Oral Diagnosis (eBook)
VII, 115 Seiten
Springer International Publishing (Verlag)
978-3-030-19250-1 (ISBN)
The overall goal of this book is to provide the reader with an understanding of the new minimally invasive techniques that are available for the purpose of diagnostic imaging in dentistry and to explain their impact on clinical practice. The book concentrates very much on those techniques that are clinically applicable and useful to dentists NOW, although it also provides a fascinating view to the future. The chapters are divided according to the major clinical topics in dentistry. Each chapter provides considerable visual content, including flow charts, schematics, and photographs. The principles of the technologies presented are discussed in an overview format, with greater detail and focus on the ensuing clinical application techniques and the data that they can generate. The strengths and limitations of the novel modalities are highlighted. Finally, the interface between the data and their capacity for improving clinical outcomes through better diagnosis is discussed. All of the authors have been selected on the basis of their pre-eminence in the field.
Petra Wilder-Smith [BDS (Hons), LDS RCS (Eng), Dr Med Dent, PhD (Habil)] is Professor at the Beckman Laser Institute and Medical Clinic, University of California, Irvine, CA, USA. She has been Director of the Dental Program at the Institute since 1998. She is also Visiting Professor at the Aachen University Dental School in Germany and a Senior Fellow at the Chao Family Comprehensive Cancer Center, University of California, Irvine. Dr. Wilder-Smith is a member of many dental and imaging-based organizations, and a Fellow and Board Member of the American Society for Lasers in Surgery and Medicine. She has received numerous clinical and research awards. She is an Associate Editor for Lasers in Surgery and Medicine and an editorial board member for more than 20 prestigious peer-reviewed journals. She has also been Guest Editor for a special edition of the International Journal of Dentistry and has authored more than 100 articles in peer-reviewed journals.
Janet Ajdaharian (BA, BSc) is a Junior Specialist at the Beckman Laser Institute and Medical Clinic, University of California, Irvine, CA, USA, where she is a senior project manager for clinical and translational research. Her areas of expertise include laser use in dentistry/oral medicine for non-invasive diagnostics and therapeutics and the use of optical coherence tomography for early detection and monitoring of oral precancerous and cancerous changes. Her work includes collaborations to develop and validate a simple oral cancer screening tool for use by non-expert screeners, and using optical techniques for the early detection of oral effects of cancer therapy. She has co-authored several journal articles in her areas of interest.
Preface 5
Contents 7
Optical Methods for Monitoring Demineralization and Caries 8
Conventional Methods of Caries Detection and Diagnostics 9
FOTI, DIFOTI, Proximal, and Occlusal Transillumination 10
Reflectance Imaging 14
Red or Porphyrin Fluorescence 15
Quantitative Light Fluorescence (QLF) (Green or Collagen Fluorescence) 16
Optical Coherence Tomography for Imaging Dental Caries 18
Methods for Assessing Lesion Severity with OCT and PS-OCT 20
Assessment of the Depth of Occlusal Lesions 25
Assessment of Root Caries 25
Assessment of Secondary Caries and Decay Under Sealants 26
Clinical Studies Monitoring Demineralization/Remineralization 26
References 29
Endodontics and Pulpal Diagnosis 35
Introduction 35
Medical History 35
Dental History 36
Patient Examination 38
Traditional Clinical Tests to Assess Pulpal Status 41
Periodontal Examination 43
Mechanical Tests 44
Palpation 44
Percussion 44
Transillumination 46
Bite Test 47
Test Cavity 47
Isolated Anesthesia 48
Electric Pulp Testing (EPT) 48
Thermal Tests 49
Cold 50
Heat 51
Other Thermal Tests 52
Surface Temperature 52
Plethysmography 52
Electronic Thermography 53
Nonionizing Optical Methods Employed for Diagnosis 53
Pulse Oximetry (PO) 53
Optical Coherence Tomography (OCT) 54
Laser Doppler Flowmetry (LDF) 55
Ultrasound 56
Magnetic Resonance Imaging (MRI) 58
Summary 58
Conclusion 60
References 61
Periodontics 64
Flow Chart Overview of Existing Techniques, Currently Available New Minimally Invasive Imaging Methods, and View to the Future 64
Need and Goal of Diagnostic Process 67
Principles and Devices of Minimally Invasive New Imagining Methods 67
Laser Doppler 67
Microcirculation of the Gingiva Assessed by Laser Doppler Flowmetry 67
Healthy and Inflamed Gingiva 68
Root Planing 69
Laser Periodontal Surgery and Gingival Recovery 70
Smokers and Gingival Microcirculation 72
Gingival Microcirculation Assessed by Laser Doppler Imaging 72
Optical Coherence Tomography 75
Assessment of Periodontal Structures and Measurement of Gingival Sulcus 75
Calculus Detection 75
Periodontal Probing 76
Periodontal Ligament Under Orthodontic Tooth Movement 76
Ultrasonic Flowmeters 76
Optical Spectroscopy 78
Infrared Spectroscopy 78
Near-Infrared Spectroscopy 78
Conclusions 79
Traditional Methods Vs. Minimally Invasive New Imaging Methods 79
Future Developments 81
Size, Cost, Logistics, and Level of Training 83
View to the Future 83
References 84
Imaging Oral Biofilm and Plaque 89
Background 90
Confocal Laser Scanning Microscopy 91
Two Photon and Multiphoton Microscopy 91
Atomic Force Microscopy 91
Light Sheet Fluorescence Microscopy 93
Need for New Technology 94
Optical Coherence Tomography 94
Practical Considerations 96
Conclusion 99
References 99
Oral Cancer 102
Background 102
Fluorescence and Spectroscopy 103
The VELscope™ System 104
Clinical Usage [38] 104
The Identafi™ System 105
Clinical Usage 105
The Microlux/DL® System 106
Clinical Usage 106
Chemiluminescence 106
The ViziLite® and ViziLite Plus® Systems 107
Clinical Usage 107
Photosensitizers 107
Optical Coherence Tomography 108
View to the Future 110
Smartphone-Based Autofluorescence Probe 110
High-Resolution Fiberoptic Microendoscope 111
Conclusion 111
References 111
Index 115
| Erscheint lt. Verlag | 30.11.2019 |
|---|---|
| Zusatzinfo | VII, 115 p. 98 illus., 86 illus. in color. |
| Sprache | englisch |
| Themenwelt | Medizin / Pharmazie ► Medizinische Fachgebiete ► Chirurgie |
| Medizin / Pharmazie ► Zahnmedizin | |
| Schlagworte | CAD/CAM • Diagnostic oral medicine • In vivo mapping of oral biofilm • Minimally invasive diagnostic techniques • Optical light • Pulpal diagnosis |
| ISBN-10 | 3-030-19250-4 / 3030192504 |
| ISBN-13 | 978-3-030-19250-1 / 9783030192501 |
| Haben Sie eine Frage zum Produkt? |
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