Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
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Assessment of Early Dental Caries by Using Optical Coherence Tomography

Optical Coherence Tomography를 이용한 초기 치아우식 검사

  • Min, Ji-Hyun (Department of Dental Hygiene, College of Health Sciences, Cheongju University)
  • 민지현 (청주대학교 보건의료대학 치위생학과)
  • Received : 2016.06.10
  • Accepted : 2016.07.07
  • Published : 2016.08.31
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Abstract

The purpose of this study was to assess the correlation between integrated mineral loss (volume % mineral${\times}{\mu}m$, ${\Delta}Z_{TMR}$) determined using transverse microradiography (TMR) and integrated reflectivity ($dB{\times}{\mu}m$, ${\Delta}R_{OCT}$) determined using optical coherence tomography (OCT) for detecting early dental caries with lesion depth more than $200{\mu}m$. Sixty tooth specimens were made from sound bovine teeth. They were immersed in a demineralized solution for 20, 30, and 40 days. The ${\Delta}R_{OCT}$ was obtained from the cross-sectional OCT image. The ${\Delta}Z_{TMR}$ was obtained from the TMR image. The correlation between ${\Delta}R_{OCT}$ and ${\Delta}Z_{TMR}$ was examined using Pearson correlation. The Bland-Altman plot was constructed using the ${\Delta}R_{OCT}$ and ${\Delta}Z_{TMR}$ values. A significant correlation between ${\Delta}R_{OCT}$ and ${\Delta}Z_{TMR}$ was confirmed (r=0.491, p=0.003). Moreover, most of the difference between ${\Delta}R_{OCT}$ and ${\Delta}Z_{TMR}$ was included in the error section of the Bland-Altman plot. Therefore, OCT could be used as a substitute for TMR when analyzing mineral loss in early dental caries.

TMR은 초기우식 평가의 gold standard로 여겨지나 시편을 파괴하여야만 시편의 무기질 밀도를 확인할 수 있는 실험법이다. 그러나 OCT는 비파괴적인 검사법으로 임상에서도 초기우식을 확인하는 데 사용하므로 본 연구에서는 $200{\mu}m$ 이상의 깊은 법랑질 초기우식에서의 OCT와 TMR에서 구한 integrated mineral loss값 간의 상관성을 확인하고자 하였다. $200{\mu}m$ 이상의 깊이를 갖는 인공 초기우식병소를 제작하여 TMR (${\Delta}Z_{TMR}$)과 OCT (${\Delta}R_{OCT}$)에서 구한 integrated mineral loss를 각각 구하여 상관성 분석을 시행하였으며 Bland-Altman plot을 그려 두 값 간의 오차 분석을 시행하였다. ${\Delta}R_{OCT}$과 ${\Delta}Z_{TMR}$ 간에는 유의한 상관성이 확인되었으며(r=0.491, p=0.003), Bland-Altman plot 상에서도 ${\Delta}Z_{TMR}$과 ${\Delta}R_{OCT}$값 간의 차이가 거의 대부분 오차 구간 내에 있는 것이 확인되어 두 측정 방법 간의 오차가 적은 것으로 확인되었다. 따라서 치과임상에서 OCT를 활용하면 초기우식병소의 탐지 및 모니터링 그리고 초기우식병소의 심도 파악이 가능할 것으로 여겨진다.

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