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J Dent：通过光学相干断层扫描技术对树脂渗入非窝洞形成的龋坏进行成像

2017-03-18 MedSci MedSci原创

酸蚀树脂粘接OCT成像
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通过光谱域光学相干断层扫描技术（SD-OCT）对酸蚀过程和树脂渗透到浅龋白班进行可视化观察。

目的：通过光谱域光学相干断层扫描技术（SD-OCT）对酸蚀过程和树脂渗透到浅龋白班进行可视化观察。

材料和方法：4颗预先拔出的磨牙和前磨牙，通过μCT确认为非窝洞形成的釉质龋损（评估标准：ICDAS-II）。在每颗牙齿的咬合面-颈部方位选择一个感兴趣区域（ROI）钻孔2个。损伤通过SD-OCT成像。损伤部位按照产品说明书涂布粘接剂（Icon， DMG）。在每一个治疗步骤前和光固化照射后，ROIs区域均通过SD-OCT成像。随后，ROIs区纵向切开，通过SEM成像与SD-OCT进行对比。酸蚀和渗透的图像序列通过慢放观察。

结果：酸蚀过程中，在损伤表面观察到大量的气泡。通过OCT，使树脂渗透到龋损体部变的可视化。树脂可以完全渗透到釉质浅龋，而在较深的釉质龋坏里，树脂不能完全渗入并且也不均匀。

结论：通过优化酸蚀过程，可以增加树脂的渗透。光学相干断层扫描技术能够为树脂渗透的过程和程度提供准确信息。

临床意义：树脂渗透前进行酸蚀是值得推荐的。

原始出处：

Schneider H1， Park KJ， et al. Imaging Resin Infiltration into Non-Cavitated Carious Lesions by Optical Coherence Tomography. J Dent. 2017 Mar 9. pii： S0300-5712(17)30061-1. doi： 10.1016/j.jdent.2017.03.004.

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    2017-03-20 1e1d42c5m27(暂无匿称)

    ，

    0

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    2017-03-20 chenshujs

    #树脂#

    0

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    2017-03-20 yyanpro@27cn.c

    #光学相干断层扫描#

    0

  4. 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channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/iaqwic5175nrs2asVmGicNahCpBSxNUbSuA4vpeiazhWPdV79iaSIJsvMiaGECEouckrnOYc6073M9RbpNPL6qU9SdfB5BsicIqON4X/0, createdBy=f47f2017208, createdName=1e20390em99(暂无匿称), createdTime=Sun Mar 19 07:41:24 CST 2017, time=2017-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181050, encodeId=695218105061, content=优质资源，值得分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K0LqDY57Aia0TOQByoJhNt3icm4sfukp500hLH6RHOpFdV01NbECtAV7s0qKpQPibyRukQAwAmqJU3X/0, createdBy=f91f1928792, createdName=九九消寒, createdTime=Sun Mar 19 06:56:34 CST 2017, time=2017-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181033, encodeId=fe5d181033f2, content=阅读了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Sun Mar 19 06:31:08 CST 2017, time=2017-03-19, status=1, ipAttribution=)]
    2017-03-19 1e1d42c5m27(暂无匿称)

    学习了

    0

  5. 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    2017-03-19 1e10c84am36(暂无匿称)

    文章很好，值得分享

    0

  6. 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GetPortalCommentsPageByObjectIdResponse(id=181033, encodeId=fe5d181033f2, content=阅读了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Sun Mar 19 06:31:08 CST 2017, time=2017-03-19, status=1, ipAttribution=)]
    2017-03-19 明月清辉

    谢谢分享，学习了

    0

  7. 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likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sun Mar 19 08:11:57 CST 2017, time=2017-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181063, encodeId=b2e0181063f1, content=新技术，新创新, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170114/IMG587A0E092CFCA5835.jpg, createdBy=eac02002225, createdName=爱的天使, createdTime=Sun Mar 19 07:43:03 CST 2017, time=2017-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181062, encodeId=b713181062bd, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/iaqwic5175nrs2asVmGicNahCpBSxNUbSuA4vpeiazhWPdV79iaSIJsvMiaGECEouckrnOYc6073M9RbpNPL6qU9SdfB5BsicIqON4X/0, createdBy=f47f2017208, createdName=1e20390em99(暂无匿称), createdTime=Sun Mar 19 07:41:24 CST 2017, time=2017-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181050, encodeId=695218105061, content=优质资源，值得分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K0LqDY57Aia0TOQByoJhNt3icm4sfukp500hLH6RHOpFdV01NbECtAV7s0qKpQPibyRukQAwAmqJU3X/0, createdBy=f91f1928792, createdName=九九消寒, createdTime=Sun Mar 19 06:56:34 CST 2017, time=2017-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181033, encodeId=fe5d181033f2, content=阅读了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Sun Mar 19 06:31:08 CST 2017, time=2017-03-19, status=1, ipAttribution=)]
    2017-03-19 爱的天使

    新技术，新创新

    0

  8. 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channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/iaqwic5175nrs2asVmGicNahCpBSxNUbSuA4vpeiazhWPdV79iaSIJsvMiaGECEouckrnOYc6073M9RbpNPL6qU9SdfB5BsicIqON4X/0, createdBy=f47f2017208, createdName=1e20390em99(暂无匿称), createdTime=Sun Mar 19 07:41:24 CST 2017, time=2017-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181050, encodeId=695218105061, content=优质资源，值得分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K0LqDY57Aia0TOQByoJhNt3icm4sfukp500hLH6RHOpFdV01NbECtAV7s0qKpQPibyRukQAwAmqJU3X/0, createdBy=f91f1928792, createdName=九九消寒, createdTime=Sun Mar 19 06:56:34 CST 2017, time=2017-03-19, status=1, ipAttribution=), 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    2017-03-19 1e20390em99(暂无匿称)

    学习了

    0

  9. 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channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/iaqwic5175nrs2asVmGicNahCpBSxNUbSuA4vpeiazhWPdV79iaSIJsvMiaGECEouckrnOYc6073M9RbpNPL6qU9SdfB5BsicIqON4X/0, createdBy=f47f2017208, createdName=1e20390em99(暂无匿称), createdTime=Sun Mar 19 07:41:24 CST 2017, time=2017-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181050, encodeId=695218105061, content=优质资源，值得分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K0LqDY57Aia0TOQByoJhNt3icm4sfukp500hLH6RHOpFdV01NbECtAV7s0qKpQPibyRukQAwAmqJU3X/0, createdBy=f91f1928792, createdName=九九消寒, createdTime=Sun Mar 19 06:56:34 CST 2017, time=2017-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181033, encodeId=fe5d181033f2, content=阅读了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Sun Mar 19 06:31:08 CST 2017, time=2017-03-19, status=1, ipAttribution=)]
    2017-03-19 九九消寒

    优质资源，值得分享

    0

  10. 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createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib0CrsM1tw1YWotrt26ONHicWKOxDJW2p3pnuTQePeKG4icOsb0138VrDcnUTbKLDhdKj9rhYPxSedjtheicE8IibmGf/0, createdBy=26182004074, createdName=1e1d42c5m27(暂无匿称), createdTime=Sun Mar 19 22:18:26 CST 2017, time=2017-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181091, encodeId=b2ed1810913e, content=文章很好，值得分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sun Mar 19 09:02:01 CST 2017, time=2017-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181074, encodeId=01b41810e4c3, content=谢谢分享，学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sun Mar 19 08:11:57 CST 2017, time=2017-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181063, encodeId=b2e0181063f1, content=新技术，新创新, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170114/IMG587A0E092CFCA5835.jpg, createdBy=eac02002225, createdName=爱的天使, createdTime=Sun Mar 19 07:43:03 CST 2017, time=2017-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181062, encodeId=b713181062bd, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/iaqwic5175nrs2asVmGicNahCpBSxNUbSuA4vpeiazhWPdV79iaSIJsvMiaGECEouckrnOYc6073M9RbpNPL6qU9SdfB5BsicIqON4X/0, createdBy=f47f2017208, createdName=1e20390em99(暂无匿称), createdTime=Sun Mar 19 07:41:24 CST 2017, time=2017-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181050, encodeId=695218105061, content=优质资源，值得分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K0LqDY57Aia0TOQByoJhNt3icm4sfukp500hLH6RHOpFdV01NbECtAV7s0qKpQPibyRukQAwAmqJU3X/0, createdBy=f91f1928792, createdName=九九消寒, createdTime=Sun Mar 19 06:56:34 CST 2017, time=2017-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181033, encodeId=fe5d181033f2, content=阅读了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Sun Mar 19 06:31:08 CST 2017, time=2017-03-19, status=1, ipAttribution=)]
    2017-03-19 刘煜

    阅读了谢谢分享。

    0

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