Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan.
Department of Dental Hygiene, Hiroshima University Hospital, Hiroshima, Japan.
Clin Exp Dent Res. 2024 Feb;10(1):e852. doi: 10.1002/cre2.852.
Intraoral scanner (IOS) can acquire three-dimensional color images of teeth. Thus, the detection of areas with plaque adhesion stained by plaque-disclosing solutions using an IOS could be a potential oral hygiene evaluation method. This study aimed to verify the usefulness of obtaining O'Leary's plaque control record (PCR) measurements using an IOS in clinical practice.
Twenty patients with >20% PCR measurements who underwent oral prophylaxis were enrolled in this study. A plaque-disclosing gel was applied to stain the areas with plaque adhesion, and the dentition was scanned using the IOS. The PCR values obtained via the direct method and those obtained using the digital image were compared for the entire dentition, maxillary total area, the labial and palatal aspects of the maxillary anterior teeth, the buccal and palatal aspects of the maxillary posterior teeth, mandibular total area, the labial and lingual aspects of the mandibular anterior teeth, and the buccal and lingual aspects of the mandibular posterior teeth.
The IOS group tended to have higher values than the direct observation group. The labial and palatal aspect of the maxillary anterior teeth, the labial and lingual aspects of the mandibular anterior teeth did not differ significantly between the groups.
Plaque adhesion was visualized easily and conclusively using an IOS. As the large tip size often hinders its use, it is necessary to develop a smaller IOS tip in the future.
口腔内扫描仪(IOS)可获取牙齿的三维彩色图像。因此,使用 IOS 检测经牙斑显示剂染色的有牙斑附着的区域,可能成为一种潜在的口腔卫生评估方法。本研究旨在验证使用 IOS 获得 O'Leary 牙斑控制记录(PCR)测量值在临床实践中的有用性。
本研究纳入了 20 名 PCR 测量值>20%的接受口腔预防治疗的患者。应用牙斑显示凝胶染色有牙斑附着的区域,并使用 IOS 扫描牙列。比较直接法和数字图像法获得的 PCR 值,包括整个牙列、上颌总区域、上颌前牙的唇侧和腭侧、上颌后牙的颊侧和腭侧、下颌总区域、下颌前牙的唇侧和舌侧以及下颌后牙的颊侧和舌侧。
IOS 组的数值往往高于直接观察组。上颌前牙的唇侧和腭侧、下颌前牙的唇侧和舌侧,两组之间无显著差异。
IOS 可轻松、明确地显示牙斑附着。由于大探头尺寸常常妨碍其使用,因此未来有必要开发更小尺寸的 IOS 探头。