Characteristics of subgingival calculus detection by multiphoton fluorescence microscopy

J Biomed Opt. 2011 Jun;16(6):066017. doi: 10.1117/1.3593150.

Abstract

Subgingival calculus has been recognized as a major cause of periodontitis, which is one of the main chronic infectious diseases of oral cavities and a principal cause of tooth loss in humans. Bacteria deposited in subgingival calculus or plaque cause gingival inflammation, function deterioration, and then periodontitis. However, subgingival calculus within the periodontal pocket is a complicated and potentially delicate structure to be detected with current dental armamentaria, namely dental x-rays and dental probes. Consequently, complete removal of subgingival calculus remains a challenge to periodontal therapies. In this study, the detection of subgingival calculus employing a multiphoton autofluorescence imaging method was characterized in comparison with a one-photon confocal fluorescence imaging technique. Feasibility of such a system was studied based on fluorescence response of gingiva, healthy teeth, and calculus with and without gingiva covered. The multiphoton fluorescence technology perceived the tissue-covered subgingival calculus that cannot be observed by the one-photon confocal fluorescence method.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Dental Calculus / chemistry*
  • Dental Calculus / pathology
  • Gingiva / chemistry
  • Gingival Diseases / pathology
  • Humans
  • Microscopy, Confocal
  • Microscopy, Fluorescence, Multiphoton / methods*
  • Photography
  • Tooth / chemistry