치면열구전색치아의 미세누출 평가를 위한 Swept-Source Optical Coherence Tomography의 타당도 평가 |
남상미1, 구혜민2, 이은송3, 김백일4 |
1삼육보건대학교 치위생과 2연세대학교 치과대학 예방치과학교실 3연세대학교 치과대학 예방치과학교실 4연세대학교 치과대학 예방치과학교실 |
Evaluation of sealant microleakage using Swept-Source Optical Coherence Tomography |
Sang-Mi Nam1, Hye-Min Ku2, Eun-Song Lee3, Baek-Il Kim4 |
1Department of dental hygiene, SahmYook Health University 2Department of Preventive Dentistry and Public Oral Health, Yonsei University College of Dentistry 3Department of Preventive Dentistry and Public Oral Health, Yonsei University College of Dentistry 4Department of Preventive Dentistry and Public Oral Health, Yonsei University College of Dentistry |
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Abstract |
Purpose The aim of this study was to evaluate the validity of swept-source optical coherence tomography (SS-OCT) for detecting sealant microleakage. Materials and Methods: A total of 31 extracted sound human molar, assigned as suitable for sealant application, were chosen and divided into two groups: (1) no microleakage group and (2) microleakage group by applying sealant using the different methods. All specimens were immersed in 1% methylene blue for 24 h and sectioned to confirm the absence or presence of sealant microleakage as a gold standard method. Subsequently, all the sectioned specimens were digitally photographed using a microscope with a magnification of times50. Presence of microleakage was evaluated on a 2-point rating scale. The association of histological method with conventional methods (visual and tactile assessment) and SS-OCT was assessed using a chi-squared test. The intra- and inter-examiner reliability was calculated using Cohen's Kappa. Results: The SS-OCT showed a sensitivity of 0.73 and a specificity of 1.00, while visual and tactile assessment showed a sensitivity of 0.67 and a specificity of 0.86. The inter-examiner reliability of SS-OCT was 0.79, whereas that of the visual and tactile assessment was 0.53. Conclusions: SS-OCT can be used to non-invasively detect sealant microleakage and to monitor pit and fissure sealant in the clinics. |
Key Words:
Swept-source optical coherence tomography (SS-OCT);Pit and fissure sealant;Microleakage; |
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