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비파괴적 광학 장비를 이용한 치아 균열 탐지

Application of non-destructive optical devices for cracked tooth detection

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초록

Purpose: The purpose of this study is to quantify the depth of enamel cracks using Quantitative light induced fluorescence-digital (QLF-D) and swept source optical coherence tomography (SS-OCT), and to compare the validity of detection methods. Methods: A total of 80 extracted teeth with cracks in the coronal portion or suspected cracks were selected. First, the nondestructive devices QLF-D and SS-OCT were taken, and then histological evaluation was performed. Cracks was divided into 4 types with depth of the crack: Sound, Initial crack, Moderate crack, and Dentin-enamel junction (DEJ) crack. Results: As a result of the validity of the crack depth, the SS-OCT showed the highest sensitivity for detecting initial cracks at 0.98, and the lowest sensitivity for detecting DEJ cracks at 0.70. When detected with QLF-D, the cut-off value of the maximum fluorescence loss for detecting initial cracks was 5, and showed a sensitivity and a specificity of 1.00. Conclusions: The application of SS-OCT and QLF-D in diagnosing cracked teeth will not only be effective in detecting early stage cracks, but will also help to establish an appropriate treatment plan for crack progression.

Abstract

Purpose: The purpose of this study is to quantify the depth of enamel cracks using Quantitative light induced fluorescence-digital (QLF-D) and swept source optical coherence tomography (SS-OCT), and to compare the validity of detection methods. Methods: A total of 80 extracted teeth with cracks in the coronal portion or suspected cracks were selected. First, the nondestructive devices QLF-D and SS-OCT were taken, and then histological evaluation was performed. Cracks was divided into 4 types with depth of the crack: Sound, Initial crack, Moderate crack, and Dentin-enamel junction (DEJ) crack. Results: As a result of the validity of the crack depth, the SS-OCT showed the highest sensitivity for detecting initial cracks at 0.98, and the lowest sensitivity for detecting DEJ cracks at 0.70. When detected with QLF-D, the cut-off value of the maximum fluorescence loss for detecting initial cracks was 5, and showed a sensitivity and a specificity of 1.00. Conclusions: The application of SS-OCT and QLF-D in diagnosing cracked teeth will not only be effective in detecting early stage cracks, but will also help to establish an appropriate treatment plan for crack progression.

참고문헌 (19)

  1. Cameron CE, "The cracked tooth syndrome : additional findings", J Am Dent Assoc, 93(5), pp.971~975 (1976)
  2. Hilton TJ, "Associations of types of pain with crack-level, tooth-level and patient-level characteristics in posterior teeth with visible cracks: Findings from the National Dental Practice-Based Research Network", J Dent, 70, pp.67~73 (2018)
  3. Hilton TJ, "Recommended treatment of cracked teeth: Results from the National Dental Practice-Based Research Network", J Prosthet Dent, 123(1), pp.71~78 (2020)
  4. Kahler W, "The cracked tooth conundrum: terminology, classification, diagnosis, and management", Am J Dent, 21(5), pp.275~282 (2008)
  5. Barthel CR, "Bacterial leakage versus dye leakage in obturated root canals", Int Endod J, 32(5), pp.370~375 (1999)
  6. Ku HM, "Using autofluorescence to detect bacterial contamination in root fractures", J Dent, 86, pp.27~32 (2019)
  7. Bruna Paloma de Oliveira, "Detection of Apical Root Cracks Using Spectral Domain and Swept-source Optical Coherence Tomography", Journal of Endodontics, 43(7), pp.1148~1151 (2017), Elsevier BV[DOI]
  8. Kim JH, "Association between longitudinal tooth fractures and visual detection methods in diagnosis", J Dent, 101, pp.103466~ (2020)
  9. Wright HM, Jr., "Identification of resected root-end dentinal cracks : a comparative study of transillumination and dyes", J Endod, 30(10), pp.712~715 (2004)
  10. Layton CA, "Evaluation of cracks associated with ultrasonic root-end preparation", J Endod, 22(4), pp.157~160 (1996)
  11. Jun MK, "Detection and Analysis of Enamel Cracks by Quantitative Light-induced Fluorescence Technology", J Endod, 42(3), pp.500~504 (2016)
  12. Li Z, "Detection and analysis of enamel cracks by ICG-NIR fluorescence dental imaging", Ann N Y Acad Sci, 1475(1), pp.52~63 (2020)
  13. Jun MK, "Diagnosis and management of cracked tooth by quantitative light-induced fluorescence technology", Photodiagnosis Photodyn Ther, 26, pp.324~326 (2019)
  14. Lee JY, "Quantitative light-induced fluorescence as a potential tool for detection of enamel chemical composition", Photodiagnosis Photodyn Ther, 32, pp.102054~ (2020)
  15. van der Veen MH, "Application of quantitative light-induced fluorescence for assessing early caries lesions", Monogr Oral Sci, 17, pp.144~162 (2000)
  16. Segarra MS, "Three-Dimensional Analysis of Enamel Crack Behavior Using Optical Coherence Tomography", J Dent Res, 96(3), pp.308~314 (2017)
  17. Ricucci D, "Histobacteriologic Conditions of the Apical Root Canal System and Periapical Tissues in Teeth Associated with Sinus Tracts", J Endod, 44(3), pp.405~413 (2018)
  18. Imai K, "Noninvasive crosssectional visualization of enamel cracks by optical coherence tomography in vitro", J Endod, 38(9), pp.1269~1274 (2012)
  19. Hariri I, "Effects of structural orientation of enamel and dentine on light attenuation and local refractive index : an optical coherence tomography study", J Dent, 40(5), pp.387~396 (2012)

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