Noninvasive Quantitative Evaluation of the Dentin Layer during Dental Procedures Using Optical Coherence Tomography.

Noninvasive Quantitative Evaluation of the Dentin Layer during Dental Procedures Using Optical Coherence Tomography.
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DOI:
10.1155/2015/709076
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发表时间:
2015
影响因子:
--
通讯作者:
Podoleanu AG
Podoleanu AG
中科院分区:
工程技术4区
文献类型:
--
作者:
Sinescu C;Negrutiu ML;Bradu A;Duma VF;Podoleanu AG

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牙齿的常规洞制备可能导致打开牙髓室。本研究的定量评估,在真实的时间,第一次尽我们所知,钻洞在牙科手术。一个既定的非侵入性成像技术,光学相干断层扫描(OCT),使用。主要范围是防止牙髓腔意外打开。在该离体研究中使用了六颗具有牙腔的牙齿。使用自己组装的OCT系统对钻孔腔底部和髓室顶部之间的距离进行真实的评估。剩余牙本质厚度(RDT)的评估允许钻孔工具在髓角相关的腔中的定位。估计的安全和临界RDT,后者,髓室的开放成为不可避免的。此外,通过跟踪蛀牙范围过大时可能发生的骨折,牙医可以决定正确的治疗方法,牙髓或传统填充。该研究证明了OCT成像在牙科手术期间指导此类评估的有用性。
A routine cavity preparation of a tooth may lead to opening the pulp chamber. The present study evaluates quantitatively, in real time, for the first time to the best of our knowledge, the drilled cavities during dental procedures. An established noninvasive imaging technique, Optical Coherence Tomography (OCT), is used. The main scope is to prevent accidental openings of the dental pulp chamber. Six teeth with dental cavities have been used in this ex vivo study. The real time assessment of the distances between the bottom of the drilled cavities and the top of the pulp chamber was performed using an own assembled OCT system. The evaluation of the remaining dentin thickness (RDT) allowed for the positioning of the drilling tools in the cavities in relation to the pulp horns. Estimations of the safe and of the critical RDT were made; for the latter, the opening of the pulp chamber becomes unavoidable. Also, by following the fractures that can occur when the extent of the decay is too large, the dentist can decide upon the right therapy to follow, endodontic or conventional filling. The study demonstrates the usefulness of OCT imaging in guiding such evaluations during dental procedures.
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