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Valizadeh S, Safi Y, Beigvand A, Farahnaki A. Comparative Diagnostic Accuracy of VistaCam IX Proxi and Bitewing Radiography for Detection of Interproximal Caries. JOURNAL OF DENTISTRY (SHIRAZ, IRAN) 2023; 24:395-403. [PMID: 38149228 PMCID: PMC10749443 DOI: 10.30476/dentjods.2022.95326.1860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 10/03/2022] [Accepted: 11/23/2022] [Indexed: 12/28/2023]
Abstract
Statement of the Problem Early detection of caries and the extent of carious lesions for appropriate treatment planning are very important and lead to introduction of new diagnostic tools. Purpose This study aimed to compare the diagnostic accuracy of VistaCam IX Proxi and bitewing radiography for detection of posterior interproximal caries. Materials and Method This in vitro study was performed on 40 extracted posterior teeth without cavitated carious lesions. Bitewing radiographs were obtained, infrared (IR) examination was performed, and the teeth were sectioned for histopathological analysis under a stereomicroscope as the gold standard for detection of caries and determination of the extent of carious lesions. Data were analyzed with Cohen's kappa statistic, and Wilcoxon rank sum test. Results The specificity of VistaCam IX Proxi and bitewing radiography was 71.4% and 87.7%, respectively. Their sensitivity was 100% and 40% for enamel caries, 72.8% and 54.5% for external half dentin caries, and 82.3% and 58.8% for internal half dentin caries, respectively (p= 0.048). Conclusion Bitewing radiography had a higher specificity and lower rate of false positive results. However, VistaCam IX Proxi had higher sensitivity for caries detection with lower rate of false negative results. Considering the higher sensitivity and significantly lower frequency of false negative results by VistaCam IX Proxi, it may be reliably used for caries detection specially enamel caries, and can serve as an adjunct to bitewing radiography.
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Affiliation(s)
- Solmaz Valizadeh
- Dept. of Oral and Maxillofacial Radiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Yaser Safi
- Dept. of Oral and Maxillofacial Radiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Azadeh Beigvand
- Undergraduate Student of Medicine, Kerman University of Medical Sciences, Kerman, Iran
| | - Arash Farahnaki
- Postgraduate Student, Dept. of Orthodontics, Hamadan University of Medical Sciences, Hamadan, Iran
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Wang A, Qi W, Gao T, Tang X. Molecular Contrast Optical Coherence Tomography and Its Applications in Medicine. Int J Mol Sci 2022; 23:ijms23063038. [PMID: 35328454 PMCID: PMC8949853 DOI: 10.3390/ijms23063038] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 03/05/2022] [Accepted: 03/08/2022] [Indexed: 12/28/2022] Open
Abstract
The growing need to understand the molecular mechanisms of diseases has prompted the revolution in molecular imaging techniques along with nanomedicine development. Conventional optical coherence tomography (OCT) is a low-cost in vivo imaging modality that provides unique high spatial and temporal resolution anatomic images but little molecular information. However, given the widespread adoption of OCT in research and clinical practice, its robust molecular imaging extensions are strongly desired to combine with anatomical images. A range of relevant approaches has been reported already. In this article, we review the recent advances of molecular contrast OCT imaging techniques, the corresponding contrast agents, especially the nanoparticle-based ones, and their applications. We also summarize the properties, design criteria, merit, and demerit of those contrast agents. In the end, the prospects and challenges for further research and development in this field are outlined.
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Zhu Y, Fried D. Measurement of the Depth of Lesions on Proximal Surfaces with SWIR Multispectral Transillumination and Reflectance Imaging. Diagnostics (Basel) 2022; 12:597. [PMID: 35328150 PMCID: PMC8947190 DOI: 10.3390/diagnostics12030597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 02/23/2022] [Accepted: 02/24/2022] [Indexed: 02/05/2023] Open
Abstract
The aim of this study was to compare the diagnostic performance of dual short-wavelength infrared (SWIR) transillumination and reflectance multispectral imaging devices for imaging interproximal lesions with radiography using extracted teeth that had been imaged with micro-computed tomography (microCT). Thirty-six extracted teeth with 67 lesions on the proximal surfaces were imaged using a newly fabricated SWIR multispectral proximal transillumination and reflectance imaging device along with an existing SWIR multispectral occlusal transillumination and reflectance device. The ability of SWIR imaging and radiography to detect lesions and accurately assess lesion dimensions were compared using microCT as a standard. Occlusal and proximal transillumination and occlusal reflectance performed best for imaging interproximal lesions while proximal reflectance was not useful for imaging interproximal lesions from tooth buccal and lingual surfaces. There was high correlation of the lesion dimensions measured in occlusal and proximal transillumination images compared to microCT and moderate correlation in occlusal reflectance images. The correlation between the lesion depth measured in radiographs and the lesion depth measured with microCT was not significant. This study demonstrates that SWIR occlusal and proximal transillumination and SWIR occlusal reflectance images are useful for imaging interproximal lesions and they provide more accurate measurements of lesion severity.
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Affiliation(s)
| | - Daniel Fried
- Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, 707 Parnassus Ave., San Francisco, CA 94143, USA;
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Zhu Y, Simon J, Ng C, Fried D. Compact in vivo handheld dual SWIR transillumination/reflectance imaging system for the detection of proximal and occlusal lesions. PROCEEDINGS OF SPIE--THE INTERNATIONAL SOCIETY FOR OPTICAL ENGINEERING 2021; 11627:116270N. [PMID: 33790493 PMCID: PMC8008980 DOI: 10.1117/12.2584903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
We have developed a clinical probe capable of acquiring simultaneous short wavelength infrared (SWIR) cross-polarized reflectance and occlusal transillumination images of lesions on tooth proximal and occlusal surfaces. We hypothesize that the dual SWIR reflectance and transillumination probe will improve the diagnostic accuracy of the device by reducing false positives since it is unlikely that confounding structural features or specular reflection are going to be present in both reflectance and transillumination images. In addition, the dual probe will provide complementary diagnostic information about lesion severity to help discriminate early superficial lesions on tooth surfaces from deeply penetrating lesions. The dual probe was 3D printed and equipped with a compact InGaAs camera and broadband superluminescent diode light sources that emit broadband light at 1300 nm for occlusal transillumination and 1600 nm light for cross-polarization reflectance measurements. The first clinical images acquired using this novel probe are presented.
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Zhu Y, Abdelaziz M, Simon J, Le O, Fried D. Dual short wavelength infrared transillumination/reflectance mode imaging for caries detection. JOURNAL OF BIOMEDICAL OPTICS 2021; 26:JBO-200352SSR. [PMID: 33515220 PMCID: PMC7844424 DOI: 10.1117/1.jbo.26.4.043004] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Accepted: 01/05/2021] [Indexed: 05/31/2023]
Abstract
SIGNIFICANCE We have developed a clinical probe capable of acquiring near-simultaneous short-wavelength infrared (SWIR) reflectance and occlusal transillumination images of lesions on tooth proximal and occlusal surfaces. We hypothesize that dual images will aid in differentiating between shallow and deep occlusal lesions and reduce the potential of false positives (FPs). AIM The aim of this study was to test the performance of the dual reflectance and occlusal transillumination probe on extracted teeth prior to commencing clinical studies. APPROACH The dual probe was 3D printed and the imaging system uses an InGaAs camera and broadband superluminescent diode light sources that emit broadband light at 1300 nm for occlusal transillumination and 1600-nm light for cross-polarization reflectance. The diagnostic performance of the dual probe was assessed using 120 extracted teeth with approximal and occlusal lesions. Reflectance and transillumination images were fused into single images to enhance the contrast between sound and lesion areas. The lesion contrast in both modes did not increase significantly with either the lesion depth or the distance from the occlusal surface for approximal lesions. In addition, the diagnostic performance of radiography, the individual reflectance and transillumination images, dual images, and fused images were compared using micro-computed tomography as the gold standard. RESULTS Reflectance imaging at 1600 nm yielded the highest diagnostic accuracy for lesions on both occlusal and proximal surfaces while radiography yielded the lowest number of FPs. CONCLUSION This study demonstrates that simultaneous acquisition of both reflectance and transillumination SWIR images is possible with a single clinical device.
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Affiliation(s)
- Yihua Zhu
- University of California, San Francisco, San Francisco, California, United States
| | - Marwa Abdelaziz
- University of California, San Francisco, San Francisco, California, United States
| | - Jacob Simon
- University of California, San Francisco, San Francisco, California, United States
| | - Oanh Le
- University of California, San Francisco, San Francisco, California, United States
| | - Daniel Fried
- University of California, San Francisco, San Francisco, California, United States
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Zhu Y, Chang NY, Fried WA, Yang V, Fried D. A dual handheld SWIR transillumination/reflectance probe for imaging lesions on tooth occlusal and proximal surfaces. PROCEEDINGS OF SPIE--THE INTERNATIONAL SOCIETY FOR OPTICAL ENGINEERING 2020; 11217:112170J. [PMID: 33603261 PMCID: PMC7888982 DOI: 10.1117/12.2550984] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
We developed a clinical probe capable of acquiring simultaneous short wavelength infrared (SWIR) reflectance and occlusal transillumination images of lesions on tooth proximal and occlusal surfaces to reduce the potential of false positives. The dual probe is 3D-printed and the imaging system uses a Ge-enhanced camera and fiber-optic light sources that use SWIR light at 1300-nm for occlusal transillumination and SWIR 1450-nm light for reflectance measurements. The purpose of this study was to test the performance of the probe on extracted teeth prior to commencing clinical studies. The dual probe was used to image extracted teeth with proximal and occlusal lesions. SWIR images of each tooth were compared with micro-CT images to assess performance.
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Affiliation(s)
- Yihua Zhu
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - Nai-Yuan Chang
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - William A. Fried
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - Vincent Yang
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - Daniel Fried
- University of California, San Francisco, San Francisco, CA 94143-0758
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Simon JC, Curtis DA, Darling CL, Fried D. Multispectral near-infrared reflectance and transillumination imaging of occlusal carious lesions: Variation in lesion contrast with lesion depth. PROCEEDINGS OF SPIE--THE INTERNATIONAL SOCIETY FOR OPTICAL ENGINEERING 2018; 10473:1047305. [PMID: 29497229 PMCID: PMC5827960 DOI: 10.1117/12.2296013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
In vivo and in vitro studies have demonstrated that near-infrared (NIR) light at λ=1300-1700-nm can be used to acquire high contrast images of enamel demineralization without interference of stains. The objective of this study was to determine if a relationship exists between the NIR image contrast of occlusal lesions and the depth of the lesion. Extracted teeth with varying amounts of natural occlusal decay were measured using a multispectral-multimodal NIR imaging system which captures λ=1300-nm occlusal transillumination, and λ=1500-1700-nm cross-polarized reflectance images. Image analysis software was used to calculate the lesion contrast detected in both images from matched positions of each imaging modality. Samples were serially sectioned across the lesion with a precision saw, and polarized light microscopy was used to measure the respective lesion depth relative to the dentinoenamel junction. Lesion contrast measured from NIR cross-polarized reflectance images positively correlated (p<0.05) with increasing lesion depth and a statistically significant difference between inner enamel and dentin lesions was observed. The lateral width of pit and fissures lesions measured in both NIR cross-polarized reflectance and NIR transillumination positively correlated with lesion depth.
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Affiliation(s)
- Jacob C Simon
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - Donald A Curtis
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - Cynthia L Darling
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - Daniel Fried
- University of California, San Francisco, San Francisco, CA 94143-0758
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Walther J, Golde J, Kirsten L, Tetschke F, Hempel F, Rosenauer T, Hannig C, Koch E. In vivo imaging of human oral hard and soft tissues by polarization-sensitive optical coherence tomography. JOURNAL OF BIOMEDICAL OPTICS 2017; 22:1-17. [PMID: 29264891 DOI: 10.1117/1.jbo.22.12.121717] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2017] [Accepted: 11/27/2017] [Indexed: 05/21/2023]
Abstract
Since optical coherence tomography (OCT) provides three-dimensional high-resolution images of biological tissue, the benefit of polarization contrast in the field of dentistry is highlighted in this study. Polarization-sensitive OCT (PS OCT) with phase-sensitive recording is used for imaging dental and mucosal tissues in the human oral cavity in vivo. An enhanced polarization contrast of oral structures is reached by analyzing the signals of the co- and crosspolarized channels of the swept source PS OCT system quantitatively with respect to reflectivity, retardation, optic axis orientation, and depolarization. The calculation of these polarization parameters enables a high tissue-specific contrast imaging for the detailed physical interpretation of human oral hard and soft tissues. For the proof-of-principle, imaging of composite restorations and mineralization defects at premolars as well as gingival, lingual, and labial oral mucosa was performed in vivo within the anterior oral cavity. The achieved contrast-enhanced results of the investigated human oral tissues by means of polarization-sensitive imaging are evaluated by the comparison with conventional intensity-based OCT.
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Affiliation(s)
- Julia Walther
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clini, Germany
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Department of Medical Physics and Biomedical Engi, Germany
| | - Jonas Golde
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clini, Germany
| | - Lars Kirsten
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clini, Germany
| | - Florian Tetschke
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clini, Germany
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Policlinic of Operative and Pediatric Dentistry,, Germany
| | - Franz Hempel
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clini, Germany
| | - Tobias Rosenauer
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Policlinic of Operative and Pediatric Dentistry,, Germany
| | - Christian Hannig
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Policlinic of Operative and Pediatric Dentistry,, Germany
| | - Edmund Koch
- TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clini, Germany
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Polarization Sensitive Optical Coherence Tomography: A Review of Technology and Applications. APPLIED SCIENCES-BASEL 2017. [DOI: 10.3390/app7050474] [Citation(s) in RCA: 70] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
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10
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Simon JC, Kang H, Staninec M, Jang AT, Chan KH, Darling CL, Lee RC, Fried D. Near-IR and CP-OCT imaging of suspected occlusal caries lesions. Lasers Surg Med 2017; 49:215-224. [PMID: 28339115 DOI: 10.1002/lsm.22641] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/11/2017] [Indexed: 11/09/2022]
Abstract
INTRODUCTION Radiographic methods have poor sensitivity for occlusal lesions and by the time the lesions are radiolucent they have typically progressed deep into the dentin. New more sensitive imaging methods are needed to detect occlusal lesions. In this study, cross-polarization optical coherence tomography (CP-OCT) and near-IR imaging were used to image questionable occlusal lesions (QOC's) that were not visible on radiographs but had been scheduled for restoration on 30 test subjects. METHODS Near-IR reflectance and transillumination probes incorporating a high definition InGaAs camera and near-IR broadband light sources were used to acquire images of the lesions before restoration. The reflectance probe utilized cross-polarization and operated at wavelengths from 1,500 to 1,700 nm where there is an increase in water absorption for higher contrast. The transillumination probe was operated at 1,300 nm where the transparency of enamel is highest. Tomographic images (6 × 6 × 7 mm3 ) of the lesions were acquired using a high-speed swept-source CP-OCT system operating at 1,300 nm before and after removal of the suspected lesion. RESULTS Near-IR reflectance imaging at 1,500-1,700 nm yielded significantly higher contrast (P < 0.05) of the demineralization in the occlusal grooves compared with visible reflectance imaging. Stains in the occlusal grooves greatly reduced the lesion contrast in the visible range yielding negative values. Only half of the 26 lesions analyzed showed the characteristic surface demineralization and increased reflectivity below the dentinal-enamel junction (DEJ) in 3D OCT images indicative of penetration of the lesion into the dentin. CONCLUSION This study demonstrates that near-IR imaging methods have great potential for improving the early diagnosis of occlusal lesions. Lasers Surg. Med. 49:215-224, 2017. © 2017 Wiley Periodicals, Inc.
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Affiliation(s)
- Jacob C Simon
- University of California, San Francisco, California 94143-0758
| | - Hobin Kang
- University of California, San Francisco, California 94143-0758
| | - Michal Staninec
- University of California, San Francisco, California 94143-0758
| | - Andrew T Jang
- University of California, San Francisco, California 94143-0758
| | - Kenneth H Chan
- University of California, San Francisco, California 94143-0758
| | | | - Robert C Lee
- University of California, San Francisco, California 94143-0758
| | - Daniel Fried
- University of California, San Francisco, California 94143-0758
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11
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Xiao-Hua D, Hui Y, Xiaoli L, Yanni L, Yingying W, Xiaobin L, Lu X. [Ex vivo assessment of the potency of optical coherence tomography for the detection of early occlusal caries]. HUA XI KOU QIANG YI XUE ZA ZHI = HUAXI KOUQIANG YIXUE ZAZHI = WEST CHINA JOURNAL OF STOMATOLOGY 2016; 34:564-569. [PMID: 28318154 DOI: 10.7518/hxkq.2016.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
OBJECTIVE This study aimed to evaluate the potency of optical coherence tomography (OCT) to detect early occlusal caries compared with clinical visual examination. METHODS Approximately 97 sites of occlusal fissures on 77 extracted accessional human teeth were scored by three examiners using conventional visual examination and OCT. Results of histological examination on these sites obtained by polarimicroscope served as a gold standard to analyze the sensitivity (SE), specificity (SP), positive predictive value (PPV), and negative predictive value (NPV). Results of the area under receiver operating characteristic (ROC) curve (AUC) by visual examination and OCT were also analyzed. The Spearman's rank correlation coefficient with histology and the inter-examiner reliability were compared. RESULTS For sites of enamel demineralization limited to the outer 1/2 of the enamel layer, the detection rate of OCT (14/25) was obviously higher than that of the clinical and visual examination (3/25). SE, SP, PPV and NPV of OCT during diagnosis of the early occlusal caries (0.83, 0.64, 0.87 and 0.57) were higher than that of the visual examination (0.79, 0.60, 0.85 and 0.50). AUC (95%CI) of OCT and the visual examination were 0.737 (0.569-0.822) and 0.696 (0.614-0.859), respectively. No statistically significant difference was observed between the results. Results of OCT correlated well with histology (r=0.559, P<0.05). The inter-examiner reliability of OCT was medium. CONCLUSIONS OCT can accurately detect early occlusal lesions atraumatically with high sensitivity and effectiveness. OCT exhibits the potential of auxiliary clinical diagnosis enhancing detection rate and finally implementing early diagnosis and early intervention of early occlusal lesions in clinical practice.
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Affiliation(s)
- Dai Xiao-Hua
- Experimental Research Center, Tianjin Stomatology Hospital, Tianjin 300041, China
| | - Yao Hui
- Experimental Research Center, Tianjin Stomatology Hospital, Tianjin 300041, China
| | - Lian Xiaoli
- Experimental Research Center, Tianjin Stomatology Hospital, Tianjin 300041, China
| | - Li Yanni
- Experimental Research Center, Tianjin Stomatology Hospital, Tianjin 300041, China
| | - Wang Yingying
- Dept. of Conservative Dentistry and Endodontics, Tianjin Stomatology Hospital, Tianjin 300041, China
| | - Liu Xiaobin
- Dept. of Conservative Dentistry and Endodontics, Tianjin Stomatology Hospital, Tianjin 300041, China
| | - Xing Lu
- Dept. of Conservative Dentistry and Endodontics, Tianjin Stomatology Hospital, Tianjin 300041, China
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Simon JC, Darling CL, Fried D. A system for simultaneous near-infrared reflectance and transillumination imaging of occlusal carious lesions. PROCEEDINGS OF SPIE--THE INTERNATIONAL SOCIETY FOR OPTICAL ENGINEERING 2016; 9692. [PMID: 27006524 DOI: 10.1117/12.2218656] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Clinicians need technologies to improve the diagnosis of questionable occlusal carious lesions (QOC's) and determine if decay has penetrated to the underlying dentin. Assessing lesion depth from near-infrared (NIR) images holds great potential due to the high transparency of enamel and stain to NIR light at λ=1300-1700-nm, which allows direct visualization and quantified measurements of enamel demineralization. Unfortunately, NIR reflectance measurements alone are limited in utility for approximating occlusal lesion depth >200-μm due to light attenuation from the lesion body. Previous studies sought to combine NIR reflectance and transillumination measurements taken at λ=1300-nm in order to estimate QOC depth and severity. The objective of this study was to quantify the change in lesion contrast and size measured from multispectral NIR reflectance and transillumination images of natural occlusal carious lesions with increasing lesion depth and severity in order to determine the optimal multimodal wavelength combinations for estimating QOC depth. Extracted teeth with varying amounts of natural occlusal decay were measured using a multispectral-multimodal NIR imaging system at prominent wavelengths within the λ=1300-1700-nm spectral region. Image analysis software was used to calculate lesion contrast and area values between sound and carious enamel regions.
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Affiliation(s)
- Jacob C Simon
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - Cynthia L Darling
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - Daniel Fried
- University of California, San Francisco, San Francisco, CA 94143-0758
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Simon JC, A Lucas S, Lee RC, Darling CL, Staninec M, Vaderhobli R, Pelzner R, Fried D. Near-infrared imaging of secondary caries lesions around composite restorations at wavelengths from 1300-1700-nm. Dent Mater 2016; 32:587-95. [PMID: 26876234 DOI: 10.1016/j.dental.2016.01.008] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2015] [Revised: 08/24/2015] [Accepted: 01/18/2016] [Indexed: 10/22/2022]
Abstract
BACKGROUND AND OBJECTIVES Current clinical methods for diagnosing secondary caries are unreliable for identifying the early stages of decay around restorative materials. The objective of this study was to access the integrity of restoration margins in natural teeth using near-infrared (NIR) reflectance and transillumination images at wavelengths between 1300 and 1700-nm and to determine the optimal NIR wavelengths for discriminating composite materials from dental hard tissues. MATERIALS AND METHODS Twelve composite margins (n=12) consisting of class I, II and V restorations were chosen from ten extracted teeth. The samples were imaged in vitro using NIR transillumination and reflectance, polarization sensitive optical coherence tomography (PS-OCT) and a high-magnification digital microscope. Samples were serially sectioned into 200-μm slices for histological analysis using polarized light microscopy (PLM) and transverse microradiography (TMR). Two independent examiners evaluated the presence of demineralization at the sample margin using visible detection with 10× magnification and NIR images presented digitally. Composite restorations were placed in sixteen sound teeth (n=16) and imaged at multiple NIR wavelengths ranging from λ=1300 to 1700-nm using NIR transillumination. The image contrast was calculated between the composite and sound tooth structure. RESULTS Intensity changes in NIR images at wavelengths ranging from 1300 to 1700-nm correlate with increased mineral loss measured using TMR. NIR reflectance and transillumination at wavelengths coincident with increased water absorption yielded significantly higher (P<0.001) contrast between sound enamel and adjacent demineralized enamel. In addition, NIR reflectance exhibited significantly higher (P<0.01) contrast between sound enamel and adjacent composite restorations than visible reflectance. SIGNIFICANCE This study shows that NIR imaging is well suited for the rapid screening of secondary caries lesions.
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Affiliation(s)
- Jacob C Simon
- Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, CA 94143-0758, United States
| | - Seth A Lucas
- Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, CA 94143-0758, United States
| | - Robert C Lee
- Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, CA 94143-0758, United States
| | - Cynthia L Darling
- Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, CA 94143-0758, United States
| | - Michal Staninec
- Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, CA 94143-0758, United States
| | - Ram Vaderhobli
- Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, CA 94143-0758, United States
| | - Roger Pelzner
- Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, CA 94143-0758, United States
| | - Daniel Fried
- Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, CA 94143-0758, United States.
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van der Veen MH. Detecting Short-Term Changes in the Activity of Caries Lesions with the Aid of New Technologies. CURRENT ORAL HEALTH REPORTS 2015; 2:102-109. [PMID: 26317065 PMCID: PMC4544495 DOI: 10.1007/s40496-015-0050-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
This paper discusses the use of new technologies for the assessment of caries and more in particular changes in caries activity. Over the past decades, we have seen a shift from restorative treatment caries to a prevention-driven approach. Also there is a need for shorter and less expensive caries clinical trials. These demand earlier detection of lesions and the monitoring of lesion changes longitudinally in time, which has led to the development of new technologies to aid clinical visual examination. Also clinical visual inspection indices have been refined to fit this purpose. There is a constant flow of technologies emerging and disappearing. This review discusses the merits of recent developments regarding their respective uses for research purposes in testing new caries prevention strategies as well as in clinical caries management in dental private practice. Which technique to choose highly depends on the needed resolution of information.
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Affiliation(s)
- M. H. van der Veen
- Department of Preventive Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University, Amsterdam, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, The Netherlands
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Simon JC, Lucas S, Lee R, Darling CL, Staninec M, Vanderhobli R, Pelzner R, Fried D. In vitro near-infrared imaging of natural secondary caries. PROCEEDINGS OF SPIE--THE INTERNATIONAL SOCIETY FOR OPTICAL ENGINEERING 2015; 9306. [PMID: 25914495 DOI: 10.1117/12.2083649] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Secondary caries stands as the leading reason for the failure of composite restorations and dentists spend more time replacing existing restorations than placing new ones. Current clinical strategies, and even modern visible light methods designed to detect decay, lack the sensitivity to distinguish incipient lesions, are confounded by staining on the surface and within the tooth, or are limited to detecting decay on the tooth surface. Near-IR (NIR) imaging methods, such as NIR reflectance and transillumination imaging, and optical coherence tomography are promising strategies for imaging secondary caries. Wavelengths longer than 1300-nm avoid interference from stain and exploit the greater transparency of sound enamel and dental composites, to provide increased contrast with demineralized tissues and improved imaging depth. The purpose of this study was to determine whether NIR transillumination (λ=1300-nm) and NIR cross-polarized reflectance (λ=1500-1700-nm) images can serve as reliable indicators of demineralization surrounding composite restorations. Twelve composite margins (n=12) consisting of class I, II & V restorations were chosen from ten extracted teeth. The samples were imaged in vitro using NIR transillumination and reflectance, polarization sensitive optical coherence tomography (PS-OCT) and a high-magnification digital visible light microscope. Samples were serially sectioned into 200-μm slices for histological analysis using polarized light microscopy (PLM) and transverse microradiography (TMR). The results presented demonstrate the utility of NIR light for detecting recurrent decay and suggest that NIR images could be a reliable screening tool used in conjunction with PS-OCT for the detection and diagnosis of secondary caries.
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Affiliation(s)
- Jacob C Simon
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - Seth Lucas
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - Robert Lee
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - Cynthia L Darling
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - Michal Staninec
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - Ram Vanderhobli
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - Roger Pelzner
- University of California, San Francisco, San Francisco, CA 94143-0758
| | - Daniel Fried
- University of California, San Francisco, San Francisco, CA 94143-0758
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