Methods for Monitoring Erosion Using Optical Coherence Tomography
Kenneth H Chan1, Andrew C Chan1, Cynthia L Darling1
1University of California, San Francisco, San Francisco, CA 94143-0758.
Optical coherence tomography can monitor tooth enamel erosion. A novel laser treatment shows promise for creating a reference layer, though measuring enamel thickness poses challenges for in vivo studies.
Area of Science:
- Dental research
- Biomaterials science
Background:
- Tooth erosion is a significant dental concern.
- Monitoring enamel erosion is crucial for effective treatment.
- Existing in vitro methods lack in vivo applicability.
Purpose of the Study:
- To explore novel in vivo methods for monitoring enamel erosion.
- To evaluate the efficacy of laser treatment as an erosion-resistant layer.
- To assess the feasibility of measuring remaining enamel thickness.
Main Methods:
- Investigated two in vivo approaches for monitoring enamel erosion.
- Measured remaining enamel thickness from tooth surface to dentinal-enamel junction (DEJ).
- Irradiated enamel surfaces with a carbon dioxide laser to create an erosion-resistant reference layer.
Main Results:
- Measuring remaining enamel thickness was challenging due to surface roughening and subsurface demineralization.
- Laser-irradiated areas exhibited reduced erosion rates compared to non-irradiated areas.
- The laser treatment approach showed promise but was dependent on acid challenge severity.
Conclusions:
- Laser treatment offers a potential in vivo method for monitoring enamel erosion.
- Further research is needed to optimize laser treatment for varying acid challenge levels.
- Optical coherence tomography is a valuable tool for assessing dental erosion.
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