Selective removal of demineralized enamel using a CO2 laser coupled with near-IR reflectance imaging

Henry Tom; Kenneth H. Chan; Daniel Saltiel; Daniel Fried

doi:10.1117/12.2083647

24 February 2015 Selective removal of demineralized enamel using a CO₂ laser coupled with near-IR reflectance imaging

Henry Tom, Kenneth H. Chan, Daniel Saltiel, Daniel Fried

Proceedings Volume 9306, Lasers in Dentistry XXI; 93060M (2015) https://doi.org/10.1117/12.2083647
Event: SPIE BiOS, 2015, San Francisco, California, United States

Abstract

Detection and diagnosis of early dental caries lesions can be difficult due to variable tooth coloration, staining of the teeth and poor contrast between sound and demineralized enamel. These problems can be overcome by using near-infrared (NIR) imaging. Previous studies have demonstrated that lasers can be integrated with NIR imaging devices, allowing image-guided ablation. The aim of this study was to demonstrate that NIR light at 1500 – 1700 nm can be used to guide a 9.3-μm CO₂ laser for the selective ablation of early demineralization on tooth occlusal surfaces. The occlusal surfaces of ten sound human molars were used in this in-vitro study. Shallow simulated caries lesions of varying depth and position were produced on tooth occlusal surfaces using a demineralization solution. Sequential NIR reflectance images at 1500 – 1700 nm were used to guide the laser for selective ablation of the lesion areas. Digital microscopy and polarization sensitive optical coherence tomography (PS-OCT) were used to assess the selectivity of removal. This study demonstrates that high contrast NIR reflectance images can be used for the image-guided laser ablation of early demineralization from tooth occlusal surfaces.

Citation Download Citation

Henry Tom, Kenneth H. Chan, Daniel Saltiel, and Daniel Fried "Selective removal of demineralized enamel using a CO₂ laser coupled with near-IR reflectance imaging", Proc. SPIE 9306, Lasers in Dentistry XXI, 93060M (24 February 2015); https://doi.org/10.1117/12.2083647

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