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Monitoring silver diamine fluoride application with optical coherence tomography.

M Abdelaziz1,2, V Yang2, N Chang2

  • 1University of Geneva, Geneva, Switzerland.

Proceedings of Spie--The International Society for Optical Engineering
|March 29, 2021
PubMed
Summary
This summary is machine-generated.

Optical coherence tomography (OCT) effectively monitors structural changes in dentin caries lesions treated with silver diamine fluoride (SDF). This imaging technique helps determine optimal timing for repeat SDF applications to manage tooth decay.

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Area of Science:

  • Biomedical Optics
  • Dental Materials Science
  • Cariology

Background:

  • Silver diamine fluoride (SDF) is a minimally invasive treatment for dentin caries.
  • Monitoring the structural evolution of treated lesions is crucial for effective management.
  • Non-invasive imaging modalities are needed to track treatment response over time.

Purpose of the Study:

  • To evaluate Optical Coherence Tomography (OCT) for monitoring structural changes in dentin caries lesions post-SDF treatment.
  • To assess the potential of OCT in determining the need for re-application of SDF.

Main Methods:

  • Artificial dentin caries lesions were created on bovine enamel blocks.
  • Lesions and sound surfaces were treated with varying applications of SDF or control.
  • Optical coherence tomography (OCT) was used for weekly imaging over 12 weeks.
  • High-resolution microscopy was employed for complementary analysis.

Main Results:

  • OCT successfully detected significant structural changes in dentin lesions after SDF application.
  • The imaging technique resolved dynamic structural alterations over the 12-week monitoring period.
  • Microscopy confirmed SDF penetration, correlating with OCT findings.

Conclusions:

  • Optical coherence tomography (OCT) is a viable tool for non-invasively monitoring dentin caries lesions treated with silver diamine fluoride (SDF).
  • OCT-based monitoring can provide insights into lesion structural changes, potentially guiding re-treatment decisions.