West China Journal of Stomatology

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Detection and monitoring of enamel early caries in vivo using red fluorescence analysis by quantitative light-induced fluorescence method

YIN Wei1, FENG Yan2, HU De-yu1, Roger P. Ellwood3, Iain A. Pretty3   

  1. 1. State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China; 2. Dept. of Preventive Dentistry, The Affiliated Stomatology Hospital of Fujian Medical University, Fuzhou 350002, China; 3. Dental Health Unit, The University of Manchester, Manchester M15 6SH, UK
  • Received:2010-06-25 Revised:2010-06-25 Online:2010-06-20 Published:2010-06-20
  • Contact: HU De-yu,Tel:028-85501457

Abstract:

Objective To evaluate the capability of red fluorescence analysis using quantitative light -induced fluorescence(QLF) methods, comparing with green fluorescence analysis, for detection and monitor of enamel early carious lesions on smooth surfaces. Methods 96 students with early enamel carious lesions were required to perform supervised tooth brushing with 0.145% F- dentifrice for six months. QLF images were taken from smooth surfaces of erupted maxillary anterior teeth at baseline and six months later. Both red fluorescence and green fluorescence analysis of carious lesions were carried out. QLF metrics including the areas of lesions(Ar, Aw), average fluorescence (△R, △F), total fluorescence(R, △Q)were exported. Results Pearson correlation coefficients between variables of red and green fluorescence were 0.89(Ar vs Aw), 0.54(△R vs △F) and 0.72(lgR vs lg△Q). Significant decreases were exhibited by all the quantitative variables at sixth month compared to those at baseline (P<0.05). Conclusion Red fluorescence analysis using QLF system could quantify the mineral content and monitor the recovery of carious lesions. It could be used to evaluate methods for prevention and cure of caries.

Key words: quantitative light-induced fluorescence, red fluorescence, green fluorescence, early caries