Dijital Dental Plak Skorlamasına Yeni Bir Yaklaşım
Year 2025,
Volume: 12 Issue: 2, 273 - 277, 22.08.2025
Simge Meşeli
,
Bora Korkut
,
Dilek Tağtekin
Abstract
Amaç: Fotoğraf makinası ve ağız içi tarayıcı kullanılarak elde edilen görüntüler üzerinde ölçülen klinik plak skorlarının yazılım programı ile ölçülen dental plak alanları ile karşılaştırılması amaçlanmaktadır.
Gereç ve Yöntemler: 20 hastanın ağız hijyenini değerlendirmek amacıyla dental plak boyama sonrası "Turesky Modifiye Quigley Hein Plak İndeksi’ne göre klinik dental plak skorlaması yapıldı. Klinik skorlamanın ardından hastaların aynı standartlardaki dental fotoğraf ekipmanları kullanılarak ağız içi fotoğrafları çekildi ve ağız içi tarayıcı ile tarama görüntüleri alındı. Elde edilen verilerde 66 adet ön dişin labial yüzeyindeki dental plak alanı Image J yazılımı ile ölçüldü ve dental plak alanının dişin görünen yüzey alanına oranı ölçüldü. Ağız içi fotoğraf ve taramalardaki plak alanını karşılaştırmak ve klinik skorlarla ilişkilendirmek için Spearman ve Pearson Korelasyon Analizi kullanıldı (p<0.05).
Bulgular: Ağız içi tarayıcı görüntüleri ile ağız içi fotoğraflarında arasındaki dişler üzerinde ölçülen plak alanı korelasyonu pozitif ve yüksek bulundu (0,999; p<0,001). Klinikte elde edilen dental plak skorları ile ağız içi tarayıcı görüntüleri ve fotoğraflardaki plak alanı arasında pozitif ve yüksek korelasyon tespit edildi (sırasıyla 0,937; p<0,001 ve 0,941; p<0,001).
Sonuç: Çalışmanın koşulları altında ağız içi tarama ve fotoğrafta ölçülen dental plak alanlarının birbiriyle uyumlu olduğu değerlendirildi. Buna göre mevcut klinik görüntüleme yöntemlerinin geleneksel dental plak skorlama tekniklerine alternatif olabileceği düşünülmektedir.
References
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1. Larsen T, Fiehn NE. Dental biofilm infections–an update. Apmis. 2017;125(4):376-84.
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2. Figuero E, Nobrega DF, García‐Gargallo M, Tenuta LM, Herrera D, Carvalho JC. Mechanical and chemical plaque control in the simultaneous management of gingivitis and caries: a systematic review. J Clin Periodontol. 2017;44: S116-S34.
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8. Giese-Kraft K, Jung K, Schlueter N, Vach K, Ganss C. Detecting and monitoring dental plaque levels with digital 2D and 3D imaging techniques. PLoS One. 2022;17(2):e0263722.
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9. Meseli S, Ekenel S, Korkut B, Aksu B, Tagtekin D, Yanikoglu F. Clinical assessment of various imaging systems for dental plaque scoring after the use of 3 different toothpastes. ISD. 2023;53(3):209.
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10. Doi K, Yoshiga C, Oue H, Kobatake R, Kawagoe M, Umehara H, et al. Comparison of plaque control record measurements obtained using intraoral scanner and direct visualization. Clin Exp Health Sci. 2024;10(1):e852.
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14. Ntovas P, Michou S, Benetti A, Bakhshandeh A, Ekstrand K, Rahiotis C, et al. Occlusal caries detection on 3D models obtained with an intraoral scanner. A validation study. J Dent. 2023; 131:104457.
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15. Hou X, Xu X, Zhao M, Kong J, Wang M, Lee ES, et al. An overview of three‐dimensional imaging devices in dentistry. JERD. 2022;34(8):1179-96.
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16. Kihara H, Hatakeyama W, Komine F, Takafuji K, Takahashi T, Yokota J, et al. Accuracy and practicality of intraoral scanner in dentistry: A literature review. JPR. 2020;64(2):109-13.
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17. Litzenburger F, Heck K, Kaisarly D, Kunzelmann K-H. Diagnostic validity of early proximal caries detection using near-infrared imaging technology on 3D range data of posterior teeth. Clin. Oral Investig. 2022:1-11.
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18. Kanar Ö, Tağtekin D, Korkut B. Accuracy of an intraoral scanner with near‐infrared imaging feature in detection of interproximal caries of permanent teeth: An in vivo validation. JERD. 2024.
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19. Lin WS, Alfaraj A, Lippert F, Yang CC. Performance of the caries diagnosis feature of intraoral scanners and near‐infrared imaging technology—A narrative review. J Prosthodont. 2023;32(S2):114-24.
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20. Colpani JT, Borba M, Della Bona Á. Evaluation of marginal and internal fit of ceramic crown copings. Dent. Mater. J. 2013;29(2):174-80.
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21. Zhu N, Chatzistavrou X, Ge L, Qin M, Papagerakis P, Wang Y. Biological properties of modified bioactive glass on dental pulp cells. J Dent. 2019;83:18-26.
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22. da Costa TRF, Serrano AM, Atman APF, Loguercio AD, Reis A. Durability of composite repair using different surface treatments. J Dent. 2012;40(6):513-21.
A Novel Approach to Dental Plaque Scoring: Digital Imaging Techniques
Year 2025,
Volume: 12 Issue: 2, 273 - 277, 22.08.2025
Simge Meşeli
,
Bora Korkut
,
Dilek Tağtekin
Abstract
Aim: It is aimed to compare clinical plaque scores with dental plaque areas measured with the software program on images obtained using digital photography and intraoral scanner.
Material and Methods: Clinical dental plaque scoring was measured according to the "Turesky Modified Quigley Hein Plaque Index" after dental plaque staining to evaluate the oral hygiene of 20 patients. Following clinical scoring, intraoral photographs of the patients were taken using dental photography equipment of the same standards and scan images were taken with an intraoral scanner. In the data obtained, dental plaque area on the labial surface of 66 anterior teeth were measured with Image J software, and the ratio of dental plaque area to the visible surface area of the tooth was measured. Spearman and Pearson Correlation Analysis were used to compare plaque area in intraoral photographs and scans and correlate them with clinical scores (p<0.05).
Results: The correlation between plaque area measured on intraoral scanner images and intraoral dental photographs was found to be positive and high (0.999; p<0.001). A positive and high correlation was detected between the dental plaque scores obtained in the clinic and the plaque area in the intraoral scanner images and in the photographs (0.937; p<0.001 and 0.941; p<0.001, respectively).
Conclusion: Under the conditions of the study, dental plaque areas measured on intraoral scan and photograph were evaluated to be compatible with each other. Accordingly, it is thought that current clinical imaging methods may be an alternative to conventional dental plaque scoring techniques.
References
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1. Larsen T, Fiehn NE. Dental biofilm infections–an update. Apmis. 2017;125(4):376-84.
-
2. Figuero E, Nobrega DF, García‐Gargallo M, Tenuta LM, Herrera D, Carvalho JC. Mechanical and chemical plaque control in the simultaneous management of gingivitis and caries: a systematic review. J Clin Periodontol. 2017;44: S116-S34.
-
3. Brown LJ, Löe H. Prevalence, extent, severity and progression of periodontal disease. Periodontol 2000. 1993;2(1):57-71.
-
4. Turesky S. Reduced plaque formation by the chloromethyl analogue of victamine C. J Periodontol. 1970; 41:41-3.
-
5. Datta D, Kumar S, Narayanan A, Selvamary AL, Sujatha A. Disclosing solutions used in dentistry. World J Pharm Res. 2017;6(6):1648-56.
-
6. Brostek A, Walsh L. Minimal intervention dentistry in general practice. Oral Health Dent Manag. 2014;13(2):285-94.
-
7. Doi K, Yoshiga C, Kobatake R, Kawagoe M, Wakamatsu K, Tsuga K. Use of an intraoral scanner to evaluate oral health. J. Oral Sci., 2021:21-0048.
-
8. Giese-Kraft K, Jung K, Schlueter N, Vach K, Ganss C. Detecting and monitoring dental plaque levels with digital 2D and 3D imaging techniques. PLoS One. 2022;17(2):e0263722.
-
9. Meseli S, Ekenel S, Korkut B, Aksu B, Tagtekin D, Yanikoglu F. Clinical assessment of various imaging systems for dental plaque scoring after the use of 3 different toothpastes. ISD. 2023;53(3):209.
-
10. Doi K, Yoshiga C, Oue H, Kobatake R, Kawagoe M, Umehara H, et al. Comparison of plaque control record measurements obtained using intraoral scanner and direct visualization. Clin Exp Health Sci. 2024;10(1):e852.
-
11. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical Power Analyses Using G*Power 3.1: Tests for correlation and regression analyses. Behaviour Research Methods. 41 no: 4, 2009; 1149-1160.
-
12. Meseli S, Korkut B, Tagtekin D. DMFT-Related Dental Plaque Scoring by Using Different Imaging Systems. JERD. 2024.
-
13. Chetruş V, Ion I. Dental plaque-classification, formation, and identification. Int. J Med. Dent. 2013;3(2):139-43.
-
14. Ntovas P, Michou S, Benetti A, Bakhshandeh A, Ekstrand K, Rahiotis C, et al. Occlusal caries detection on 3D models obtained with an intraoral scanner. A validation study. J Dent. 2023; 131:104457.
-
15. Hou X, Xu X, Zhao M, Kong J, Wang M, Lee ES, et al. An overview of three‐dimensional imaging devices in dentistry. JERD. 2022;34(8):1179-96.
-
16. Kihara H, Hatakeyama W, Komine F, Takafuji K, Takahashi T, Yokota J, et al. Accuracy and practicality of intraoral scanner in dentistry: A literature review. JPR. 2020;64(2):109-13.
-
17. Litzenburger F, Heck K, Kaisarly D, Kunzelmann K-H. Diagnostic validity of early proximal caries detection using near-infrared imaging technology on 3D range data of posterior teeth. Clin. Oral Investig. 2022:1-11.
-
18. Kanar Ö, Tağtekin D, Korkut B. Accuracy of an intraoral scanner with near‐infrared imaging feature in detection of interproximal caries of permanent teeth: An in vivo validation. JERD. 2024.
-
19. Lin WS, Alfaraj A, Lippert F, Yang CC. Performance of the caries diagnosis feature of intraoral scanners and near‐infrared imaging technology—A narrative review. J Prosthodont. 2023;32(S2):114-24.
-
20. Colpani JT, Borba M, Della Bona Á. Evaluation of marginal and internal fit of ceramic crown copings. Dent. Mater. J. 2013;29(2):174-80.
-
21. Zhu N, Chatzistavrou X, Ge L, Qin M, Papagerakis P, Wang Y. Biological properties of modified bioactive glass on dental pulp cells. J Dent. 2019;83:18-26.
-
22. da Costa TRF, Serrano AM, Atman APF, Loguercio AD, Reis A. Durability of composite repair using different surface treatments. J Dent. 2012;40(6):513-21.