Detection of carious lesions remains to be diagnostically challenging, dentists need an imaging technology that can noninvasively and reliably quantify the extent of caries. Dental radiographs do not have the sensitivity for early lesions, and by the time the lesions are radiolucent they have often progressed well into dentin. The aim of this study was to determine the diagnostic accuracy of optical coherent tomography (OCT) in detecting and estimating the depth of dental caries in vitro and in vivo.
The sensitivity, specificity and area under the receiver operating characteristic curve (Az) of swept-source (SS-) OCT for the detection of smooth surface caries, occlusal caries, proximal caries, and caries under the composite restorations were calculated and compared with visual inspection or radiography.
SS-OCT could demonstrate the cross-sectional image of caries as highlighted zone in tomogram. The caries under the composite up to 2 mm thickness also appeared as bright zone that was clearly distinguished from intact dentin.
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