COMPARATIVE STUDY ON THE EFFICACY OF DIGITAL IMAGING FIBER-OPTIC TRANS-ILLUMINATION AND LASER FLUORESCENCE IN MONITORING THE REMINERALIZATION PROCESS OF INCIPIENT SMOOTH SURFACE ENAMEL LESIONS

Digital Imaging Fiber-Optic Trans-Illumination과 Laser Fluorescence를 이용한 평활면 초기우식증의 재광화에 관한 비교 연구

Through out the world dental caries seems to be decreased as it is difficult to make an accurate diagnosis for dental caries. The traditional diagnostic method which is probing and x-ray taking has many limitations to diagnose the early caries, so there were recommendations for the needs of new equipments such as laser fluorescence(LF), digital imaging fiber-optic trans-illumination(DIFOTI), and quantitative light fluorescence (QLF) which were developed from various study results. Also confocal laser scanning microscopy(CLSM) and ultrasonics are used for research progression. This study is to evaluate whether it is possible to monitor accurately for remineralization amount of enamel surface early caries using DIFOTI or LF After inducing artificial caries to bovine teeth to 10 participants remineralization was enhanced by 0 ppm and 500 ppm fluoride mouth rinse solution for 3 weeks. Then they were cross sectioned and analyzed using gold standard of the lesion depth measured by CLSM. The following results were obtained: 1. The measured percentage of light intensity(luminosity ratio) by DIFOTI increased with remineralization period, and showed significant reverse correlation with lesion depth measured by CLSM (p<0.01). 2. The measurement of laser fluorescence increased with remineralization period, and showed significant correlation with lesion depth measured by CLSM (p<0.01). 3. To the result for CLSM, 500 ppm fluoride mouth rinse group showed rapid rate for decreased tendency of lesion depth than 0 ppm fluoride mouth rinse group. In conclusion DIFOTI system was used to measure accurately for the remineralization amount of early surface caries, it is a very useful equipment to detect precisely the changes for early enamel caries remineralization during treatments.

본 연구는 Digital Imaging Fiber-Optic Trans-Illumination(DIFOTI)이나 Laser Fluorescence(LF)를 이용한 방법이 평활면 법랑질 초기우식증의 재광화 정도를 정확하게 monitoring 할 수 있는지의 여부를 평가하기 위하여 진행되었다. 우치 법랑질로부터 얻어진 인공 우식 절편을 특별히 제작된 의치에 식립한 다음, 10명의 실험 참가자들이 구강 내에 장착하고 3주 동안 불소 양치용액을 사용하도록 한 다음 Confocal Laser Scanning Microscopy(CLSM)로 측정된 병소 깊이를 gold standard로 사용하여 DIFOTI와 LF로 측정 된 우식 절편의 재광화 정도를 비교 평가한 후 다음과 같은 결론을 얻었다. 1. DIFOTI에 측정된 광도 백분율이 재광화 기간이 지남에 따라 증가하였으며, CLSM에서 측정된 병소 깊이와 유의한 역상관관계를 보였다(r=-0.683, p<0.01). 2. LF 측정치는 재광화 기간이 경과함에 따라 증가하였으며 CLSM에서 측정된 병소 깊이와 유의한 상관관계를 보였다(p<0.05). 3. CLSM 촬영 결과 500 ppm 불소 양치군이 0 ppm 불소 양치군보다 빠른 속도로 병소 깊이가 감소하는 양상을 보여 주었다.