PMID- 28637033 OWN - NLM STAT- MEDLINE DCOM- 20180727 LR - 20180828 IS - 1421-976X (Electronic) IS - 0008-6568 (Linking) VI - 51 IP - 4 DP - 2017 TI - Quantitative Swept-Source Optical Coherence Tomography of Early Enamel Erosion in vivo. PG - 410-418 LID - 10.1159/000477098 [doi] AB - Swept-source optical coherence tomography (SS-OCT) shows potential for the in vivo quantitative evaluation of micro-structural enamel surface phenomena occurring during early erosive demineralization. This randomized controlled single-blind cross-over clinical study aimed to evaluate the use of SS-OCT for detecting optical changes in the enamel of 30 healthy volunteers subjected to orange juice rinsing (erosive challenge) in comparison to mineral water rinsing (control), according to wiped and non-wiped enamel surface states. Participants were randomly allocated to 60 min of orange juice rinsing (pH 3.8) followed by 60 min of water rinsing (pH 6.7) and vice versa, with a 2-week wash-out period. In addition, the labial surfaces of the right or left maxillary incisors were wiped prior to SS-OCT imaging. An automated ImageJ algorithm was designed to analyse the back-scattered OCT signal intensity (D) after orange juice rinsing compared to after water rinsing. D was quantified as the OCT signal scattering from the 33 microm sub-surface enamel, normalised by the total OCT signal intensity entering the enamel. The back-scattered OCT signal intensity increased by 3.1% (95% CI 1.1-5.1%) in the wiped incisors and by 3.5% (95% CI 1.5-5.5%) in the unwiped incisors (p < 0.0001). Wiping reduced the back-scattered OCT signal intensity by 1.7% (95% CI -3.2 to -0.3%; p = 0.02) in comparison to the unwiped enamel surfaces for both rinsing solutions (p = 0.2). SS-OCT detected OCT signal changes in the superficial sub-surface enamel of maxillary central incisor teeth of healthy volunteers after orange juice rinsing. CI - (c) 2017 S. Karger AG, Basel. FAU - Austin, Rupert S AU - Austin RS AD - King's College London Dental Institute, Guy's, King's and St.Thomas' Hospitals, London, UK. FAU - Haji Taha, Maisalamah AU - Haji Taha M FAU - Festy, Frederic AU - Festy F FAU - Cook, Richard AU - Cook R FAU - Andiappan, Manoharan AU - Andiappan M FAU - Gomez, Juliana AU - Gomez J FAU - Pretty, Iain A AU - Pretty IA FAU - Moazzez, Rebecca AU - Moazzez R LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20170622 PL - Switzerland TA - Caries Res JT - Caries research JID - 0103374 SB - IM MH - Adult MH - Cross-Over Studies MH - Dental Enamel/*diagnostic imaging/*pathology MH - Female MH - Humans MH - Male MH - Single-Blind Method MH - Tomography, Optical Coherence/*methods MH - Tooth Demineralization/*diagnostic imaging MH - Tooth Erosion/*diagnostic imaging MH - Young Adult OTO - NOTNLM OT - Biophotonics OT - Optical coherence tomography OT - Salivary pellicle OT - Tooth wear EDAT- 2017/06/22 06:00 MHDA- 2018/07/28 06:00 CRDT- 2017/06/22 06:00 PHST- 2016/11/24 00:00 [received] PHST- 2017/04/26 00:00 [accepted] PHST- 2017/06/22 06:00 [pubmed] PHST- 2018/07/28 06:00 [medline] PHST- 2017/06/22 06:00 [entrez] AID - 000477098 [pii] AID - 10.1159/000477098 [doi] PST - ppublish SO - Caries Res. 2017;51(4):410-418. doi: 10.1159/000477098. Epub 2017 Jun 22.