Correlation between Lesion Progression and Depolarization Assessed by Polarization-Sensitive Optical Coherence Tomography
The detection of early stages of caries is still one of the major challenges in preservative dentistry. Since it is known from polarized light microscopy (PLM) that intrinsic enamel birefringence is affected by demineralization, polarization-sensitive optical coherence tomography (PSOCT) could facil...
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doaj-74b2d1c5d6cc4c3e843e020797b1a2c52020-11-25T03:21:44ZengMDPI AGApplied Sciences2076-34172020-04-01102971297110.3390/app10082971Correlation between Lesion Progression and Depolarization Assessed by Polarization-Sensitive Optical Coherence TomographyFlorian Tetschke0Jonas Golde1Tobias Rosenauer2Sabine Basche3Julia Walther4Lars Kirsten5Edmund Koch6Christian Hannig7TU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clinical Sensoring and Monitoring, Fetscherstr. 74, 01307 Dresden, GermanyTU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clinical Sensoring and Monitoring, Fetscherstr. 74, 01307 Dresden, GermanyTU Dresden, Faculty of Medicine Carl Gustav Carus, Policlinic of Operative and Pediatric Dentistry, Fetscherstr. 74, 01307 Dresden, GermanyTU Dresden, Faculty of Medicine Carl Gustav Carus, Policlinic of Operative and Pediatric Dentistry, Fetscherstr. 74, 01307 Dresden, GermanyTU Dresden, Faculty of Medicine Carl Gustav Carus, Medical Physics and Biomedical Engineering, Fetscherstr. 74, 01307 Dresden, GermanyTU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clinical Sensoring and Monitoring, Fetscherstr. 74, 01307 Dresden, GermanyTU Dresden, Faculty of Medicine Carl Gustav Carus, Anesthesiology and Intensive Care Medicine, Clinical Sensoring and Monitoring, Fetscherstr. 74, 01307 Dresden, GermanyTU Dresden, Faculty of Medicine Carl Gustav Carus, Policlinic of Operative and Pediatric Dentistry, Fetscherstr. 74, 01307 Dresden, GermanyThe detection of early stages of caries is still one of the major challenges in preservative dentistry. Since it is known from polarized light microscopy (PLM) that intrinsic enamel birefringence is affected by demineralization, polarization-sensitive optical coherence tomography (PSOCT) could facilitate the noninvasive detection and assessment of early carious lesions. The present study aims to correlate enamel lesion progression and depolarization measurements based on PSOCT in an artificial demineralization model. A total of 18 enamel slabs were prepared from bovine incisor teeth and demineralized in an acetic buffer solution for up to 49 days. The degree of polarization (DOP)—indicating depolarization and thus, demineralization—was calculated from PSOCT measurements and compared to lesion depth which was measured from PLM images. Artificial lesions showed characteristic zones of natural enamel demineralization in PLM images. DOP representations showed no depolarization for sound, nondemineralized enamel, whereas significant changes were found after 15 days of acid-exposition. The linear regression analysis of the DOP and the measured lesion depth showed a substantial correlation (<inline-formula> <math display="inline"> <semantics> <mrow> <msup> <mi>R</mi> <mn>2</mn> </msup> <mo>=</mo> <mn>0.71</mn> </mrow> </semantics> </math> </inline-formula>). The results indicate that PSOCT-based depolarization imaging provides an unambiguous contrast for initial enamel demineralization which is correlated to the lesion progression.https://www.mdpi.com/2076-3417/10/8/2971caries detectionartificial cariesdemineralizationoptical coherence tomographydepolarizationpolarized light microscopy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Florian Tetschke Jonas Golde Tobias Rosenauer Sabine Basche Julia Walther Lars Kirsten Edmund Koch Christian Hannig |
spellingShingle |
Florian Tetschke Jonas Golde Tobias Rosenauer Sabine Basche Julia Walther Lars Kirsten Edmund Koch Christian Hannig Correlation between Lesion Progression and Depolarization Assessed by Polarization-Sensitive Optical Coherence Tomography Applied Sciences caries detection artificial caries demineralization optical coherence tomography depolarization polarized light microscopy |
author_facet |
Florian Tetschke Jonas Golde Tobias Rosenauer Sabine Basche Julia Walther Lars Kirsten Edmund Koch Christian Hannig |
author_sort |
Florian Tetschke |
title |
Correlation between Lesion Progression and Depolarization Assessed by Polarization-Sensitive Optical Coherence Tomography |
title_short |
Correlation between Lesion Progression and Depolarization Assessed by Polarization-Sensitive Optical Coherence Tomography |
title_full |
Correlation between Lesion Progression and Depolarization Assessed by Polarization-Sensitive Optical Coherence Tomography |
title_fullStr |
Correlation between Lesion Progression and Depolarization Assessed by Polarization-Sensitive Optical Coherence Tomography |
title_full_unstemmed |
Correlation between Lesion Progression and Depolarization Assessed by Polarization-Sensitive Optical Coherence Tomography |
title_sort |
correlation between lesion progression and depolarization assessed by polarization-sensitive optical coherence tomography |
publisher |
MDPI AG |
series |
Applied Sciences |
issn |
2076-3417 |
publishDate |
2020-04-01 |
description |
The detection of early stages of caries is still one of the major challenges in preservative dentistry. Since it is known from polarized light microscopy (PLM) that intrinsic enamel birefringence is affected by demineralization, polarization-sensitive optical coherence tomography (PSOCT) could facilitate the noninvasive detection and assessment of early carious lesions. The present study aims to correlate enamel lesion progression and depolarization measurements based on PSOCT in an artificial demineralization model. A total of 18 enamel slabs were prepared from bovine incisor teeth and demineralized in an acetic buffer solution for up to 49 days. The degree of polarization (DOP)—indicating depolarization and thus, demineralization—was calculated from PSOCT measurements and compared to lesion depth which was measured from PLM images. Artificial lesions showed characteristic zones of natural enamel demineralization in PLM images. DOP representations showed no depolarization for sound, nondemineralized enamel, whereas significant changes were found after 15 days of acid-exposition. The linear regression analysis of the DOP and the measured lesion depth showed a substantial correlation (<inline-formula> <math display="inline"> <semantics> <mrow> <msup> <mi>R</mi> <mn>2</mn> </msup> <mo>=</mo> <mn>0.71</mn> </mrow> </semantics> </math> </inline-formula>). The results indicate that PSOCT-based depolarization imaging provides an unambiguous contrast for initial enamel demineralization which is correlated to the lesion progression. |
topic |
caries detection artificial caries demineralization optical coherence tomography depolarization polarized light microscopy |
url |
https://www.mdpi.com/2076-3417/10/8/2971 |
work_keys_str_mv |
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1724612851291652096 |