Detection of dentin-exposed occlusal/incisal tooth wear using quantitative light-induced fluorescence technology
To prolong tooth life expectancy, tooth wear resulting in dentin exposure should be detected early. However, the most objective methods are clinically limited. We validated fluorescence parameters for distinguishing enamel from dentin-exposed wear in clinical images. Quantitative light-induced fluor...
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| Veröffentlicht in: | Journal of dentistry 2020-12, Vol.103, p.103505-103505, Article 103505 |
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| creator | Kim, Sang-Kyeom Jung, Hoi In Kim, Baek-Il |
| description | To prolong tooth life expectancy, tooth wear resulting in dentin exposure should be detected early. However, the most objective methods are clinically limited. We validated fluorescence parameters for distinguishing enamel from dentin-exposed wear in clinical images.
Quantitative light-induced fluorescence (QLF) images of 73 adults (age range: 22–48 years, mean: 33.81 ± 7.71 years), including 1949 teeth with varying tooth wear degrees, without restorations, caries, or cusp area fractures, were used to calculate the ΔFwear values. Areas-of-interest (AOIs) were selected from QLF images; the ΔFwear values and the tooth wear index (TWI) were calculated for each tooth. The ΔFwear values were compared according to the TWI scores. The optimum ΔFwear values for distinguishing enamel and dentin-exposed wear were determined using the receiver operating characteristic (ROC) curve analysis.
Overall, 1949 AOIs were evaluated. The median ΔFwear values for teeth with TWI scores 0, 1, and 2 (5.7 %, 10.3 %, and 17.0 %) differed significantly (P |
| doi_str_mv | 10.1016/j.jdent.2020.103505 |
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Quantitative light-induced fluorescence (QLF) images of 73 adults (age range: 22–48 years, mean: 33.81 ± 7.71 years), including 1949 teeth with varying tooth wear degrees, without restorations, caries, or cusp area fractures, were used to calculate the ΔFwear values. Areas-of-interest (AOIs) were selected from QLF images; the ΔFwear values and the tooth wear index (TWI) were calculated for each tooth. The ΔFwear values were compared according to the TWI scores. The optimum ΔFwear values for distinguishing enamel and dentin-exposed wear were determined using the receiver operating characteristic (ROC) curve analysis.
Overall, 1949 AOIs were evaluated. The median ΔFwear values for teeth with TWI scores 0, 1, and 2 (5.7 %, 10.3 %, and 17.0 %) differed significantly (P < 0.001). The optimum cutoff ΔFwear values were 12.1 and 14.7 in the anterior and posterior teeth, respectively; the corresponding areas under the ROC values (AUROCs) were 0.86 and 0.93 (sensitivity: 0.79 and 0.85; specificity: 0.79 and 0.85, respectively). The ΔFwear cutoff values for different age groups were within a range (12.7–13.7) and showed high validity (sensitivity, specificity, and AUROC: 0.78, 0.77–0.78, and 0.87–0.88, respectively).
At the optimum threshold, the ΔFwear values showed high validity for distinguishing dentin exposure in worn teeth (AUROC: 0.87‒0.93) and could determine pathological tooth wear, particularly in posterior teeth.
We demonstrated the feasibility of using QLF to detect dentin-exposed tooth wear and present optimal thresholds according to age. In addition, we confirmed the possibility using such image data for objective and cost-effective epidemiological investigation and application in tele-dentistry.</description><identifier>ISSN: 0300-5712</identifier><identifier>EISSN: 1879-176X</identifier><identifier>DOI: 10.1016/j.jdent.2020.103505</identifier><identifier>PMID: 33080348</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Age ; Dental Caries ; Dental enamel ; Dentin ; Dentin - diagnostic imaging ; Dentin exposure ; Dentistry ; Enamel ; Epidemiology ; Exposure ; Fluorescence ; Fractures ; Humans ; Life expectancy ; Life span ; Light ; Light effects ; Mathematical analysis ; Middle Aged ; Optimization ; Psychological aspects ; Quantitative Light-Induced Fluorescence ; Sensitivity ; Technology ; Teeth ; Tooth Attrition ; Tooth wear ; Tooth Wear - diagnosis ; Wear ; Young Adult</subject><ispartof>Journal of dentistry, 2020-12, Vol.103, p.103505-103505, Article 103505</ispartof><rights>2020 Elsevier Ltd</rights><rights>Copyright © 2020 Elsevier Ltd. All rights reserved.</rights><rights>2020. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-84d8e4c46849a6b5b6ec89974592468cfb3812e4f1bcee8594b14e2ee772620e3</citedby><cites>FETCH-LOGICAL-c387t-84d8e4c46849a6b5b6ec89974592468cfb3812e4f1bcee8594b14e2ee772620e3</cites><orcidid>0000-0002-1978-6926 ; 0000-0001-8234-2327</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jdent.2020.103505$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33080348$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Sang-Kyeom</creatorcontrib><creatorcontrib>Jung, Hoi In</creatorcontrib><creatorcontrib>Kim, Baek-Il</creatorcontrib><title>Detection of dentin-exposed occlusal/incisal tooth wear using quantitative light-induced fluorescence technology</title><title>Journal of dentistry</title><addtitle>J Dent</addtitle><description>To prolong tooth life expectancy, tooth wear resulting in dentin exposure should be detected early. However, the most objective methods are clinically limited. We validated fluorescence parameters for distinguishing enamel from dentin-exposed wear in clinical images.
Quantitative light-induced fluorescence (QLF) images of 73 adults (age range: 22–48 years, mean: 33.81 ± 7.71 years), including 1949 teeth with varying tooth wear degrees, without restorations, caries, or cusp area fractures, were used to calculate the ΔFwear values. Areas-of-interest (AOIs) were selected from QLF images; the ΔFwear values and the tooth wear index (TWI) were calculated for each tooth. The ΔFwear values were compared according to the TWI scores. The optimum ΔFwear values for distinguishing enamel and dentin-exposed wear were determined using the receiver operating characteristic (ROC) curve analysis.
Overall, 1949 AOIs were evaluated. The median ΔFwear values for teeth with TWI scores 0, 1, and 2 (5.7 %, 10.3 %, and 17.0 %) differed significantly (P < 0.001). The optimum cutoff ΔFwear values were 12.1 and 14.7 in the anterior and posterior teeth, respectively; the corresponding areas under the ROC values (AUROCs) were 0.86 and 0.93 (sensitivity: 0.79 and 0.85; specificity: 0.79 and 0.85, respectively). The ΔFwear cutoff values for different age groups were within a range (12.7–13.7) and showed high validity (sensitivity, specificity, and AUROC: 0.78, 0.77–0.78, and 0.87–0.88, respectively).
At the optimum threshold, the ΔFwear values showed high validity for distinguishing dentin exposure in worn teeth (AUROC: 0.87‒0.93) and could determine pathological tooth wear, particularly in posterior teeth.
We demonstrated the feasibility of using QLF to detect dentin-exposed tooth wear and present optimal thresholds according to age. In addition, we confirmed the possibility using such image data for objective and cost-effective epidemiological investigation and application in tele-dentistry.</description><subject>Adult</subject><subject>Age</subject><subject>Dental Caries</subject><subject>Dental enamel</subject><subject>Dentin</subject><subject>Dentin - diagnostic imaging</subject><subject>Dentin exposure</subject><subject>Dentistry</subject><subject>Enamel</subject><subject>Epidemiology</subject><subject>Exposure</subject><subject>Fluorescence</subject><subject>Fractures</subject><subject>Humans</subject><subject>Life expectancy</subject><subject>Life span</subject><subject>Light</subject><subject>Light effects</subject><subject>Mathematical analysis</subject><subject>Middle Aged</subject><subject>Optimization</subject><subject>Psychological aspects</subject><subject>Quantitative Light-Induced Fluorescence</subject><subject>Sensitivity</subject><subject>Technology</subject><subject>Teeth</subject><subject>Tooth Attrition</subject><subject>Tooth wear</subject><subject>Tooth Wear - diagnosis</subject><subject>Wear</subject><subject>Young Adult</subject><issn>0300-5712</issn><issn>1879-176X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtv1DAUhS0EotPCL0BCltiwydSvxPaCBWopIFViAxI7K3FuZhxl7Kkfhf57HKawYMHqSlffOffqHIReUbKlhHaX83YewectI2zd8Ja0T9CGKqkbKrvvT9GGcEKaVlJ2hs5TmgkhgjD9HJ1xThThQm3Q8Roy2OyCx2HCq5_zDfw8hgQjDtYuJfXLpfPW1YlzCHmPf0AfcUnO7_Bd6asi99ndA17cbp8b58diq3haSoiQLHgLuN7Y-7CE3cML9GzqlwQvH-cF-nbz4evVp-b2y8fPV-9vG8uVzI0SowJhRaeE7ruhHTqwSmspWs3q0k4DV5SBmOhgAVSrxUAFMAApWccI8Av09uR7jOGuQMrm4Oozy9J7CCUZJlqmpZaqreibf9A5lOjrd5XqpOCihlspfqJsDClFmMwxukMfHwwlZi3EzOZ3IWYtxJwKqarXj95lOMD4V_OngQq8OwFQw7h3EE2ybs1sdLEWY8bg_nvgFzVWnpg</recordid><startdate>202012</startdate><enddate>202012</enddate><creator>Kim, Sang-Kyeom</creator><creator>Jung, Hoi In</creator><creator>Kim, Baek-Il</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QF</scope><scope>7QP</scope><scope>7QQ</scope><scope>7SE</scope><scope>7SR</scope><scope>7TA</scope><scope>7TB</scope><scope>8BQ</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>H8G</scope><scope>JG9</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1978-6926</orcidid><orcidid>https://orcid.org/0000-0001-8234-2327</orcidid></search><sort><creationdate>202012</creationdate><title>Detection of dentin-exposed occlusal/incisal tooth wear using quantitative light-induced fluorescence technology</title><author>Kim, Sang-Kyeom ; Jung, Hoi In ; Kim, Baek-Il</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-84d8e4c46849a6b5b6ec89974592468cfb3812e4f1bcee8594b14e2ee772620e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Age</topic><topic>Dental Caries</topic><topic>Dental enamel</topic><topic>Dentin</topic><topic>Dentin - diagnostic imaging</topic><topic>Dentin exposure</topic><topic>Dentistry</topic><topic>Enamel</topic><topic>Epidemiology</topic><topic>Exposure</topic><topic>Fluorescence</topic><topic>Fractures</topic><topic>Humans</topic><topic>Life expectancy</topic><topic>Life span</topic><topic>Light</topic><topic>Light effects</topic><topic>Mathematical analysis</topic><topic>Middle Aged</topic><topic>Optimization</topic><topic>Psychological aspects</topic><topic>Quantitative Light-Induced Fluorescence</topic><topic>Sensitivity</topic><topic>Technology</topic><topic>Teeth</topic><topic>Tooth Attrition</topic><topic>Tooth wear</topic><topic>Tooth Wear - diagnosis</topic><topic>Wear</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Sang-Kyeom</creatorcontrib><creatorcontrib>Jung, Hoi In</creatorcontrib><creatorcontrib>Kim, Baek-Il</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Aluminium Industry Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Ceramic Abstracts</collection><collection>Corrosion Abstracts</collection><collection>Engineered Materials Abstracts</collection><collection>Materials Business File</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>METADEX</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>Copper Technical Reference Library</collection><collection>Materials Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Sang-Kyeom</au><au>Jung, Hoi In</au><au>Kim, Baek-Il</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Detection of dentin-exposed occlusal/incisal tooth wear using quantitative light-induced fluorescence technology</atitle><jtitle>Journal of dentistry</jtitle><addtitle>J Dent</addtitle><date>2020-12</date><risdate>2020</risdate><volume>103</volume><spage>103505</spage><epage>103505</epage><pages>103505-103505</pages><artnum>103505</artnum><issn>0300-5712</issn><eissn>1879-176X</eissn><abstract>To prolong tooth life expectancy, tooth wear resulting in dentin exposure should be detected early. However, the most objective methods are clinically limited. We validated fluorescence parameters for distinguishing enamel from dentin-exposed wear in clinical images.
Quantitative light-induced fluorescence (QLF) images of 73 adults (age range: 22–48 years, mean: 33.81 ± 7.71 years), including 1949 teeth with varying tooth wear degrees, without restorations, caries, or cusp area fractures, were used to calculate the ΔFwear values. Areas-of-interest (AOIs) were selected from QLF images; the ΔFwear values and the tooth wear index (TWI) were calculated for each tooth. The ΔFwear values were compared according to the TWI scores. The optimum ΔFwear values for distinguishing enamel and dentin-exposed wear were determined using the receiver operating characteristic (ROC) curve analysis.
Overall, 1949 AOIs were evaluated. The median ΔFwear values for teeth with TWI scores 0, 1, and 2 (5.7 %, 10.3 %, and 17.0 %) differed significantly (P < 0.001). The optimum cutoff ΔFwear values were 12.1 and 14.7 in the anterior and posterior teeth, respectively; the corresponding areas under the ROC values (AUROCs) were 0.86 and 0.93 (sensitivity: 0.79 and 0.85; specificity: 0.79 and 0.85, respectively). The ΔFwear cutoff values for different age groups were within a range (12.7–13.7) and showed high validity (sensitivity, specificity, and AUROC: 0.78, 0.77–0.78, and 0.87–0.88, respectively).
At the optimum threshold, the ΔFwear values showed high validity for distinguishing dentin exposure in worn teeth (AUROC: 0.87‒0.93) and could determine pathological tooth wear, particularly in posterior teeth.
We demonstrated the feasibility of using QLF to detect dentin-exposed tooth wear and present optimal thresholds according to age. In addition, we confirmed the possibility using such image data for objective and cost-effective epidemiological investigation and application in tele-dentistry.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>33080348</pmid><doi>10.1016/j.jdent.2020.103505</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-1978-6926</orcidid><orcidid>https://orcid.org/0000-0001-8234-2327</orcidid></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Age Dental Caries Dental enamel Dentin Dentin - diagnostic imaging Dentin exposure Dentistry Enamel Epidemiology Exposure Fluorescence Fractures Humans Life expectancy Life span Light Light effects Mathematical analysis Middle Aged Optimization Psychological aspects Quantitative Light-Induced Fluorescence Sensitivity Technology Teeth Tooth Attrition Tooth wear Tooth Wear - diagnosis Wear Young Adult |
| title | Detection of dentin-exposed occlusal/incisal tooth wear using quantitative light-induced fluorescence technology |
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