Ability of optical coherence tomography to detect caries beneath commonly used dental sealants
Background and Objective The onset and progression of early tooth decay is often preventable with dental sealants. However, occasionally decay progresses underneath the sealant. Current technology does not permit monitoring of potential lesion progression or arrest. Dental sealants themselves mask t...
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| Published in: | Lasers in surgery and medicine Vol. 42; no. 8; pp. 752 - 759 |
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| Main Authors: | , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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01.10.2010
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| ISSN: | 0196-8092, 1096-9101, 1096-9101 |
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| Abstract | Background and Objective
The onset and progression of early tooth decay is often preventable with dental sealants. However, occasionally decay progresses underneath the sealant. Current technology does not permit monitoring of potential lesion progression or arrest. Dental sealants themselves mask the visual cues that identify early tooth decay, and radiographs are not sufficiently sensitive. Therefore, clinicians can be reluctant to use dental sealant. The objective of this ex vivo study was to evaluate the ability of dentists to detect decay beneath commonly used dental sealants using optical coherence tomography (OCT) imaging.
Study Designs/Materials/Methods
Forty extracted teeth were divided into equal groups of carious and non‐carious teeth, as determined by visual inspection. After radiographs and OCT imaging, teeth were randomly assigned for sealant placement with one of four commonly purchased dental sealants: Clinpro™, Fuji Triage™, Embrace Wet Bond™, and Delton™.
Following sealant placement, teeth were radiographed, imaged with OCT, sectioned, examined histologically, and scored as healthy/not healthy. OCT and radiographic images were scored separately. The gold standard was histopathological diagnosis from the serial sections.
Cohen's kappa, sensitivity, negative predictive value, and positive predictive value were computed for all measures.
Results
After 90 minutes training, pre‐standardized dentists were able to detect tooth decay more accurately using OCT than with visual or radiographic examination. Detection using OCT was somewhat better prior to sealant placement than afterwards. This effect varied in size depending on the type of sealant used. Radiographic diagnosis was also less accurate after sealant placement. Of the four dental sealants, Delton provided excellent positive predictive value and the best post‐sealant negative predictive values.
Conclusion
In this ex vivo study, dentists were able to detect tooth decay beneath four commonly used dental sealants based on OCT images. Clinical investigations are now underway to determine the usefulness of this approach in vivo. Lasers Surg. Med. 42:752–759, 2010 © 2010 Wiley‐Liss, Inc. |
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| AbstractList | The onset and progression of early tooth decay is often preventable with dental sealants. However, occasionally decay progresses underneath the sealant. Current technology does not permit monitoring of potential lesion progression or arrest. Dental sealants themselves mask the visual cues that identify early tooth decay, and radiographs are not sufficiently sensitive. Therefore, clinicians can be reluctant to use dental sealant. The objective of this ex vivo study was to evaluate the ability of dentists to detect decay beneath commonly used dental sealants using optical coherence tomography (OCT) imaging. STUDY DESIGNS/MATERIALS/METHODS: Forty extracted teeth were divided into equal groups of carious and non-carious teeth, as determined by visual inspection. After radiographs and OCT imaging, teeth were randomly assigned for sealant placement with one of four commonly purchased dental sealants: Clinpro™, Fuji Triage™, Embrace Wet Bond™, and Delton™.Following sealant placement, teeth were radiographed, imaged with OCT, sectioned, examined histologically, and scored as healthy/not healthy. OCT and radiographic images were scored separately. The gold standard was histopathological diagnosis from the serial sections.Cohen's kappa, sensitivity, negative predictive value, and positive predictive value were computed for all measures.BACKGROUND AND OBJECTIVEThe onset and progression of early tooth decay is often preventable with dental sealants. However, occasionally decay progresses underneath the sealant. Current technology does not permit monitoring of potential lesion progression or arrest. Dental sealants themselves mask the visual cues that identify early tooth decay, and radiographs are not sufficiently sensitive. Therefore, clinicians can be reluctant to use dental sealant. The objective of this ex vivo study was to evaluate the ability of dentists to detect decay beneath commonly used dental sealants using optical coherence tomography (OCT) imaging. STUDY DESIGNS/MATERIALS/METHODS: Forty extracted teeth were divided into equal groups of carious and non-carious teeth, as determined by visual inspection. After radiographs and OCT imaging, teeth were randomly assigned for sealant placement with one of four commonly purchased dental sealants: Clinpro™, Fuji Triage™, Embrace Wet Bond™, and Delton™.Following sealant placement, teeth were radiographed, imaged with OCT, sectioned, examined histologically, and scored as healthy/not healthy. OCT and radiographic images were scored separately. The gold standard was histopathological diagnosis from the serial sections.Cohen's kappa, sensitivity, negative predictive value, and positive predictive value were computed for all measures.After 90 minutes training, pre-standardized dentists were able to detect tooth decay more accurately using OCT than with visual or radiographic examination. Detection using OCT was somewhat better prior to sealant placement than afterwards. This effect varied in size depending on the type of sealant used. Radiographic diagnosis was also less accurate after sealant placement. Of the four dental sealants, Delton provided excellent positive predictive value and the best post-sealant negative predictive values.RESULTSAfter 90 minutes training, pre-standardized dentists were able to detect tooth decay more accurately using OCT than with visual or radiographic examination. Detection using OCT was somewhat better prior to sealant placement than afterwards. This effect varied in size depending on the type of sealant used. Radiographic diagnosis was also less accurate after sealant placement. Of the four dental sealants, Delton provided excellent positive predictive value and the best post-sealant negative predictive values.In this ex vivo study, dentists were able to detect tooth decay beneath four commonly used dental sealants based on OCT images. Clinical investigations are now underway to determine the usefulness of this approach in vivo.CONCLUSIONIn this ex vivo study, dentists were able to detect tooth decay beneath four commonly used dental sealants based on OCT images. Clinical investigations are now underway to determine the usefulness of this approach in vivo. The onset and progression of early tooth decay is often preventable with dental sealants. However, occasionally decay progresses underneath the sealant. Current technology does not permit monitoring of potential lesion progression or arrest. Dental sealants themselves mask the visual cues that identify early tooth decay, and radiographs are not sufficiently sensitive. Therefore, clinicians can be reluctant to use dental sealant. The objective of this ex vivo study was to evaluate the ability of dentists to detect decay beneath commonly used dental sealants using optical coherence tomography (OCT) imaging. STUDY DESIGNS/MATERIALS/METHODS: Forty extracted teeth were divided into equal groups of carious and non-carious teeth, as determined by visual inspection. After radiographs and OCT imaging, teeth were randomly assigned for sealant placement with one of four commonly purchased dental sealants: Clinpro™, Fuji Triage™, Embrace Wet Bond™, and Delton™.Following sealant placement, teeth were radiographed, imaged with OCT, sectioned, examined histologically, and scored as healthy/not healthy. OCT and radiographic images were scored separately. The gold standard was histopathological diagnosis from the serial sections.Cohen's kappa, sensitivity, negative predictive value, and positive predictive value were computed for all measures. After 90 minutes training, pre-standardized dentists were able to detect tooth decay more accurately using OCT than with visual or radiographic examination. Detection using OCT was somewhat better prior to sealant placement than afterwards. This effect varied in size depending on the type of sealant used. Radiographic diagnosis was also less accurate after sealant placement. Of the four dental sealants, Delton provided excellent positive predictive value and the best post-sealant negative predictive values. In this ex vivo study, dentists were able to detect tooth decay beneath four commonly used dental sealants based on OCT images. Clinical investigations are now underway to determine the usefulness of this approach in vivo. Background and Objective The onset and progression of early tooth decay is often preventable with dental sealants. However, occasionally decay progresses underneath the sealant. Current technology does not permit monitoring of potential lesion progression or arrest. Dental sealants themselves mask the visual cues that identify early tooth decay, and radiographs are not sufficiently sensitive. Therefore, clinicians can be reluctant to use dental sealant. The objective of this ex vivo study was to evaluate the ability of dentists to detect decay beneath commonly used dental sealants using optical coherence tomography (OCT) imaging. Study Designs/Materials/Methods Forty extracted teeth were divided into equal groups of carious and non‐carious teeth, as determined by visual inspection. After radiographs and OCT imaging, teeth were randomly assigned for sealant placement with one of four commonly purchased dental sealants: Clinpro™, Fuji Triage™, Embrace Wet Bond™, and Delton™. Following sealant placement, teeth were radiographed, imaged with OCT, sectioned, examined histologically, and scored as healthy/not healthy. OCT and radiographic images were scored separately. The gold standard was histopathological diagnosis from the serial sections. Cohen's kappa, sensitivity, negative predictive value, and positive predictive value were computed for all measures. Results After 90 minutes training, pre‐standardized dentists were able to detect tooth decay more accurately using OCT than with visual or radiographic examination. Detection using OCT was somewhat better prior to sealant placement than afterwards. This effect varied in size depending on the type of sealant used. Radiographic diagnosis was also less accurate after sealant placement. Of the four dental sealants, Delton provided excellent positive predictive value and the best post‐sealant negative predictive values. Conclusion In this ex vivo study, dentists were able to detect tooth decay beneath four commonly used dental sealants based on OCT images. Clinical investigations are now underway to determine the usefulness of this approach in vivo. Lasers Surg. Med. 42:752–759, 2010 © 2010 Wiley‐Liss, Inc. Background and Objective The onset and progression of early tooth decay is often preventable with dental sealants. However, occasionally decay progresses underneath the sealant. Current technology does not permit monitoring of potential lesion progression or arrest. Dental sealants themselves mask the visual cues that identify early tooth decay, and radiographs are not sufficiently sensitive. Therefore, clinicians can be reluctant to use dental sealant. The objective of this ex vivo study was to evaluate the ability of dentists to detect decay beneath commonly used dental sealants using optical coherence tomography (OCT) imaging. Study Designs/Materials/Methods Forty extracted teeth were divided into equal groups of carious and non-carious teeth, as determined by visual inspection. After radiographs and OCT imaging, teeth were randomly assigned for sealant placement with one of four commonly purchased dental sealants: Clinpro Delta TM, Fuji Triage Delta TM, Embrace Wet Bond Delta TM, and Delton Delta TM. Following sealant placement, teeth were radiographed, imaged with OCT, sectioned, examined histologically, and scored as healthy/not healthy. OCT and radiographic images were scored separately. The gold standard was histopathological diagnosis from the serial sections. Cohen's kappa, sensitivity, negative predictive value, and positive predictive value were computed for all measures. Results After 90minutes training, pre-standardized dentists were able to detect tooth decay more accurately using OCT than with visual or radiographic examination. Detection using OCT was somewhat better prior to sealant placement than afterwards. This effect varied in size depending on the type of sealant used. Radiographic diagnosis was also less accurate after sealant placement. Of the four dental sealants, Delton provided excellent positive predictive value and the best post-sealant negative predictive values. Conclusion In this ex vivo study, dentists were able to detect tooth decay beneath four commonly used dental sealants based on OCT images. Clinical investigations are now underway to determine the usefulness of this approach in vivo. Lasers Surg. Med. 42:752-759, 2010 ? 2010 Wiley-Liss, Inc. |
| Author | Chen, Zhongping Holtzman, Jennifer S. Lee, Kenneth Osann, Kathryn Wilder-Smith, Petra Pharar, Jessica Tucker, Travis Sabet, Sharareh Gukasyan, Ripsik Ahn, Yeh-chan |
| Author_xml | – sequence: 1 givenname: Jennifer S. surname: Holtzman fullname: Holtzman, Jennifer S. email: holtzman.jennifer@gmail.com organization: The Herman Ostrow School of Dentistry, University of Southern California, 3305B South Hoover Street, Bldg A, Room 120, Los Angeles, California 90089-71001 – sequence: 2 givenname: Kathryn surname: Osann fullname: Osann, Kathryn organization: Office of Research, University of California, Irvine, 160 Aldrich Hall, Irvine, California 92697-3175 – sequence: 3 givenname: Jessica surname: Pharar fullname: Pharar, Jessica organization: Beckman Laser Institute, University of California, Irvine, 1002 Health Sciences Rd, Irvine, California 92612 – sequence: 4 givenname: Kenneth surname: Lee fullname: Lee, Kenneth organization: Beckman Laser Institute, University of California, Irvine, 1002 Health Sciences Rd, Irvine, California 92612 – sequence: 5 givenname: Yeh-chan surname: Ahn fullname: Ahn, Yeh-chan organization: Beckman Laser Institute, University of California, Irvine, 1002 Health Sciences Rd, Irvine, California 92612 – sequence: 6 givenname: Travis surname: Tucker fullname: Tucker, Travis organization: Beckman Laser Institute, University of California, Irvine, 1002 Health Sciences Rd, Irvine, California 92612 – sequence: 7 givenname: Sharareh surname: Sabet fullname: Sabet, Sharareh organization: University of Pennsylvania School of Dental Medicine (DMD 2012), 240 South 40th Street, Philadelphia, Pennsylvania 19104-6030 – sequence: 8 givenname: Zhongping surname: Chen fullname: Chen, Zhongping organization: Beckman Laser Institute, University of California, Irvine, 1002 Health Sciences Rd, Irvine, California 92612 – sequence: 9 givenname: Ripsik surname: Gukasyan fullname: Gukasyan, Ripsik organization: The Herman Ostrow School of Dentistry, 925 West 34th Street, Los Angeles, California 90089 – sequence: 10 givenname: Petra surname: Wilder-Smith fullname: Wilder-Smith, Petra email: pwsmith@uci.edu organization: Beckman Laser Institute, University of California, Irvine, 1002 Health Sciences Rd, Irvine, California 92612 |
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| Score | 2.169671 |
| Snippet | Background and Objective
The onset and progression of early tooth decay is often preventable with dental sealants. However, occasionally decay progresses... The onset and progression of early tooth decay is often preventable with dental sealants. However, occasionally decay progresses underneath the sealant.... Background and Objective The onset and progression of early tooth decay is often preventable with dental sealants. However, occasionally decay progresses... |
| SourceID | pubmedcentral proquest pubmed crossref wiley istex |
| SourceType | Open Access Repository Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 752 |
| SubjectTerms | Dental caries Dental Caries - diagnosis dental decay dental diagnosis Dental sealants enamel demineralization Humans imaging Lasers Pit and Fissure Sealants radiographs Radiography Teeth Tomography Tomography, Optical Coherence tooth decay Visual stimuli |
| Title | Ability of optical coherence tomography to detect caries beneath commonly used dental sealants |
| URI | https://api.istex.fr/ark:/67375/WNG-N8X49ZX4-M/fulltext.pdf https://onlinelibrary.wiley.com/doi/abs/10.1002%2Flsm.20963 https://www.ncbi.nlm.nih.gov/pubmed/20848554 https://www.proquest.com/docview/1017961531 https://www.proquest.com/docview/756663742 https://pubmed.ncbi.nlm.nih.gov/PMC3369270 |
| Volume | 42 |
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