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Evaluation of sealant microleakage using Swept-Source Optical Coherence Tomography

J Korean Dent Assoc > Volume 56(12); 2018 > Article
The Journal of The Korean Dental Association 2018;56(12):686-694.
Published online December 31, 2018.
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
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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