Observation and determination of periodontal tissue profile using optical coherence tomography

Kakizaki, Sho; Aoki, Akira; Tsubokawa, Masaki; Lin, Taichen; Mizutani, Koji; Koshy, Geena; Sadr, Alireza; Oda, Shigeru; Sumi, Yasunori; Izumi, Yuichi

doi:10.1111/jre.12506

Cited by 33 publications

(26 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…According to this evolution, OCT could be the sixth generation of periodontal probes, the first using photonics, because it captures bi and three‐dimensional images, obtaining transverse images with high resolution in micrometric scale in situ, without physical contact or excision, allowing analysis in places where a biopsy could be nonfeasible. The technique can still be used to determine the profiles of in vivo periodontal tissue, such as gingival, epithelial and connective tissue thickness and the position of the alveolar bone crest .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Optical coherence tomography follow‐up of patients treated from periodontal disease

Fernandes

Mota

Oliveira

et al. 2018

Journal of Biophotonics

View full text Add to dashboard Cite

Optical coherence tomography (OCT) is one of the most important imaging modalities for biophotonics applications. In this work, an important step towards the clinical use of OCT in dental practice is reported, by following‐up patients treated from periodontal disease (PD). A total of 147 vestibular dental sites from 14 patients diagnosed with PD were evaluated prior and after treatment, using a swept‐source OCT and two periodontal probes (Florida probe and North Carolina) for comparison. The evaluation was performed at four stages: day 0, day 30, day 60 and day 90. Exceptionally one patient was evaluated 1‐year after treatment. It was possible to visualize in the two‐dimensional images the architectural components that compose the periodontal anatomy, and identify the improvements in biofilm and dental calculus upon treatment. In the follow‐up after the treatment, it was observed in some cases decrease of the gingival thickness associated with extinction of gingival calculus. In some cases, the improvement of both depth of probing with the traditional probes and the evidence in the images of the region was emphasized. The study evidenced the ability of OCT in the identification of periodontal structures and alterations, being an important noninvasive complement or even alternative for periodontal probes for treatment follow‐up. OCT system being used in a clinical environment. Above OCT image (left) prior treatment and (right) 30 days after treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Despite being a promising method for optical diagnosis in dental practice, as reviewed in , there are few reports of its applications in periodontics , including one of the pioneer applications of OCT in dentistry , and to the best of our knowledge none in clinical practice for treatment follow‐up.…”

Section: Introductionmentioning

confidence: 99%

Optical coherence tomography follow‐up of patients treated from periodontal disease

Fernandes

Mota

Oliveira

et al. 2018

Journal of Biophotonics

View full text Add to dashboard Cite

show abstract

“…As the technology for deploying OCT systems into intra-oral handpieces improves, it will become more accessible for use in clinical dental practice as a noninvasive method for imaging the microstructural detail of periodontal tissues in situ. Over time, it could replace some current applications of radiology or other diagnostic approaches, as has occurred in some fields of medicine [36].…”

Section: Optical Coherence Tomographymentioning

confidence: 99%

Optical Diagnostics to Improve Periodontal Diagnosis and Treatment

Shakibaie¹,

Walsh²

2019

Periodontology and Dental Implantology

View full text Add to dashboard Cite

The performance of clinicians undertaking periodontal assessment or periodontal therapy can be improved by using optical methods as adjuncts to visual inspection and periodontal probing. Subtle changes that occur over time in periodontal tissues that are below the detection limit of visual examination or periodontal probing can be found and tracked accurately over time using 3D imaging, fluorescence spectroscopy, and optical coherence tomography. During debridement of teeth and dental implants, the effective removal of subgingival microbial biofilms and dental calculus deposits can be enhanced using magnifying loupes and operating microscopes and by novel methods based on the interactions of light with bacterial deposits, such as differential reflectometry and light-induced fluorescence. While such techniques can also be used using initial case assessment, their primary purpose is for checking debridement procedures, since the point when bacterial deposits are no longer present represents an endpoint for treatment. The concept of realtime feedback has been developed, using fluorescence readings to control the removal of deposits. Overall, optical methods can support traditional periodontal diagnosis and improve treatment planning and clinical periodontal care.

show abstract

“…Furthermore, OCT can also be used in periodontal tissue analysis. Kakizaki et al in a study of human periodontally healthy subjects, showed that the gingival thickness and biological width can be evaluated by OCT.…”

Section: Periodontal Pocket Imaging Technologiesmentioning

confidence: 99%

From manual periodontal probing to digital 3‐D imaging to endoscopic capillaroscopy: Recent advances in periodontal disease diagnosis

Elashiry

Meghil

Arce

et al. 2018

J of Periodontal Research

View full text Add to dashboard Cite

Deepened periodontal pockets exert a significant pathological burden on the host and its immune system, particularly in a patient with generalized moderate to severe periodontitis. This burden is extensive and longitudinal, occurring over decades of disease development. Considerable diagnostic and prognostic successes in this regard have come from efforts to measure the depths of the pockets and their contents, including level of inflammatory mediators, cellular exudates and microbes; however, the current standard of care for measuring these pockets, periodontal probing, is an analog technology in a digital age. Measurements obtained by probing are variable, operator dependent and influenced by site-specific factors. Despite these limitations, manual probing is still the standard of care for periodontal diagnostics globally. However, it is becoming increasingly clear that this technology needs to be updated to be compatible with the digital technologies currently being used to image other orofacial structures, such as maxillary sinuses, alveolar bone, nerve foramina and endodontic canals in 3 dimensions. This review aims to summarize the existing technology, as well as new imaging strategies that could be utilized for accurate evaluation of periodontal pocket dimensions.

show abstract

Observation and determination of periodontal tissue profile using optical coherence tomography

Abstract: OCT has promise for non-invasive observation of the periodontal tissue profile in detail and measurement of internal periodontal structures including biologic width in the anterior region.

Cited by 33 publications

References 30 publications

Optical coherence tomography follow‐up of patients treated from periodontal disease

Optical coherence tomography follow‐up of patients treated from periodontal disease

Optical Diagnostics to Improve Periodontal Diagnosis and Treatment

From manual periodontal probing to digital 3‐D imaging to endoscopic capillaroscopy: Recent advances in periodontal disease diagnosis

Contact Info

Product

Resources

About