Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan.
Dent Mater J. 2012;31(3):409-17. doi: 10.4012/dmj.2011-244. Epub 2012 May 14.
Internal adaptation of restorations to the cavity wall is one of the important topics in clinical dentistry. The purpose of this study was to investigate the possibility to utilize the non-invasive tomographic imaging system for teaching the importance of cavity adaptation at dental school pre-clinical training. Swept-source optical coherence tomography (SS-OCT) was used for detection of marginal and internal defects in the composite resin restorations as an educational device. Class 1 and Class 2 composite restorations to melamine resin molar tooth were assigned to the students and prepared during the skill test, and SS-OCT imaging was performed to evaluate students' works. SS-OCT could detect the internal gaps and voids within the restorations in tomography images synthesized based on the backscatter signal from within the restoration. It is suggested that the SS-OCT is promising diagnostic modality, as well as educational imaging device for the detection of internal gaps in adhesive restorations.
修复体与洞壁的内部适应是临床牙科的重要课题之一。本研究旨在探讨利用非侵入性断层成像系统在牙科学院临床前培训中教授洞适应重要性的可能性。扫频源光学相干断层扫描(SS-OCT)被用作检测复合树脂修复体边缘和内部缺陷的教育设备。将三聚氰胺树脂磨牙的 1 类和 2 类复合修复体分配给学生,并在技能测试中进行准备,然后进行 SS-OCT 成像以评估学生的作品。SS-OCT 可以在基于修复体内部回波信号合成的断层图像中检测修复体内部的间隙和空隙。因此,SS-OCT 有望成为一种有前途的诊断方式,也是用于检测牙本质粘结修复体内部间隙的教育成像设备。