289] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
This study evaluated the effectiveness of swept-source optical coherence tomography (ss-OCT) for detecting calculus and root cementum during periodontal therapy. Optical coherence tomography (OCT) images were taken before and after removal of subgingival calculus from extracted teeth and compared with non-decalcified histological sections. Porcine gingival sheets of various thicknesses were applied to the root surfaces of extracted teeth with calculus and OCT images were taken. OCT images were also taken before and after scaling and root planing (SRP) in human patients. In vitro, calculus was clearly detected as a white-gray amorphous structure on the root surface, which disappeared after removal. Cementum was identified as a thin, dark-gray layer. The calculus could not be clearly observed when soft tissues were present on the root surface. Clinically, supragingival calculus and cementum could be detected clearly with OCT, and subgingival calculus in the buccal cervical area of the anterior and premolar teeth was identified, which disappeared after SRP. Digital processing of the original OCT images was useful for clarifying the calculus. In conclusion, ss-OCT showed potential as a periodontal diagnostic tool for detecting cementum and subgingival calculus, although the practical applications of subgingival imaging remain limited.
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Affiliation(s)
- Masaki Tsubokawa
- Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Akira Aoki
- Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Sho Kakizaki
- Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Yoichi Taniguchi
- Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Kenichiro Ejiri
- Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Koji Mizutani
- Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Geena Koshy
- Department of Periodontics, Sri Sankara Dental College
| | - Tatsuya Akizuki
- Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Shigeru Oda
- Oral Diagnosis and General Dentistry, University Hospital of Dentistry, Tokyo Medical and Dental University
| | - Yasunori Sumi
- Center of Advanced Medicine for Dental and Oral Diseases, National Center for Geriatrics and Gerontology
| | - Yuichi Izumi
- Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
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49
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Comparison of light propagation in dental tissues and nano-filled resin-based composite. Clin Oral Investig 2018; 23:423-433. [DOI: 10.1007/s00784-018-2451-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2017] [Accepted: 04/16/2018] [Indexed: 11/27/2022]
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50
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Bakhsh TA, Bakry AS, Mandurah MM, Abbassy MA. Novel evaluation and treatment techniques for white spot lesions. An in vitro study. Orthod Craniofac Res 2018; 20:170-176. [PMID: 28727319 DOI: 10.1111/ocr.12193] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/28/2017] [Indexed: 11/28/2022]
Abstract
OBJECTIVE White spot lesions (WSLs) are commonly seen during and after orthodontic treatment. Therefore, the objective of this in vitro study was to assess the effect of 45S5-bioglass in remineralizing WSLs using cross-polarization optical coherence tomography (CP-OCT) and confirm the findings by micro-hardness test. METHODS Ceramic orthodontic brackets were bonded to the buccal surface of 45 human premolars with Transbond XT primer followed by Transbond PLUS according to the manufacturer's instructions. Then, all specimens were varnished excluding the area of interest (AOI) around the bonded brackets, immersed in demineralizing solution and divided into three groups: BG, REM and CONT. In BG group, 15 specimens were treated with bioglass paste for 24 hours. REM group had 15 specimens stored in remineralization solution for 24 hours. CONT group had the remaining 15 specimens with no treatment. All specimens were examined under CP-OCT and tested using cross-sectional micro-hardness techniques. RESULTS CP-OCT analysis showed that the maximum pixel value after bioglass application was significantly increased at AOI when compared to CONT and REM groups (P>.05), which was confirmed by the cross-sectional micro-hardness results (P>.05). CONCLUSION Early enamel demineralization and remineralization can be easily and non-invasively monitored with CP-OCT. Bioglass is a potent remineralizing agent.
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Affiliation(s)
- T A Bakhsh
- Operative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - A S Bakry
- Operative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.,Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - M M Mandurah
- King Abdulaziz Hospital, Ministry of Health, Makkah, Saudi Arabia
| | - M A Abbassy
- Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.,Alexandria University, Alexandria, Egypt
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