Spectroscopic Investigation of Tooth Caries and Demineralization

Dental caries persists to be the most predominant oral disease in spite of remarkable progress made during the past half- century to reduce its prevalence. Early diagnosis of carious lesions is an important factor in the prevention and management of dental caries. Conventional procedures for caries detection involve visual-tactile and radiographic examination, which is considered as “gold standard”. These techniques are subjective and are unable to detect the lesions until they are well advanced and involve about one-third of the thickness of enamel. Therefore, all these factors necessitate the need for the development of new techniques for early diagnosis of carious lesions. Researchers have been trying to develop various instruments based on optical spectroscopic techniques for detection of dental caries during the last two decades. These optical spectroscopic techniques facilitate noninvasive and real-time tissue characterization with reduced radiation exposure to patient, thereby improving the management of dental caries. Nonetheless, a costeffective optical system with adequate sensitivity and specificity for clinical use is still not realized and development of such a system is a challenging task.Two key techniques based on the optical properties of dental hard tissues are discussed in this current thesis, namely laser-induced fluorescence (LIF) and diffuse reflectance (DR) spectroscopy for detection of tooth caries and demineralization. The work described in this thesis is mainly of applied nature, focusing on the analysis of data from in vitro tooth samples and extending these results to diagnose dental caries in a clinical environment. The work mainly aims to improve and contribute to the contemporary research on fluorescence and diffuse reflectance for discriminating different stages of carious lesions. Towards this, a portable and compact laser-induced fluorescence and reflectance spectroscopic system (LIFRS) was developed for point monitoring of fluorescence and diffuse reflectance spectra from tooth samples. The LIFRS system uses either a 337 nm nitrogen laser or a 404 nm diode laser for the excitation of tooth autofluorescence and a white light source (tungsten halogen lamp) for measuring diffuse reflectance.Extensive in vitro studies were carried out on extracted tooth samples to test the applicability of LIFRS system for detecting dental caries, before being tested in a clinical environment. Both LIF and DR studies were performed for diagnosis of dental caries, but special emphasis was given for early detection and also to discriminate between different stages of carious lesions. Further the potential of LIFRS system in detecting demineralization and remineralization were also assessed.In the clinical trial on 105 patients, fluorescence reference standard (FRS) criteria was developed based on LIF spectral ratios (F500/F635 and F500/F680) to discriminate different stages of caries and for early detection of dental caries. The FRS ratio scatter plots developed showed better sensitivity and specificity as compared to clinical and radiographic examination, and the results were validated with the blindtests. Moreover, the LIF spectra were analyzed by curve-fitting using Gaussian spectral functions and the derived curve-fitted parameters such as peak position, Gaussian curve area, amplitude and width were found to be useful for distinguishing different stages of caries. In DR studies, a novel method was established based on DR ratios (R500/R700, R600/R700 and R650/R700) to detect dental caries with improved accuracy. Further the diagnostic accuracy of LIFRS system was evaluated in terms of sensitivity, specificity and area under the ROC curve. On the basis of these results, the LIFRS system was found useful as a valuable adjunct to the clinicians for detecting carious lesions.

POST-MONSOON SEA SURFACE TEMPERATURE AND CONVECTION ANOMALIES OVER INDIAN AND PACIFIC OCEANS

We have studied sea surface temperature (SST) anomalies over the Indian and Pacific Oceans (domain 25 °S to 25°N and 40 °E to 160 °W) during the three seasons following the Indian summer monsoon for wet monsoons and also for dry monsoons accompanied or not by El Ni˜no. A dry monsoon is followed by positive SST anomalies in the longitude belt 40 to 120 °E, negative anomalies in 120 to 160 °E and again positive anomalies east of 160 °E. In dry monsoons accompanied by El Ni˜no the anomalies have the same sign, but are much stronger. Wet monsoons have weak anomalies of opposite sign in all three of the longitude belts. Thus El Ni˜no and a dry monsoon have the same types of association with the Indian and Pacific Ocean SSTs. In the sector 40 to 120 °E SST anomalies first appear over the western part of the Indian Ocean (June to September) followed by the same sign of anomalies over its eastern part and China Sea (October to March). By March after a dry monsoon or El Ni˜no the Indian Ocean between 10 °N and 10 °S has a spatially large warm SST anomaly. Anomalies in deep convection tend to follow the SST anomalies, with warm SST anomalies producing positive convection anomalies around the seasonal location of the intertropical convergence zone

Behaviour of REEs in a tropical estuary and adjacent continental shelf of southwest coast of India: Evidence from anomalies

The distribution and accumulation of the rare earth elements (REE) in the sediments of the Cochin Estuary and adjacent continental shelf were investigated. The rare earth elements like La, Ce, Pr, Nd, Sm, Eu, Gd, Tb, Dy, Ho, Er, Tm, Yb, Lu and the heavy metals like Mg, V, Cr, Mn, Fe, Cu, Zn, U, Th were analysed by using standard analytical methods. The Post-Archean Australian Shale composition was used to normalise the rare earth elements. It was found that the sediments were more enriched with the lighter rare earth elements than the heavier ones. The positive correlation between the concentrations of REE, Fe and Mn could explain the precipitation of oxyhydroxides in the study area. The factor analysis and correlation analysis suggest common sources of origin for the REEs. From the Ce-anomalies calculated, it was found that an oxic environment predominates in all stations except the station No. 2. The Eu-anomaly gave an idea that the origin of REEs may be from the feldspar. The parameters like total organic carbon, U/Th ratio, authigenic U, Cu/Zn, V/Cr ratios revealed the oxic environment and thus the depositional behaviour of REEs in the region