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用于检测微生物菌斑和牙龈炎症的光荧光装置的性能

Performance of a light fluorescence device for the detection of microbial plaque and gingival inflammation.

作者信息

Rechmann Peter, Liou Shasan W, Rechmann Beate M T, Featherstone John D B

机构信息

Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California at San Francisco, 707 Parnassus, San Francisco, CA, 94143, USA.

Department of Orofacial Sciences, School of Dentistry, University of California at San Francisco, 707 Parnassus, San Francisco, CA, 94143, USA.

出版信息

Clin Oral Investig. 2016 Jan;20(1):151-9. doi: 10.1007/s00784-015-1481-9. Epub 2015 Apr 28.

DOI:10.1007/s00784-015-1481-9
PMID:25914048
Abstract

OBJECTIVES

The hypothesis to be tested was that using the SOPROCARE system in fluorescence perio-mode allows scoring of microbial plaque that is comparable to the Turesky modification of the Quigley Hein plaque index (T-QH) and scoring of gingival inflammation comparable to the Silness and Löe gingival inflammation index (GI).

MATERIALS AND METHODS

Fifty-five subjects with various amounts of microbial plaque were recruited. The T-QH and GI index were recorded. SOPROCARE pictures were recorded in fluorescence perio-mode and in daylight mode. Finally, conventional digital photographs were taken. All pictures were assessed using the same criteria as described for the clinical indices.

RESULTS

The average T-QH was 1.1 ± 1.2 (mean ± SD). Scoring with SOPROCARE perio-mode led to a slightly higher average than the T-QH scores. SOPROCARE daylight mode and digital photography showed the highest plaque scores. The average GI index was 0.7 ± 0.9. SOPROCARE in perio-mode scored slightly lower. Linear regression fits between the different clinical indices and SOPROCARE scores were significantly different from zero demonstrating high goodness of fit.

CONCLUSIONS

The study demonstrated that the SOPROCARE fluorescence assessment tool in perio-mode allows reliable judgment of microbial plaque and gingival inflammation levels similar to the established Turesky-modified Quigley Hein index and the Silness and Löe gingival inflammation index. Training on plaque-free teeth will actually reduce scoring errors.

CLINICAL RELEVANCE

The SOPROCARE fluorescence tool in perio-mode provides reliable evaluation of microbial plaque and gingival inflammation for the dental clinician.

摘要

目的

待检验的假设是,在荧光牙周模式下使用SOPROCARE系统能够对微生物菌斑进行评分,其结果与Quigley Hein菌斑指数的Turesky改良版(T-QH)相当,并且对牙龈炎症的评分与Silness和Löe牙龈炎症指数(GI)相当。

材料与方法

招募了55名具有不同数量微生物菌斑的受试者。记录T-QH和GI指数。在荧光牙周模式和日光模式下记录SOPROCARE图像。最后,拍摄传统数码照片。所有图像均按照与临床指数相同的标准进行评估。

结果

T-QH的平均值为1.1±1.2(均值±标准差)。使用SOPROCARE牙周模式评分得出的平均值略高于T-QH评分。SOPROCARE日光模式和数码摄影显示的菌斑评分最高。GI指数的平均值为0.7±0.9。SOPROCARE在牙周模式下的评分略低。不同临床指数与SOPROCARE评分之间的线性回归拟合显著不同于零,表明拟合优度高。

结论

该研究表明,牙周模式下的SOPROCARE荧光评估工具能够可靠地判断微生物菌斑和牙龈炎症水平,类似于已确立的Turesky改良Quigley Hein指数和Silness与Löe牙龈炎症指数。对无菌斑牙齿进行训练实际上会减少评分误差。

临床意义

牙周模式下的SOPROCARE荧光工具为牙科临床医生提供了对微生物菌斑和牙龈炎症的可靠评估。

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