Meseli Simge, Ekenel Sergen, Korkut Bora, Aksu Burak, Tagtekin Dilek, Yanikoglu Funda
Department of Restorative Dentistry, Faculty of Dentistry, Marmara University, Istanbul, Türkiye.
Department of Orthodontics, Faculty of Dentistry, Marmara University, Istanbul, Türkiye.
Imaging Sci Dent. 2023 Sep;53(3):209-216. doi: 10.5624/isd.20220208. Epub 2023 Jun 20.
This study was conducted to compare dental plaque scores obtained through clinical examinations and various imaging techniques, as well as to assess the effectiveness of herbal and conventional toothpastes for plaque removal.
Thirty volunteers were divided into 3 groups. Each group was given a different toothpaste (from 2 herbal toothpastes and a conventional toothpaste) with which to brush their teeth for 21 days. Both initially and after brushing, dental plaque samples were collected, and plaque on the buccal surfaces of anterior teeth was scored using several imaging systems after staining with a disclosing agent. Specifically, digital dental photography, intraoral digital scanning, and FluoreCam imaging were employed to capture intraoral images. The Turesky Modified Quigley-Hein Plaque Index was used for clinical examination and image analysis. Quantitative polymerase chain reaction analyses and correlational assessments between clinical examination and imaging scores were conducted before and after toothpaste use. The Shapiro-Wilk test and Pearson correlations were utilized.
The lowest mean value was observed in the clinical examination without staining, while the highest was obtained using the FluoreCam method. No significant change was found in the level of any microorganism assessed following toothpaste use (<0.05), with the exception of a decrease in levels after using conventional toothpaste (<0.05).
Herbal toothpaste demonstrated plaque-removal effectiveness comparable to that of conventional toothpaste. The use of imaging methods for measuring plaque index has been suggested as a means to educate patients about plaque control and promote ongoing oral care.
本研究旨在比较通过临床检查和各种成像技术获得的牙菌斑评分，并评估草药牙膏和传统牙膏去除牙菌斑的效果。
30名志愿者被分为3组。每组使用不同的牙膏（两种草药牙膏和一种传统牙膏）刷牙21天。在刷牙前和刷牙后均采集牙菌斑样本，在用显示剂染色后，使用几种成像系统对前牙颊面的牙菌斑进行评分。具体而言，采用数字牙科摄影、口腔内数字扫描和荧光相机成像来获取口腔内图像。使用Turesky改良的Quigley-Hein菌斑指数进行临床检查和图像分析。在使用牙膏前后进行定量聚合酶链反应分析以及临床检查与成像评分之间的相关性评估。采用Shapiro-Wilk检验和Pearson相关性分析。
在未染色的临床检查中观察到最低平均值，而使用荧光相机方法获得的平均值最高。使用牙膏后，除使用传统牙膏后某种微生物水平下降（<0.05）外，所评估的任何微生物水平均未发现显著变化（<0.05）。
草药牙膏显示出与传统牙膏相当的去除牙菌斑效果。有人建议使用成像方法测量菌斑指数，以此作为一种向患者宣传菌斑控制知识并促进持续口腔护理的手段。
