Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Detection of dental decay and its extent using a.c. impedence spectroscopy

Abstract

Dental caries (decay), the most prevalent of diseases, represents a health problem of immense proportions1. It principally affects posterior (back) teeth on occlusal (biting) and approximal (adjacent contacting) surfaces. Caries starts as a subsurface demineralization of enamel, may progress to the underlying dentine and, eventually, to cavitation of the surface. Accurate diagnosis before cavitation would permit targeted preventive treatment, thereby significantly improving dental health and reducing the need for expensive drilling and filling. Inaccessibility of caries initiation sites and recent changes in lesion morphology contribute to the relatively poor accuracy of conventional diagnostic methods2 Among alternative techniques, measurements of electrical resistance3–5 have shown the most promise. Here we describe a new experimental technique that demonstrates an outstanding 100% correlation between a.c. impedance measurements of whole teeth and the actual extent of approximal caries in vitro. Only relatively minor modifications should be required to transfer the technique to in vivo applications.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Johnson, N.W., The nature of the caries process and the need for markers of risk. in Dental Caries: Markers of High and Low Risk Groups and Individuals. 1–12 (Cambridge Univ. Press, Cambridge, 1991).

    Google Scholar 

  2. Pitts, N.B. The diagnosis of dental caries. 3. Rationale and overview of present and potential future techniques. Dental Update 19, 32–42 (1992).

    CAS  PubMed  Google Scholar 

  3. Mayuzumi, Y., Suzuki, K. & Sumada, J. A method of diagnosing incipient caries In pits and fissures by measuring electric resistance. J. Dent. Res. 43, 941 (1964).

  4. White, G.E., Tsamtsouris, A. & Williams, J. Early detection of occlusal caries by measuring the electrical resistance of the tooth. J. Dent. Res. 57, 195–200 (1978).

    Article  CAS  Google Scholar 

  5. Ricketts, D.N.J., Kidd, E.A.M. & Wilson, R.F. A re-evaluation of electrical resistance measurements for the diagnosis of occlusal caries. Br. Dent. J. 178, 11–17 (1995).

    Article  CAS  Google Scholar 

  6. Bruce, P.G. Electrical measurements on polymer electrolytes. in Polymer Electrolyte Reviews. Vol 1 (eds. MacCallum, J.R. & Vincent, C.A.) Ch. 8, 237–274 (Elsevier Applied Science, London, 1987).

    Google Scholar 

  7. Bruce, P.G. Fast transport in solids. in Polymer Electrolytes and Intercalation Electrodes (eds. Scrosati, B., Magistris, A., Mari, C.M. & Marietta, G.) 87–107 (NATO ASI series, 1993).

    Google Scholar 

  8. Scholberg, H.P.F., Borggreven, J.M.P.M. & Driessens, F.C.M. A phenonemological interpretation of the frequency-dependent impedance behaviour of bovine dental enamel. Arch. Oral. Biol. 29, 965–970 (1984).

    Article  CAS  Google Scholar 

  9. Levenkind, M., Vandernoot, T.J. & Elliot, J.C. Electrochemical impedance characterizationof human and bovine enamel. J. Dent. Res. 69, 1806–1811 (1990).

    Article  Google Scholar 

  10. Levenkind, M., Vandernoot, T.J. & Elliot, J.C. Evaluation of smear layers on serial sections of human dentin by means of electrochemical impedance measurements. J Dent. Res. 71, 426–433 (1992).

    Article  Google Scholar 

  11. Pieper, K., Visser, H., Hulsman, M. & Wahner, M. The testing of an electronic device in the diagnosis of fissure caries. Dtsch. Zahnartd. Z. 45, 721–724 (1990).

    CAS  Google Scholar 

  12. Lussi, A. Validity of diagnostic and treatment decisions of fissure caries. Caries Res. 25, 296–303 (1991).

    Article  CAS  Google Scholar 

  13. Russell, M. & Pitts, N.B. Radiovisiographic diagnosis of dental caries: Initial comparison of basic mode videoprints with bitewing radiography. Caries Res. 27, 65–70 (1993).

    Article  CAS  Google Scholar 

  14. Longbottom, C. The clinical diagnosis of dental caries —; an initial evaluation of novel techniques. PhD thesis, University of Dundee (1992).

  15. Kay, E.J. Factors affecting dental restorative treatment decisions. PhD thesis, University of Glasgow (1991).

  16. Bruce, P.G., Lisowska-Oleksiak, A., Los, P. & Vincent, C.A. Electrochemical impedance spectroscopy at an ultramicroelectrode. J. Electroanal. Chem. 367, 279–283 (1994).

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Longbottom, C., Huysmans, MC., Pitts, N. et al. Detection of dental decay and its extent using a.c. impedence spectroscopy. Nat Med 2, 235–237 (1996). https://doi.org/10.1038/nm0296-235

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nm0296-235

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing