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Al-Blaihed D, El Meligy O, Baghlaf K, Aljawi RA, Abudawood S. White Spot Lesions in Fixed Orthodontics: A Literature Review on Etiology, Prevention, and Treatment. Cureus 2024; 16:e65679. [PMID: 39205762 PMCID: PMC11356355 DOI: 10.7759/cureus.65679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/29/2024] [Indexed: 09/04/2024] Open
Abstract
White spot lesions (WSLs) are a common complication after treatment using fixed orthodontic appliances. Decalcification of enamel surrounding fixed orthodontic appliances, known as WSLs, poses a significant aesthetic difficulty during and after treatment, as the purpose of fixed orthodontic therapy is to improve facial and dental appearance. Modern dentistry utilizes remineralization therapies to non-invasively treat WSLs to prevent the progression of disease and enhance the strength, appearance, and functionality of the affected tooth. This review aims to identify and assess the etiology, formation, and risk factors, as well as current treatment approaches used in achieving WSLs remineralization, induced by fixed orthodontic appliances. An electronic search on the PubMed and ScienceDirect databases was performed using a selected keyword. A total of 172 studies (from 2013 to 2023) were retrieved. Their references were also checked to find other relevant studies. Duplicate copies were excluded. After the abstract and full-text screening, only 39 studies were included. Even though numerous studies address the different treatment modalities for managing post-orthodontic WSLs, such as antiseptics; fluorides such as dentifrices, mouthwash, and varnish, and remineralizing agents such as casein phosphopeptides amorphous calcium phosphate, biomimetic self-assembling peptides, lasers, bleaching, microabrasion, and resin infiltration. There is a lack of evidence-based studies that examine the long-term effects of WSL treatment. Further well-performed controlled clinical trials with long-term follow-up are needed to establish best clinical practice.
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Affiliation(s)
| | - Omar El Meligy
- Pediatric Dentistry, King Abdulaziz University Faculty of Dentistry, Jeddah, SAU
- Pediatric Dentistry and Dental Public Health, Alexandria University, Alexandria, EGY
| | - Khlood Baghlaf
- Pediatric Dentistry, King Abdulaziz University, Jeddah, SAU
| | - Rabab A Aljawi
- Pediatric Dentistry, King Abdulaziz University Faculty of Dentistry, Jeddah, SAU
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Shankarappa S, Burk JT, Subbaiah P, Rao RN, Doddawad VG. White spot lesions in fixed orthodontic treatment: Etiology, pathophysiology, diagnosis, treatment, and future research perspectives. J Orthod Sci 2024; 13:21. [PMID: 38784071 PMCID: PMC11114457 DOI: 10.4103/jos.jos_205_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 01/16/2024] [Accepted: 01/30/2024] [Indexed: 05/25/2024] Open
Abstract
White spot lesions (WSLs) refer to localized areas of hypo-mineralization limited to the enamel of the teeth surface, which is noticeable clinically to the naked eye on drying of the teeth. During fixed orthodontic treatment, it is very hard for the patient to maintain excellent oral hygiene as the brackets, bands, wires, elastics, and other appliances and attachments worn intra-orally provide a platform for food retention, plaque formation, and then colonization by acidogenic bacteria like Streptococcus mutans and Lactobacillus. This review aims to elaborate and focus on etiology, pathophysiology, diagnosis, treatment aspect, and future scope for research about the WSLs occurring due to fixed orthodontic treatment.
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Affiliation(s)
- Suma Shankarappa
- Department of Orthodontics and Dentofacial Orthopedics, JSS Dental College and Hospital, A Constituent College of JSS Academy of Higher Education and Research, Mysuru, Karnataka, India
| | - Jerusha Titus Burk
- Department of Orthodontics and Dentofacial Orthopedics, JSS Dental College and Hospital, A Constituent College of JSS Academy of Higher Education and Research, Mysuru, Karnataka, India
| | - Pradeep Subbaiah
- Department of Orthodontics and Dentofacial Orthopedics, JSS Dental College and Hospital, A Constituent College of JSS Academy of Higher Education and Research, Mysuru, Karnataka, India
| | - Raghunath Nagasundara Rao
- Department of Orthodontics and Dentofacial Orthopedics, JSS Dental College and Hospital, A Constituent College of JSS Academy of Higher Education and Research, Mysuru, Karnataka, India
| | - Vidya Gowdappa Doddawad
- Department of Oral Pathology and Microbiology, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India
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Cross-sectional visual comparison of remineralization efficacy of various agents on early smooth surface caries of primary teeth with swept source optical coherence tomography. J Oral Biol Craniofac Res 2021; 11:628-637. [PMID: 34603951 DOI: 10.1016/j.jobcr.2021.09.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Revised: 06/16/2021] [Accepted: 09/11/2021] [Indexed: 11/20/2022] Open
Abstract
Purpose Sweptsource optical coherence tomography (SS-OCT) permits cross-sectional observation of surface/subsurface characteristics of enamel including early carious lesions (ECL) or remineralization non-invasively.This study aimed to visually compare the cross-sectional remineralizing efficacy of various agents on ICDAS-II scores-1&2 by using SS-OCT and histology. Methods Baseline SS-OCT (grey-scale/false-colour) and histology was performed on the randomly selected two samples with scores-1&2. Four remineralizing agents [fluoride-varnish (FV), CPP-ACP, nanohydroxy-paste (NHP) and silver-diamine-fluoride (SDF)]were evaluated for 2-or 6-weeks post-remineralization using SS-OCT and histology. Results Score-1&2 baseline SS-OCT images showed a linear-shaped demineralization with dentino-enamel junction (DEJ) visible; and bowl-shaped demineralization with DEJ invisible respectively. Remineralizing agents were assessed on the basis of their ability to remineralize the surface, subsurface and made visualize the DEJ in score-2. SS-OCT showed an outer growth layer in post-remineralization score-1, 2-weeks samples with FV and NHP. All the agents showed progressive subsurface remineralization in 6 weeks. Active lesions showed rapid uptake of minerals on surface. Subsurface mineralization in pigmented score-2 matched sound enamel with NHP and SDF. Surface remineralization was comparable in FV and SDF followed by NHP. SDF demonstrated deeper subsurface remineralization followed by NHP and CPP-ACP. Conclusion SS-OCT images correlated to histology. SS-OCT could monitor surface/subsurface in-situde/remineralization activity non-invasively.
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Yavuz BS, Kargul B. Comparative evaluation of the spectral-domain optical coherence tomography and microhardness for remineralization of enamel caries lesions. Dent Mater J 2021; 40:1115-1121. [PMID: 33980748 DOI: 10.4012/dmj.2020-279] [Citation(s) in RCA: 3] [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
This study aimed to evaluate the Cirrus high-definition (HD) spectral-domain optical coherence tomography (SD-OCT) for the remineralization of artificial enamel caries and to compare it with the comparison surface microhardness (SMH) analysis. Artificial caries lesions were produced on forty human enamel samples. Then, three different remineralization agents containing casein phosphopeptide amorphous calcium phosphate; casein phosphopeptide amorphous calcium fluoride phosphate; calcium glycerophosphate, magnesium chloride, and xylitol; and remineralization solution (control) were applied with pH cycling for six days. The optical depth of backscattered light and microhardness of enamel were measured using SD-OCT and SMH. All remineralization agents were significantly efficient in reducing optical lesion depth on enamels (p1=0.001, p2=0.002, p3=0.006, p4=0.025), and in increasing the SMH of enamels (p1-3=0.005, p4=0.017). However, the optical lesion depths of the enamel showed no correlation with the SMH in the groups. In conclusion, demineralization and remineralization of artificial lesions can be assessed with both SD-OCT and SMH.
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Affiliation(s)
- Betul Sen Yavuz
- Department of Pediatric Dentistry, School of Dental Medicine, Bahcesehir University
| | - Betul Kargul
- Department of Pediatric Dentistry, School of Dentistry, Marmara University
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Macey R, Walsh T, Riley P, Hogan R, Glenny AM, Worthington HV, Clarkson JE, Ricketts D. Transillumination and optical coherence tomography for the detection and diagnosis of enamel caries. Cochrane Database Syst Rev 2021; 1:CD013855. [PMID: 33502759 PMCID: PMC8487162 DOI: 10.1002/14651858.cd013855] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
BACKGROUND Caries is one of the most prevalent and preventable conditions worldwide. If identified early enough then non-invasive techniques can be applied, and therefore this review focusses on early caries involving the enamel surface of the tooth. The cornerstone of caries detection and diagnosis is a visual and tactile dental examination, although alternative approaches are available. These include illumination-based devices that could potentially support the dental examination. There are three categories of illumination devices that exploit various methods of application and interpretation, each primarily defined by different wavelengths, optical coherence tomography (OCT), near-infrared (NIR), and fibre-optic technology, which incorporates more recently developed digital fibre optics (FOTI/DIFOTI). OBJECTIVES To estimate the diagnostic test accuracy of different illumination tests for the detection and diagnosis of enamel caries in children or adults. We also planned to explore the following potential sources of heterogeneity: in vitro or in vivo studies with different reference standards; tooth surface (occlusal, proximal, smooth surface, or adjacent to a restoration); single or multiple sites of assessment on a tooth surface; and the prevalence of caries into dentine. SEARCH METHODS Cochrane Oral Health's Information Specialist undertook a search of the following databases: MEDLINE Ovid (1946 to 15 February 2019); Embase Ovid (1980 to 15 February 2019); US National Institutes of Health Ongoing Trials Register (ClinicalTrials.gov, to 15 February 2019); and the World Health Organization International Clinical Trials Registry Platform (to 15 February 2019). We studied reference lists as well as published systematic review articles. SELECTION CRITERIA We included diagnostic accuracy study designs that compared the use of illumination-based devices with a reference standard (histology, enhanced visual examination with or without radiographs, or operative excavation). These included prospective studies that evaluated the diagnostic accuracy of a single index test and studies that directly compared two or more index tests. Both in vitro and in vivo studies of primary and permanent teeth were eligible for inclusion. We excluded studies that explicitly recruited participants with caries into dentine or frank cavitation. We also excluded studies that artificially created carious lesions and those that used an index test during the excavation of dental caries to ascertain the optimum depth of excavation. DATA COLLECTION AND ANALYSIS Two review authors extracted data independently and in duplicate using a standardised data extraction form and quality assessment based on QUADAS-2 specific to the clinical context. Estimates of diagnostic accuracy were determined using the bivariate hierarchical method to produce summary points of sensitivity and specificity with 95% confidence regions. The comparative accuracy of different illumination devices was conducted based on indirect and direct comparisons between methods. Potential sources of heterogeneity were pre-specified and explored visually and more formally through meta-regression. MAIN RESULTS We included 24 datasets from 23 studies that evaluated 16,702 tooth surfaces. NIR was evaluated in 6 datasets (673 tooth surfaces), OCT in 10 datasets (1171 tooth surfaces), and FOTI/DIFOTI in 8 datasets (14,858 tooth surfaces). The participant selection domain had the largest number of studies judged at high risk of bias (16 studies). Conversely, for the index test, reference standard, and flow and timing domains the majority of studies were judged to be at low risk of bias (16, 12, and 16 studies respectively). Concerns regarding the applicability of the evidence were judged as high or unclear for all domains. Notably, 14 studies were judged to be of high concern for participant selection, due to selective participant recruitment, a lack of independent examiners, and the use of an in vitro study design. The summary estimate across all the included illumination devices was sensitivity 0.75 (95% confidence interval (CI) 0.62 to 0.85) and specificity 0.87 (95% CI 0.82 to 0.92), with a diagnostic odds ratio of 21.52 (95% CI 10.89 to 42.48). In a cohort of 1000 tooth surfaces with a prevalence of enamel caries of 57%, this would result in 142 tooth surfaces being classified as disease free when enamel caries was truly present (false negatives), and 56 tooth surfaces being classified as diseased in the absence of enamel caries (false positives). A formal comparison of the accuracy according to device type indicated a difference in sensitivity and/or specificity (Chi2(4) = 34.17, P < 0.01). Further analysis indicated a difference in the sensitivity of the different devices (Chi2(2) = 31.24, P < 0.01) with a higher sensitivity of 0.94 (95% CI 0.88 to 0.97) for OCT compared to NIR 0.58 (95% CI 0.46 to 0.68) and FOTI/DIFOTI 0.47 (95% CI 0.35 to 0.59), but no meaningful difference in specificity (Chi2(2) = 3.47, P = 0.18). In light of these results, we planned to formally assess potential sources of heterogeneity according to device type, but due to the limited number of studies for each device type we were unable to do so. For interpretation, we presented the coupled forest plots for each device type according to the potential source of heterogeneity. We rated the certainty of the evidence as low and downgraded two levels in total due to avoidable and unavoidable study limitations in the design and conduct of studies, indirectness arising from the in vitro studies, and imprecision of the estimates. AUTHORS' CONCLUSIONS Of the devices evaluated, OCT appears to show the most potential, with superior sensitivity to NIR and fibre-optic devices. Its benefit lies as an add-on tool to support the conventional oral examination to confirm borderline cases in cases of clinical uncertainty. OCT is not currently available to the general dental practitioner, and so further research and development are necessary. FOTI and NIR are more readily available and easy to use; however, they show limitations in their ability to detect enamel caries but may be considered successful in the identification of sound teeth. Future studies should strive to avoid research waste by ensuring that recruitment is conducted in such a way as to minimise selection bias and that studies are clearly and comprehensively reported. In terms of applicability, any future studies should be undertaken in a clinical setting that is reflective of the complexities encountered in caries assessment within the oral cavity.
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Affiliation(s)
- Richard Macey
- Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - Tanya Walsh
- Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - Philip Riley
- Cochrane Oral Health, Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - Richard Hogan
- Dental Health Unit, Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - Anne-Marie Glenny
- Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - Helen V Worthington
- Cochrane Oral Health, Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - Janet E Clarkson
- Division of Oral Health Sciences, Dundee Dental School, University of Dundee, Dundee, UK
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Schneider H, Ahrens M, Strumpski M, Rüger C, Häfer M, Hüttmann G, Theisen-Kunde D, Schulz-Hildebrandt H, Haak R. An Intraoral OCT Probe to Enhanced Detection of Approximal Carious Lesions and Assessment of Restorations. J Clin Med 2020; 9:jcm9103257. [PMID: 33053724 PMCID: PMC7600310 DOI: 10.3390/jcm9103257] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Revised: 10/02/2020] [Accepted: 10/05/2020] [Indexed: 12/18/2022] Open
Abstract
Caries, the world's most common chronic disease, remains a major cause of invasive restorative dental treatment. To take advantage of the diagnostic potential of optical coherence tomography (OCT) in contemporary dental prevention and treatment, an intraorally applicable spectral-domain OCT probe has been developed based on an OCT hand-held scanner equipped with a rigid 90°-optics endoscope. The probe was verified in vitro. In vivo, all tooth surfaces could be imaged with the OCT probe, except the vestibular surfaces of third molars and the proximal surface sections of molars within a "blind spot" at a distance greater than 2.5 mm from the tooth surface. Proximal surfaces of 64 posterior teeth of four volunteers were assessed by intraoral OCT, visual-tactile inspection, bitewing radiography and fiber-optic transillumination. The agreement in detecting healthy and carious surfaces varied greatly between OCT and established methods (18.2-94.7%), whereby the established methods could always be supplemented by OCT. Direct and indirect composite and ceramic restorations with inherent imperfections and failures of the tooth-restoration bond were imaged and qualitatively evaluated. The intraoral OCT probe proved to be a powerful technological approach for the non-invasive imaging of healthy and carious hard tooth tissues and gingiva as well as tooth-colored restorations.
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Affiliation(s)
- Hartmut Schneider
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany; (M.S.); (C.R.); (M.H.); (R.H.)
- Correspondence: ; Tel.: +49-341-97-212-63; Fax: +49-341-97-212-19
| | - Martin Ahrens
- Institut für Biomedizinische Optik, Universität zu Lübeck, 23562 Lübeck, Germany; (M.A.); (G.H.); (H.S.-H.)
- Medizinisches Laserzentrum Lübeck GmbH, 23562 Lübeck, Germany;
| | - Michaela Strumpski
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany; (M.S.); (C.R.); (M.H.); (R.H.)
| | - Claudia Rüger
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany; (M.S.); (C.R.); (M.H.); (R.H.)
| | - Matthias Häfer
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany; (M.S.); (C.R.); (M.H.); (R.H.)
| | - Gereon Hüttmann
- Institut für Biomedizinische Optik, Universität zu Lübeck, 23562 Lübeck, Germany; (M.A.); (G.H.); (H.S.-H.)
- Medizinisches Laserzentrum Lübeck GmbH, 23562 Lübeck, Germany;
- Airway Research Center North (ARCN), German Center for Lung Research (DZL), 23562 Lübeck, Germany
| | | | - Hinnerk Schulz-Hildebrandt
- Institut für Biomedizinische Optik, Universität zu Lübeck, 23562 Lübeck, Germany; (M.A.); (G.H.); (H.S.-H.)
- Medizinisches Laserzentrum Lübeck GmbH, 23562 Lübeck, Germany;
- Airway Research Center North (ARCN), German Center for Lung Research (DZL), 23562 Lübeck, Germany
| | - Rainer Haak
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany; (M.S.); (C.R.); (M.H.); (R.H.)
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Sahyoun CC, Subhash HM, Peru D, Ellwood RP, Pierce MC. An Experimental Review of Optical Coherence Tomography Systems for Noninvasive Assessment of Hard Dental Tissues. Caries Res 2019; 54:43-54. [PMID: 31533102 DOI: 10.1159/000502375] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Accepted: 07/26/2019] [Indexed: 11/19/2022] Open
Abstract
Optical coherence tomography (OCT) is a noninvasive, high-resolution, cross-sectional imaging technique. To date, OCT has been demonstrated in several areas of dentistry, primarily using wavelengths around 1,300 nm, low numerical aperture (NA) imaging lenses, and detectors insensitive to the polarization of light. The objective of this study is to compare the performance of three commercially available OCT systems operating with alternative wavelengths, imaging lenses, and detectors for OCT imaging of dental enamel. Spectral-domain (SD) OCT systems with (i) 840 nm (Lumedica, OQ LabScope 1.0), (ii) 1,300 nm (Thorlabs, Tel320) center wavelengths, and (iii) a swept-source (SS) OCT system (Thorlabs OCS1300SS) centered at 1,325 nm with optional polarization-sensitive detection were used. Low NA (0.04) and high NA (0.15) imaging lenses were used with system (iii). Healthy in vivo and in vitrohuman enamel and eroded in vitro bovine enamel specimens were imaged. The Tel320 system achieved greater imaging depth than the OQ LabScope 1.0, on average imaging 2.6 times deeper into the tooth (n = 10). The low NA lens provided a larger field of view and depth of focus, while the high NA lens provided higher lateral resolution and greater contrast. Polarization-sensitive imaging eliminated birefringent banding artifacts that can appear in conventional OCT scans. In summary, this study illustrates the performance of three commercially available OCT systems, objective lenses, and imaging modes and how these can affect imaging depth, resolution, field of view, and contrast in enamel. Users investigating OCT for dental applications should consider these factors when selecting an OCT system for clinical or basic science studies.
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Affiliation(s)
- Christine C Sahyoun
- Department of Biomedical Engineering, Rutgers, the State University of New Jersey, Piscataway, New Jersey, USA
| | - Hrebesh M Subhash
- Global Development Center, Colgate-Palmolive Company, Piscataway, New Jersey, USA
| | - Deborah Peru
- Global Development Center, Colgate-Palmolive Company, Piscataway, New Jersey, USA
| | - Roger P Ellwood
- Global Development Center, Colgate-Palmolive Company, Piscataway, New Jersey, USA
| | - Mark C Pierce
- Department of Biomedical Engineering, Rutgers, the State University of New Jersey, Piscataway, New Jersey, USA,
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8
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Suzuki S, Kataoka Y, Kanehira M, Kobayashi M, Miyazaki T, Manabe A. Detection of enamel subsurface lesions by swept-source optical coherence tomography. Dent Mater J 2019; 38:303-310. [PMID: 30713283 DOI: 10.4012/dmj.2017-404] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This study aimed to non-destructively analyze the progression of subsurface enamel caries using swept-source optical coherence tomography (SS-OCT), a recently developed imaging analysis modality. Artificial enamel caries at various stages of demineralization were created in bovine tooth enamel using a modified lactic acid gel system. Untreated enamel served as a control. OCT images from cross-sections of enamel were collected. Mineral density, distribution, and histological changes were analyzed using an electron probe microanalyzer, scanning electron microscopy, and contact microradiography. The Raman spectrum and X-ray structural analysis of the enamel surfaces were determined. SS-OCT detected significant differences in mineral loss among the samples. A high-brightness image was confirmed, along with changes in the respective brightness graphs proportionate to the degree of demineralization. SS-OCT can potentially be used to evaluate the progression of incipient enamel carious lesions.
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Affiliation(s)
- Sumiyo Suzuki
- Division of Aesthetic Dentistry and Clinical Cariology, Department of Conservative Dentistry, Showa University School of Dentistry
| | - Yu Kataoka
- Division of Biomaterials and Engineering, Department of Conservative Dentistry, Showa University School of Dentistry
| | - Masafumi Kanehira
- Division of Operative Dentistry, Department of Restorative Dentistry, Tohoku University Graduate School of Dentistry
| | - Mikihiro Kobayashi
- Division of Aesthetic Dentistry and Clinical Cariology, Department of Conservative Dentistry, Showa University School of Dentistry
| | - Takashi Miyazaki
- Division of Biomaterials and Engineering, Department of Conservative Dentistry, Showa University School of Dentistry
| | - Atsufumi Manabe
- Division of Aesthetic Dentistry and Clinical Cariology, Department of Conservative Dentistry, Showa University School of Dentistry
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9
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Remineralization capacity of carious and non-carious white spot lesions: clinical evaluation using ICDAS and SS-OCT. Clin Oral Investig 2018; 23:863-872. [DOI: 10.1007/s00784-018-2503-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2018] [Accepted: 05/30/2018] [Indexed: 10/14/2022]
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10
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Influence of the loci of non-cavitated fissure caries on its detection with optical coherence tomography. J Dent 2018; 71:31-37. [DOI: 10.1016/j.jdent.2018.01.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2017] [Revised: 01/09/2018] [Accepted: 01/23/2018] [Indexed: 11/24/2022] Open
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11
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Nakata T, Kitasako Y, Sadr A, Nakashima S, Tagami J. Effect of a calcium phosphate and fluoride paste on prevention of enamel demineralization. Dent Mater J 2017; 37:65-70. [PMID: 28835599 DOI: 10.4012/dmj.2016-347] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This study aimed to examine the anti-demineralization capacities of (a) tetracalcium phosphate (TTCP) and dicalcium phosphate anhydrous (DCPA) and 950 ppm fluoride paste, (b) casein phosphopeptide amorphous calcium phosphate paste and (c) 950 ppm fluoride solution using optical coherence tomography (OCT). Enamel blocks were cut from the bovine incisors and treated using one of the above-mentioned three materials or deionized water as control (n=10). All samples were subjected to a demineralization gel for 1 h followed by a remineralization solution for 23 h. This experimental cycle was repeated for 28 days. The specimens were imaged using OCT at baseline and at four stages and measured lesion depth using image analysis software (ImageJ). Repeated measures ANOVA revealed that demineralization time, material and their interaction significantly affected the optical lesion depth (p<0.001). TTCP and DCPA and 950 ppm fluoride paste and 950 ppm fluoride solution showed significantly lower lesion progress compare to other groups (p<0.05).
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Affiliation(s)
- Takuya Nakata
- Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Yuichi Kitasako
- Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.,Dental Clinic, Ministry of Foreign Affairs
| | - Alireza Sadr
- Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.,Biomimetics Biomaterials Biophotonics Biomechanics & Technology Laboratory, Department of Restorative Dentistry, University of Washington School of Dentistry
| | - Syozi Nakashima
- Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Junji Tagami
- Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
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12
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Machoy M, Seeliger J, Szyszka-Sommerfeld L, Koprowski R, Gedrange T, Woźniak K. The Use of Optical Coherence Tomography in Dental Diagnostics: A State-of-the-Art Review. JOURNAL OF HEALTHCARE ENGINEERING 2017; 2017:7560645. [PMID: 29065642 PMCID: PMC5534297 DOI: 10.1155/2017/7560645] [Citation(s) in RCA: 59] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/17/2017] [Revised: 05/02/2017] [Accepted: 05/31/2017] [Indexed: 12/14/2022]
Abstract
Optical coherence tomography provides sections of tissues in a noncontact and noninvasive manner. The device measures the time delay and intensity of the light scattered or reflected from biological tissues, which results in tomographic imaging of their internal structure. This is achieved by scanning tissues at a resolution ranging from 1 to 15 μm. OCT enables real-time in situ imaging of tissues without the need for biopsy, histological procedures, or the use of X-rays, so it can be used in many fields of medicine. Its properties are not only particularly used in ophthalmology, in the diagnosis of all layers of the retina, but also increasingly in cardiology, gastroenterology, pulmonology, oncology, and dermatology. The basic properties of OCT, that is, noninvasiveness and low wattage of the used light, have also been appreciated in analytical technology by conservators, who use it to identify the quality and age of paintings, ceramics, or glass. Recently, the OCT technique of visualization is being tested in different fields of dentistry, which is depicted in the article.
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Affiliation(s)
- Monika Machoy
- Division of Orthodontics, Pomeranian Medical University in Szczecin, Ul. Powstańców Wlkp 72, 70-111 Szczecin, Poland
| | - Julia Seeliger
- Division of Orthodontics, Technical University Dresden, Fetscherstrasse 74, 01307 Dresden, Germany
| | - Liliana Szyszka-Sommerfeld
- Division of Orthodontics, Pomeranian Medical University in Szczecin, Ul. Powstańców Wlkp 72, 70-111 Szczecin, Poland
| | - Robert Koprowski
- Department of Biomedical Computer Systems, Faculty of Computer Science and Materials Science, Institute of Computer Science, University of Silesia, Ul. Będzińska 39, 41-200 Sosnowiec, Poland
| | - Tomasz Gedrange
- Division of Orthodontics, Technical University Dresden, Fetscherstrasse 74, 01307 Dresden, Germany
| | - Krzysztof Woźniak
- Division of Orthodontics, Pomeranian Medical University in Szczecin, Ul. Powstańców Wlkp 72, 70-111 Szczecin, Poland
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13
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Sugiura M, Kitasako Y, Sadr A, Shimada Y, Sumi Y, Tagami J. White spot lesion remineralization by sugar-free chewing gum containing bio-available calcium and fluoride: A double-blind randomized controlled trial. J Dent 2016; 54:86-91. [DOI: 10.1016/j.jdent.2016.09.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2016] [Revised: 09/08/2016] [Accepted: 09/13/2016] [Indexed: 10/21/2022] Open
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14
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Ueno T, Shimada Y, Matin K, Zhou Y, Wada I, Sadr A, Sumi Y, Tagami J. Optical analysis of enamel and dentin caries in relation to mineral density using swept-source optical coherence tomography. J Med Imaging (Bellingham) 2016; 3:035507. [PMID: 27704033 DOI: 10.1117/1.jmi.3.3.035507] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2016] [Accepted: 08/30/2016] [Indexed: 12/30/2022] Open
Abstract
The aim of this study was to evaluate the signal intensity and signal attenuation of swept source optical coherence tomography (SS-OCT) for dental caries in relation to the variation of mineral density. SS-OCT observation was performed on the enamel and dentin artificial demineralization and on natural caries. The artificial caries model on enamel and dentin surfaces was created using Streptococcus mutans biofilms incubated in an oral biofilm reactor. The lesions were centrally cross sectioned and SS-OCT scans were obtained in two directions to construct a three-dimensional data set, from the lesion surface (sagittal scan) and parallel to the lesion surface (horizontal scan). The integrated signal up to [Formula: see text] in depth (IS200) and the attenuation coefficient ([Formula: see text]) of the enamel and dentin lesions were calculated from the SS-OCT signal in horizontal scans at five locations of lesion depth. The values were compared with the mineral density obtained from transverse microradiography. Both enamel and dentin demineralization showed significantly higher IS200 and [Formula: see text] than the sound tooth substrate from the sagittal scan. Enamel demineralization showed significantly higher IS200 than sound enamel, even with low levels of demineralization. In demineralized dentin, the [Formula: see text] from the horizontal scan consistently trended downward compared to the sound dentin.
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Affiliation(s)
- Tomoka Ueno
- Graduate School of Tokyo Medical and Dental University , Department of Cariology and Operative Dentistry, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
| | - Yasushi Shimada
- Graduate School of Tokyo Medical and Dental University , Department of Cariology and Operative Dentistry, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
| | - Khairul Matin
- Tsurumi University , School of Dental Medicine, Endowed Department of International Oral Health Science, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama City, Kanagawa, Japan
| | - Yuan Zhou
- Graduate School of Tokyo Medical and Dental University , Department of Cariology and Operative Dentistry, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
| | - Ikumi Wada
- Graduate School of Tokyo Medical and Dental University , Department of Cariology and Operative Dentistry, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
| | - Alireza Sadr
- University of Washington School of Dentistry , Department of Restorative Dentistry, 1959 NE Pacific Street, Seattle, Washington 98195, United States
| | - Yasunori Sumi
- National Center for Geriatrics and Gerontology , Center of Advanced Medicine for Dental and Oral Diseases, Department for Advanced Dental Research 7-430 Morioka-cho, Obu City, Aichi, Japan
| | - Junji Tagami
- Graduate School of Tokyo Medical and Dental University , Department of Cariology and Operative Dentistry, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
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15
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Kitasako Y, Sadr A, Shimada Y, Sumi Y, Tagami J. The Utility of Chewing Gum in Treating White Spot Lesions. ACTA ACUST UNITED AC 2016. [DOI: 10.1007/s40496-016-0083-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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16
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Holtzman JS, Kohanchi D, Biren-Fetz J, Fontana M, Ramchandani M, Osann K, Hallajian L, Mansour S, Nabelsi T, Chung NE, Wilder-Smith P. Detection and proportion of very early dental caries in independent living older adults. Lasers Surg Med 2015; 47:683-8. [PMID: 26414887 PMCID: PMC4699682 DOI: 10.1002/lsm.22411] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/03/2015] [Indexed: 01/21/2023]
Abstract
BACKGROUND AND OBJECTIVES Dental caries is an important healthcare challenge in adults over 65 years of age. Integration of oral health screening into non-dental primary care practice may improve access to preventive dental care for vulnerable populations such as the elderly. Such integration would require easy, fast, and accurate early caries detection tools. Primary goal of this study was to evaluate the diagnostic performance of optical coherence tomography (OCT) imaging for detecting very early caries in the elderly living in community-based settings. The International Caries Detection and Assessment System (ICDAS) served as gold standard. Secondary goal of this study was to provide baseline prevalence data of very early caries lesions in independent living adults aged 65+ years. MATERIALS AND METHODS Seventy-two subjects were recruited from three sites in Southern California: a retirement community, a senior health fair, and a convalescent hospital. Clinical examination was performed using the ICDAS visual criteria and this was followed by OCT imaging. The two-dimensional OCT images (B-scan) were analyzed with simple software. Locations with a log of back-scattered light intensity (BSLI) below 2.9 were scored as sound, and areas equaling or exceeding 2.9 BSLI were considered carious. Diagnostic performance of OCT imaging was compared with ICDAS score. RESULTS OCT-based diagnosis demonstrated very good sensitivity (95.1%) and good specificity (85.8%). 54.7% of dentate subjects had at least one tooth with very early coronal caries. CONCLUSIONS Early coronal decay is prevalent in the unrestored pits and fissures of coronal surfaces of teeth in independent living adults aged 65+ years. Though OCT imaging coupled with a simple diagnostic algorithm can accurately detect areas of very early caries in community-based settings, existing devices are expensive and not well-suited for use by non-dental health care providers. Simple, inexpensive, fast, and accurate tools for early caries detection by field health care providers working in non-traditional settings are urgently needed to support inter-professional dental health management.
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Affiliation(s)
- Jennifer S. Holtzman
- School of Dentistry, University of California Los Angeles, Los Angeles 90095, California
| | - Daniel Kohanchi
- Beckman Laser Institute, University of California Irvine, Irvine 92617, California
| | - John Biren-Fetz
- Beckman Laser Institute, University of California Irvine, Irvine 92617, California
| | | | - Manisha Ramchandani
- School of Dentistry, University of California Los Angeles, Los Angeles 90095, California
| | - Kathryn Osann
- Beckman Laser Institute, University of California Irvine, Irvine 92617, California
| | - Lucy Hallajian
- Beckman Laser Institute, University of California Irvine, Irvine 92617, California
| | - Stephanie Mansour
- Beckman Laser Institute, University of California Irvine, Irvine 92617, California
| | - Tasneem Nabelsi
- Beckman Laser Institute, University of California Irvine, Irvine 92617, California
| | - Na Eun Chung
- Beckman Laser Institute, University of California Irvine, Irvine 92617, California
| | - Petra Wilder-Smith
- Beckman Laser Institute, University of California Irvine, Irvine 92617, California
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