WO2008048170A1 - Diagnosis of caries - Google Patents

Diagnosis of caries Download PDF

Info

Publication number
WO2008048170A1
WO2008048170A1 PCT/SE2007/000923 SE2007000923W WO2008048170A1 WO 2008048170 A1 WO2008048170 A1 WO 2008048170A1 SE 2007000923 W SE2007000923 W SE 2007000923W WO 2008048170 A1 WO2008048170 A1 WO 2008048170A1
Authority
WO
WIPO (PCT)
Prior art keywords
dentine
carious
caries
tooth
tissue
Prior art date
Application number
PCT/SE2007/000923
Other languages
English (en)
French (fr)
Inventor
Ulrika ALMHÖJD
Anna Arvidsson
Peter LINGSTRÖM
Original Assignee
Orasolv Ab
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Orasolv Ab filed Critical Orasolv Ab
Priority to EP07835124A priority Critical patent/EP2079357A4/en
Publication of WO2008048170A1 publication Critical patent/WO2008048170A1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/50Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications
    • A61B6/51Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications for dentistry
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A61B5/0088Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for oral or dental tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00Dental tools or instruments

Definitions

  • the present invention relates to the diagnosis of caries in particular for the treatment of caries in dentine tissue
  • a chemical marker or method to identify carious dentine tissue may facilitate caries treatment and reduce the amount of healthy tooth tissue removed during treatment.
  • Dental caries is an endogenous infection of the calcified tissues of the teeth and is historical the consequence of the interaction between the oral microflora, the diet, the dentition and the oral environment [1].
  • the pathogenesis of dental caries is dependent upon the presence of fermentable sugars in the diet and the presence of cariogenic bacterial species [2-5].
  • the cariogenic micro organisms constitute a complex oral microflora with both acidogenic and aciduric properties [5].
  • the underlying tooth surface may gradually become chemically modified which over time may result in a net loss of mineral. From a clinical point of view, dental caries has been described as a soft, yellow-brownish discoloration of the dentine [6].
  • Carious dentine contains significant amounts of sugars [8] and can therefore form advanced glycation end products (AGEs), e.g. Maillard products, between sugars and the side chains of basic amino acids such as lysine and arginin [10]. These Maillard reactions are non-enzymatic crosslink reactions. The two most well-known Maillard reaction products found in carious dentine, pentosidine and carboxylmethyllysine [10, 11], have not been found in sound dentine [11].
  • AGEs advanced glycation end products
  • Maillard reactions are non-enzymatic crosslink reactions.
  • the two most well-known Maillard reaction products found in carious dentine, pentosidine and carboxylmethyllysine [10, 11] have not been found in sound dentine [11].
  • US-A1 -2005/0283058 thus discloses that early dental caries detection is carried out by a method that combines optical coherence tomography (OCT) and Raman spectroscopy to provide morphological information and biochemical specificity for detecting and characterizing incipient carious lesions found in extracted human teeth.
  • OCT imaging of tooth samples demonstrated increased light back-scattering intensity at sites of carious lesions as compared to the sound enamel.
  • Raman microspectroscopy and fibre-optic based Raman spectroscopy are used to characterize the caries further by detecting demineralization-induced alterations of enamel crystallite morphology and/or orientation.
  • the present invention relates to a method for diagnosing the optional presence of carious dentine tissue in a simple but reliable way. For that reason attempts of finding a specific group were performed.
  • the present invention relates in particular to a specific chemical compound, an ester, which has been found present in carious dentine tissue.
  • the chemical compound can be easily detected by infrared spectroscopy, or by fluorescent light, when a fluorescent moiety has been coupled to the chemical compound, in particular at the ester group.
  • esters In carious tissues, there might also be organic molecular alterations other than the Maillard reactions described above.
  • the presence of esters in dental caries has been investigated and it has been found that esterases are more common in carious tissue than in intact tissue [12].
  • esters in dental caries are still lacking and possible differences in the esters for the outer and inner layers of dental caries have not been investigated. It can be hypothesised that the esterification of the hydroxyl groups of the acidic side chains of aspartate and glutamate residues facing an acidic environment (lactic acid) is unique to carious lesions. The aim of the present paper was therefore to evaluate the presence of the presumptive ester groups in the outer and inner layers of carious lesions.
  • the outermost part of the dental carious lesions was removed with a sterilised excavator and thrown away.
  • the remaining dental caries was divided into two layers; one outer layer with discoloured, soft and infected dental caries and one inner layer with harder, less discoloured dental caries.
  • the layers of outer and inner dental caries were removed with an excavator and put into test tubes.
  • a clean excavator was used for the different respective samples, i.e., a clean excavator was used for each layer of the tooth. Sound dentine was excavated from an uninfected part of the tooth, as a reference for unaltered peptides.
  • FTIR Fourier Transform Infrared Spectroscopy
  • esters when produced in vitro in transesterification reactions, they are stable at pH 4-8. Furthermore, they are not degraded, since the degrading enzyme lipase does not exist in the oral cavity [27]. In a carious lesion, the outer part is older and has a higher pH [6], since it is more exposed to the neutral pH of saliva, compared with the inner layer of dental caries. A higher pH in the outer layer of dental caries could therefore possibly cause a decrease in the stability of esters, as indicated by the results in the present study ( Figure 2).
  • Figure 1 FTIR spectra of A) healthy dentine of tooth 1 , B) healthy dentine of tooth 2, C) outer layer caries of tooth 1 , D) outer layer caries of tooth 2, E) inner layer caries of tooth 1 and F) inner layer caries of tooth 2.
  • FIG. 1 The amide I band of carious tissue from outer (graphs C and D) and inner (graphs E and F) layers of the lesions.
  • the knees at 1740 cm '1 are marked with arrows.
  • Figure 4 A zoom of the region between 1400 and 1000 cm “1 , demonstrating a slight shift at 1040 cm-1 for carious samples.
  • Figure 5 A deconvoluted spectra of dentine without normal dentine bacteria in lactic acid and also with added glucose. (1725 cm "1 ).
  • Figure 8 The sample in Fig. 6 (A deconvoluted spectra of dentine which includes the normal dentine bacteria in lactic acid in lactic acid + glucose) minus a deconvoluted spectra of dentine including normal dentine bacteria in lactic acid (set as the reference).
  • Geddes DA Acids produced by human dental plaque metabolism in situ. Caries Res 1975; 9: 98-109.
  • Beighton D The complex oral microflora of high-risk individuals and groups and its role in the caries process. Community Dent Oral Epidemiol 2005; 33: 248-255.
  • Thylstrup and Fejerskov Clinical and pathological features of dental caries; in: Textbook of clinical cariology. Second edition. Copenhagen, Munksgaard, 1994, pp 136-154.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Pathology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Epidemiology (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Audiology, Speech & Language Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Cosmetics (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Investigating Or Analysing Materials By Optical Means (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
PCT/SE2007/000923 2006-10-18 2007-10-18 Diagnosis of caries WO2008048170A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP07835124A EP2079357A4 (en) 2006-10-18 2007-10-18 DIAGNOSIS OF CARIES

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
SE0602214A SE530442C2 (sv) 2006-10-18 2006-10-18 Diagnos av karies
SE0602214-9 2006-10-18

Publications (1)

Publication Number Publication Date
WO2008048170A1 true WO2008048170A1 (en) 2008-04-24

Family

ID=39314284

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/SE2007/000923 WO2008048170A1 (en) 2006-10-18 2007-10-18 Diagnosis of caries

Country Status (3)

Country Link
EP (1) EP2079357A4 (sv)
SE (1) SE530442C2 (sv)
WO (1) WO2008048170A1 (sv)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9642780B2 (en) 2011-06-15 2017-05-09 Rls Global Ab Detection and removal of carious dentin tissue

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050238058A1 (en) * 2004-04-26 2005-10-27 Peirce Kenneth L Jr Synchronization of upstream and downstream data transfer in wireless mesh topologies

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050238058A1 (en) * 2004-04-26 2005-10-27 Peirce Kenneth L Jr Synchronization of upstream and downstream data transfer in wireless mesh topologies

Non-Patent Citations (4)

* Cited by examiner, † Cited by third party
Title
ANTUNES A. ET AL.: "Spectroscopic alterations on enamel and dentin after nanosecond Nd:YAG laser irradiation", SPECTROCHIMICA ACTA PART A: MOLECULAR AND BIOMOLECULAR SPECTROSCOPY, vol. 64, August 2006 (2006-08-01), pages 1142 - 1146, XP005588933 *
DI RENZO M. ET AL.: "A photoacoustic FTIRS study of the chemical modifications of human dentin surfaces: I Demineralization", BIOMATERIALS, vol. 22, 2001, pages 787 - 792, XP003020359 *
HYNES A. ET AL.: "Molecular mapping pf periodontal tissues using infrared microspectroscopy", BMC MEDICAL IMAGING, May 2005 (2005-05-01), XP021004183 *
See also references of EP2079357A4 *

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9642780B2 (en) 2011-06-15 2017-05-09 Rls Global Ab Detection and removal of carious dentin tissue

Also Published As

Publication number Publication date
SE0602214L (sv) 2008-04-19
EP2079357A4 (en) 2010-02-17
EP2079357A1 (en) 2009-07-22
SE530442C2 (sv) 2008-06-10

Similar Documents

Publication Publication Date Title
Salehi et al. Functional mapping of human sound and carious enamel and dentin with Raman spectroscopy
Verdelis et al. Effect of chelating agents on the molecular composition and extent of decalcification at cervical, middle and apical root dentin locations
Sun et al. Surface alteration of human tooth enamel subjected to acidic and neutral 30% hydrogen peroxide
Suzuki et al. Vibrational analysis by Raman spectroscopy of the interface between dental adhesive resin and dentin
Arvidsson et al. Chemical and topographical analyses of dentine surfaces after Carisolv™ treatment
Tramini et al. A Raman spectroscopic investigation of dentin and enamel structures modified by lactic acid
Almhöjd et al. Analysis of carious dentine using FTIR and ToF-SIMS
US8765168B2 (en) Compositions of a fluorapatite and methods of use
Pezzotti et al. Antifungal activity of polymethyl methacrylate/Si3N4 composites against Candida albicans
Zhou et al. Effect of chemical interaction on the bonding strengths of self-etching adhesives to deproteinised dentine
Thoms Detection of intaoral lesions using a fluorescence camera
Severcan et al. Effects of in-office and at-home bleaching on human enamel and dentin: an in vitro application of Fourier transform infrared study
Levallois et al. Molecular structural analysis of carious lesions using micro‐R aman spectroscopy
Toledano et al. Ex vivo detection and characterization of remineralized carious dentin, by nanoindentation and single point Raman spectroscopy, after amalgam restoration
Wang et al. Collagen stabilization by natural cross-linkers: A qualitative and quantitative FTIR study on ultra-thin dentin collagen model
Barrera-Ortega et al. Study of demineralized dental enamel treated with different fluorinated compounds by Raman spectroscopy
Embery et al. Studies on the organic polyanionic constituents of human acquired dental pellicle
Hara et al. Carbohydrate components of the gingival exudate
EP2079357A1 (en) Diagnosis of caries
US20230263166A1 (en) Antifungal composites and methods thereof
Korkmaz et al. Effect of mouthwashes on the discoloration of bracket-bonded tooth surfaces: an in vitro study
Seredin et al. Comparative analysis of dentine and gingival fluid molecular composition and protein conformations during development of dentine caries: A pilot study
Hill et al. Detection of caries and composite resin restorations by near-infrared Raman spectroscopy
Wilson et al. Collection and biochemical analysis of human dental plaque from the approximal tooth surfaces and comparison with plaque from free smooth surfaces
Arslan et al. The effects of cavity disinfection on the nanoleakage of compomer restorations: an in vitro study

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 07835124

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

WWE Wipo information: entry into national phase

Ref document number: 2007835124

Country of ref document: EP