Miyamoto Nao, Adachi Tetsuya, Boschetto Francesco, Zanocco Matteo, Yamamoto Toshiro, Marin Elia, Somekawa Shota, Ashida Ryutaro, Zhu Wenliang, Kanamura Narisato, Nishimura Ichiro, Pezzotti Giuseppe
Department of Dental Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto 602-8566, Japan.
Infectious Diseases, Kyoto Prefectural University of Medicine, Kamigyo-ku, 465 Kajii-cho, Kyoto 602-8566, Japan.
Materials (Basel). 2020 Oct 31;13(21):4900. doi: 10.3390/ma13214900.
Tooth loss impairs mastication, deglutition and esthetics and affects systemic health through nutritional deficiency, weight loss, muscle weakness, delayed wound healing, and bone fragility. Approximately 90% of tooth loss is due to dental caries and periodontal disease. Accordingly, early treatment of dental caries is essential to maintaining quality of life. To date, the clinical diagnosis of dental caries has been based on each dentist's subjective assessment, but this visual method lacks objectivity. To improve diagnostic ability, highly sensitive quantitative methods have been developed for the diagnosis and prevention of dental caries and are gradually becoming a mandatory item in modern dentistry. High-resolution Raman spectroscopy is a suitable tool for recognizing the subtle structural changes that occur in dental enamel in already developed or, more importantly, incipient dental caries. Raman analysis could soon emerge as a breakthrough in dentistry because of its high diagnostic sensitivity. In this study, we build upon our previous findings in a new analysis of dental caries using Raman spectroscopy imaging and discuss the possibility of using Raman photonic imaging in support of objective diagnostics in dentistry. Our findings support the Raman method of caries detection in comparison with other conventional or new approaches.
牙齿缺失会损害咀嚼、吞咽功能以及美观,还会通过营养缺乏、体重减轻、肌肉无力、伤口愈合延迟和骨骼脆弱等影响全身健康。约90%的牙齿缺失是由龋齿和牙周病导致的。因此,早期治疗龋齿对于维持生活质量至关重要。迄今为止,龋齿的临床诊断一直基于每位牙医的主观评估,但这种视觉方法缺乏客观性。为提高诊断能力,已开发出用于龋齿诊断和预防的高灵敏度定量方法,且这些方法正逐渐成为现代牙科的一项必备项目。高分辨率拉曼光谱是识别已形成或更重要的是早期龋齿中牙釉质发生的细微结构变化的合适工具。由于其高诊断灵敏度,拉曼分析可能很快成为牙科领域的一项突破。在本研究中,我们基于之前的研究结果,利用拉曼光谱成像对龋齿进行新的分析,并探讨使用拉曼光子成像支持牙科客观诊断的可能性。与其他传统或新方法相比,我们的研究结果支持拉曼龋齿检测方法。