Evaluation of an Automated Digital Scoring System of Dental Plaque.

Purpose: Measurement of dental plaque is frequently used as an indicator of overall oral health. The purpose of this study was to compare a manual (visual) plaque scoring system (University of Mississippi Oral Hygiene Index, UM-OHI) with an innovative automated digital scoring system. Methods: Mecha...

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Publicado en:Journal of Dental Hygiene Vol. 94; no. 2; pp. 27 - 37
Autor principal: Munro, Cindy L.
Formato: research tables/charts Journal Article
Publicado: American Dental Hygienists Association Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2020
      vid: 94
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      pub: American Dental Hygienists Association
      place: Chicago, Illinois
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        atl: Evaluation of an Automated Digital Scoring System of Dental Plaque.
      aug:
        au: Munro, Cindy L.
        affil: Distinguished health professor at the University of South Florida, College of Public Health, Tampa, FL
      sug:
        subj:
          Dental Plaque Diagnosis
          Automation
          Clinical Assessment Tools Evaluation
          Oral Hygiene
          Diffusion of Innovation
          Human
          Critically Ill Patients
          Respiration, Artificial
          Digital Imaging
          Pearson's Correlation Coefficient
          Intraclass Correlation Coefficient
          Descriptive Statistics
          Cross Sectional Studies
          Paired T-Tests
          Confidence Intervals
          Nonexperimental Studies
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Male
          Female
          Spearman's Rank Correlation Coefficient
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose: Measurement of dental plaque is frequently used as an indicator of overall oral health. The purpose of this study was to compare a manual (visual) plaque scoring system (University of Mississippi Oral Hygiene Index, UM-OHI) with an innovative automated digital scoring system. Methods: Mechanically ventilated, intensive care unit (ICU) patients (n=79) were the study population. Informed consent was given by the subject's legally authorized representative. Digital images of dental plaque were taken using an intraoral camera; and the quantity of dental plaque was scored using the UM-OHI and with a digitized automated scoring system. Distributions of dental plaque scores from both methods were plotted. Pearson correlation coefficients and intra-class coefficients were calculated between the two methods. Results: Participant mean age was 57.3 years; respiratory failure was the most prevalent admission diagnosis (55.7%). The mean percentage of dental plaque calculated by the manual method was found to be remarkably higher (67.3% + 18.7%) than the percentage of dental plaque calculated by the automated scoring method (23.7% + 15.2%) (p<0.0001). Despite remarkably different distributions of plaque scores, both the automated and manual scoring systems demostrated relatively high correlation (r=0.62) and good reliability (ICC=0.63). Conclusion: The automated digital scoring system resulted in a significantly lower overall percentage of total dental plaque as compared to the UM-OHI manual scoring system. While the automated digital scoring system may be more precise than a manual (visual) scoring system, its use should be weighed against the added effort, cost, and expertise required for the method. Further study is needed to determine whether an automated digital scoring system can be commercialized and is warranted for use outside of research settings.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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