国际口腔医学杂志 ›› 2019, Vol. 46 ›› Issue (6): 699-704.doi: 10.7518/gjkq.2019103

• 综述 • 上一篇    下一篇

定量光导荧光技术在龋病及牙周疾病诊治中的应用

陈艳艳,彭显,周学东,程磊()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院牙体牙髓病科 成都 610041
  • 收稿日期:2019-03-12 修回日期:2019-08-05 出版日期:2019-11-01 发布日期:2019-11-14
  • 通讯作者: 程磊
  • 作者简介:陈艳艳,硕士,Email: chenyanyandentist@163.com
  • 基金资助:
    国家自然科学基金面上项目(81870759)

Application of quantitative light-induced fluorescence in the clinical treatment of caries and periodontal diseases

Chen Yanyan,Peng Xian,Zhou Xuedong,Cheng Lei()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Operative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2019-03-12 Revised:2019-08-05 Online:2019-11-01 Published:2019-11-14
  • Contact: Lei Cheng
  • Supported by:
    This study was supported by National Natural Science Foundation of China(81870759)

摘要:

定量光导荧光(QLF)技术自面世以来,就有文章研究其检测及定量牙体组织脱矿情况的能力。随着技术的发展,QLF技术在龋病的诊断及防治中的应用不断被开发。除此以外,QLF还能检测及定量菌斑激发出的红色荧光,红色荧光被认为可能与牙周疾病及菌斑的致龋能力有关。本文就QLF技术在龋病及牙周疾病诊治中的应用作一综述。

关键词: 定量光导荧光技术, 牙菌斑, 龋病, 龋病风险, 牙周疾病

Abstract:

Since quantitative light-induced fluorescence (QLF) was invented, it has been applied in detection and quantification of incipient caries. With the development of technology, the clinical application of QLF has been continuously developed. Also, it can detect and quantify the red fluorescence from plaque, which is thought related to periodontal diseases and the cariogenic ability of plaque. This article reviewed the most recent findings about the clinical application of QLF in caries and periodontal diseases.

Key words: quantitative light-induced fluorescence, dental plaque, caries, caries risk, periodontal diseases

中图分类号: 

  • R781.05

表 1

两代设备比较"

设备 图像特点 分析参数 优缺点
InspektorTM QLF Pro 健康牙体组织:绿色
脱矿牙体组织:暗灰色
菌斑:亮红色
ΔF、A、ΔQ 优点:历史较悠久,其同于检测牙体脱矿情况的能力已有较多临床试验验证
缺点:图像中正常牙体组织表现为绿色,不利于图像分析;图像较不清晰,分辨率较低;检测红色荧光的灵敏度较差
QLF-D BiluminatorTM 健康牙体组织:白色
龋损牙体组织:黑色
菌斑:红色
ΔF、A和ΔQ;R/G、ΔR和AΔR 优点:图像中正常牙体组织呈现为牙色,更符合人类视觉习惯;图像较清晰,分辨率高;更灵敏地检测及定量红色荧光
缺点:其检测牙体脱矿情况的能力还需更多临床试验验证;红色荧光的临床应用正在研究阶段
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