24 February 2015 In-vitro near-infrared imaging of natural secondary caries
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Proceedings Volume 9306, Lasers in Dentistry XXI; 93060F (2015) https://doi.org/10.1117/12.2083649
Event: SPIE BiOS, 2015, San Francisco, California, United States
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 crosspolarized 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 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 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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Jacob C. Simon, Jacob C. Simon, Seth Lucas, Seth Lucas, Robert Lee, Robert Lee, Cynthia L. Darling, Cynthia L. Darling, Michal Staninec, Michal Staninec, Ram Vanderhobli, Ram Vanderhobli, Roger Pelzner, Roger Pelzner, Daniel Fried, Daniel Fried, } "In-vitro near-infrared imaging of natural secondary caries", Proc. SPIE 9306, Lasers in Dentistry XXI, 93060F (24 February 2015); doi: 10.1117/12.2083649; https://doi.org/10.1117/12.2083649
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