11th Conseuro, Antalya, Türkiye, 23 Nisan 2022
Aim: The aim of the clinical study was to analyze the correlation between the dental plaque scores measured
by different imaging systems.
Materials and Methods: Thirty volunteers between the age of 18-30, who visited Marmara University, Faculty
of Dentistry whose DMFT scores were under 4, were included in the study. Dental plaque on anterior teeth’s
buccal surfaces of the volunteers were scored using different imaging systems after staining with a disclosing
gel. The patients were divided into three groups. The groups were given two different herbal toothpastes
(ginger and hemp) and a conventional toothpaste. Digital photography, intraoral digital scanning (iTero
Elements 2) and FluoreCam were used for taking intraoral images. The Turesky Modified Quigley Hein Plaque
Index (TMQHPI) was used for the clinical examination and the taken images. The correlations between the
clinical examination and imaging scores were analyzed before and after using the toothpastes for 21 days.
Shapiro Wilk Test and Pearson’s correlation were performed using IBM SPSS Statistics V23 (IBM Co. , Armonk,
USA) (p<0.05).
Results: The lowest mean value was obtained in the clinical examination without disclosing gel method and
the highest mean value was obtained in the FluoreCam method. The mean value of the clinical examination
without disclosing gel was found to be lower than the clinical examination with disclosing gel method and
intraoral digital scanning method. There was no significant difference between toothpastes before and after
toothbrushing for all clinical imaging methods.
Conclusion: Staining of the plaque and the use of digital imaging systems have shown a positive effect in
the determination of dental plaque. Intraoral imaging systems may be used as an alternative to supplement
the shortcomings of conventional clinical indices for educating patients about plaque control and continued
patient oral care. Herbal toothpastes are just as effective as conventional toothpastes in removing dental
plaque.