Three-dimensional assessment of proximal contact enamel using optical coherence tomography.

3D imaging Demineralization Enamel International Caries Detection and Assessment System (ICDAS) Microcrack Optical coherence tomography Proximal contact

Journal

Dental materials : official publication of the Academy of Dental Materials
ISSN: 1879-0097
Titre abrégé: Dent Mater
Pays: England
ID NLM: 8508040

Informations de publication

Date de publication:
04 2019
Historique:
received: 18 08 2018
revised: 27 11 2018
accepted: 11 01 2019
pubmed: 17 2 2019
medline: 23 10 2019
entrez: 17 2 2019
Statut: ppublish

Résumé

The purpose of this study was to detect and investigate the association of enamel microcracks with demineralization at proximal contact areas of premolars, using 3D swept-source optical coherence tomography (SS-OCT). Extracted maxillary and mandibular premolars (n=50 each), without any visible tooth cracks, were examined for demineralization of interproximal contact areas, using the International Caries Detection and Assessment System (ICDAS). SS-OCT was used to evaluate demineralization and detect microcracks. Demineralization progression was divided into 4 types by depth: 0 for sound enamel and Type I, II, and III for enamel demineralization penetrating into the outer third, the middle third, and the inner third of the enamel thickness, respectively. Enamel microcracks were classified according to the predominant crack pattern: Type O, no cracks; Type A, subsurface microdefects; Type B, enamel microcrack running along the direction of the enamel prism; Type C, enamel microcrack running transverse to the enamel prism direction; and Type D, a combination of patterns A, B, and C. SS-OCT findings were confirmed by confocal laser scanning microscopy observation. Microcracks confined within the superficial enamel in proximal contact areas were seen as bright lines on SS-OCT. There were significant positive correlations among ICDAS codes, demineralization levels, and microcrack distribution (p≤0.001). The mesial side of maxillary premolars showed significantly more demineralization (n=36) and microcracks (n=27) than that of the mandibular premolars (n=20 and n=14, respectively; p<0.001). The presence of microcracks within the superficial enamel in proximal contact areas could be determined using SS-OCT, and correlated with the level of demineralization. 3D SS-OCT is a valuable diagnostic tool for comprehensive assessment of microstructural changes related to enamel demineralization and crack development.

Identifiants

pubmed: 30770133
pii: S0109-5641(18)31058-3
doi: 10.1016/j.dental.2019.01.008
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Pagination

e74-e82

Informations de copyright

Copyright © 2019 The Academy of Dental Materials. Published by Elsevier Inc. All rights reserved.

Auteurs

Thwe Zin Ei (TZ)

Department of Cariology and Operative Dentistry, Division of Oral Health Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Yasushi Shimada (Y)

Department of Cariology and Operative Dentistry, Division of Oral Health Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan; Department of Operative Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan. Electronic address: shimada.ope@okayama-u.ac.jp.

Ahmed Abdou (A)

Department of Cariology and Operative Dentistry, Division of Oral Health Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan; Biomaterials Department, Faculty of Oral and Dental Medicine, Modern University for Technology and Information, Cairo, Egypt.

Alireza Sadr (A)

Department of Cariology and Operative Dentistry, Division of Oral Health Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan; Biomimetics Biomaterials Biophotonics Biomechanics & Technology Laboratory, Department of Restorative Dentistry, University of Washington, Seattle, WA, USA.

Masahiro Yoshiyama (M)

Department of Operative Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.

Yasunori Sumi (Y)

Center of Advanced Medicine for Dental and Oral Diseases, Department for Advanced Dental Research, National Center for Geriatrics and Gerontology, Aichi, Japan.

Junji Tagami (J)

Department of Cariology and Operative Dentistry, Division of Oral Health Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

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