Early detection of dental caries is known to be the key to the effectiveness of therapeutic and preventive approaches in dentistry. However, existing clinical detection techniques, such as radiographs, are not sufficiently sensitive to detect and monitor the progression of caries at early stages. As such, in recent years, several optics-based imaging modalities have been proposed for the early detection of caries. The majority of these techniques rely on the enhancement of light scattering in early carious lesions, while a few of them are based on the enhancement of light absorption at early caries sites. In this paper, we report on a systemic comparative study on the detection performances of optical coherence tomography (OCT) and thermophotonic lock-in imaging (TPLI) as representative early caries detection modalities based on light scattering and absorption, respectively. Through controlled demineralization studies on extracted human teeth and µCT validation experiments, several detection performance parameters of the two modalities such as detection threshold, sensitivity and specificity have been qualitatively analyzed and discussed. Our experiment results suggests that both modalities have sufficient sensitivity for the detection of well-developed early caries on occlusal and smooth surfaces; however, TPLI provides better sensitivity and detection threshold for detecting very early stages of caries formation, which is deemed to be critical for the effectiveness of therapeutic and preventive approaches in dentistry. Moreover, due to the more specific nature of the light absorption contrast mechanism over light scattering, TPLI exhibits better detection specificity, which results in less false positive readings and thus allows for the proper differentiation of early caries regions from the surrounding intact areas. The major shortcoming of TPLI is its inherent depth-integrated nature, prohibiting the production of depth-resolved/B-mode like images. The outcomes of this research justify the need for a light-absorption based imaging modality with the ability to produce tomographic and depth-resolved images, combining the key advantages of OCT and TPLI.

No abstract

One of the major oral health conditions worldwide is dental caries. Light-absorption-based thermophotonic diagnostic imaging is well positioned for this challenge thanks to its speed, safety, and high molecular contrast advantages. In this work, a multispectral (MS) truncated-correlation photothermal coherence tomography (TC-PCT) imaging modality is introduced for the detection of bacterial-induced dental caries. MS TC-PCT provided thorough information about optimal lesion contrast and type of dental defects such as caries in teeth. The experimental results were validated using micro-computed tomography (µCT) including quantitative lesion depth profiles at wavelengths in the 675-700 nm range. MS TC-PCT gives rise to hard-tissue biomedical diagnostic applications such as bone and dental imaging.

A theoretical model of pulsed photothermal radiometry based on conduction-radiation theory is introduced for a two-layered medium with a first layer having optical and thermal properties different from those of the semi-infinite substrate. This geometry closely represents the optical and thermal properties of biotissues, a major intended application. The theory derives the spatial distribution of the frequency spectrum of the pulsed photothermal signal from the composite two-layer boundary-value problem and matches the spectral frequency domain results to the measured photothermal transients through an efficient inverse Fourier transformation algorithm, which involves the optical, thermal, and geometric parameters of the experimental system. This approach avoids the complicated and computationally expensive analytical Laplace transform approach usually adopted in similar studies and yields a complete conduction–radiation description of photothermal signals without simplifying, yet restrictive, approximations encountered in the literature. Numerical and experimental tests of the model using intralipid solution as layer 1 and semi-infinite solid samples such black rubber and anodized aluminum as layer 2 of the medium are described. The radiation heat transfer coefficients from the air–intralipid and intralipid–solid interfaces were introduced to complement the conductive blackbody-radiated infrared signal component at the detecting camera. The best-fitted parameters and heat transfer coefficients are compared to theoretical and experimental data, and the results of these tests were found to be consistent with the theoretical model.

In the last two decades, majority of the newly developed dental caries detection techniques have been opticsbased, relying either on enhancement of light scattering in early carious lesion (e.g. optical coherent tomography or OCT) or enhancement of light absorption in early caries (e.g. thermophotonic lock-in imaging or TPLI). This paper aims to explore the detection threshold capabilities between light scattering and light absorption based dental caries detection methods. With this intention, the experiments will be conducted through examination of controlled artificiallyinduced early caries. It is anticipated that the molecularcontrast TPLI imaging technology outperforms OCT due to the more specific nature of light absorption contrast mechanism.