义齿牌匾,在义齿表面上形成的生物膜,可能导致许多口腔和全身疾病。因此,义齿菌斑的定量评估对于评估义齿佩戴者的义齿卫生非常重要,特别是预防斑块生物膜相关疾病。这次系统审查的目的是,因此,将使用义齿菌斑指数和文献中发表的平版印刷来回顾和总结视觉义齿卫生评估方法。截至2022年3月,英语语言研究在四个电子数据库中发表,PubMed,Medline,Embase,和Cochrane图书馆,被搜查,随后由两名评估人员手动搜索GoogleScholar。审查尽可能遵循系统审查和荟萃分析(PRISMA)的首选报告项目。视觉评估方法的详细信息,包括评估的义齿类型,它的材料和表面,以及使用披露剂,是主要结果。在492项筛查研究中,根据纳入和排除标准纳入74项。其中,60项研究使用了各种义齿菌斑指数,而18项研究使用了平面图像。60项具有指数的研究中的43项和18项具有平面图像的研究中的17项使用了显示剂对斑块进行视觉评估。纳入的研究共描述了21项指标,其中七个对分开的义齿表面进行分级,其余的对整个义齿表面进行分级。在18项平面评估中,一项研究量化了义齿图像上公开的斑块的正方形,16项研究用计算机程序量化了这些像素,一项研究量化了点,像素,和斑块区域的轮廓。总之,由于其简单性,义齿菌斑指数在义齿菌斑评估中似乎很受欢迎。计算机平面评估,虽然更耗时,提供了一个更准确的斑块负荷的评估,因为它是不易主观性和评估者的错误。
Denture plaque, a biofilm that develops on denture surfaces, could contribute to many oral and systemic afflictions. Hence, a quantitative assessment of denture plaque is important to evaluate the denture hygiene of denture wearers, particularly to prevent plaque biofilm-associated diseases. The aim of this systematic review, therefore, was to review and summarize the visual denture hygiene assessment methods using denture plaque
indices and with planimetries published in the literature. English language studies published up to March 2022 in four electronic databases, PubMed, Medline, Embase, and Cochrane Library, were searched, followed by a manual search of Google Scholar by two assessors. The review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) whenever possible. Details of the visual assessment methods, including the types of denture assessed, its materials and its surfaces, as well as the use of a disclosing agent, were the main outcomes. Of 492 screened studies, 74 were included per the inclusion and exclusion criteria. Of these, 60 studies utilized various denture plaque
indices while 18 used planimetries. 43 out of 60 studies with
indices and 17 out of 18 studies with planimetries used disclosing agents for visual evaluation of plaque. A total of 21
indices were described in the included studies, of which seven graded a divided denture surface, while the remainder graded entire denture surface. Of the 18 planimetric assessments, one study quantified squares of the disclosed plaques on denture images, 16 studies quantified such pixels with computer programs, and a single study quantified points, pixels, and contour of plaque areas. In summary, denture plaque
indices appear to be popular in denture plaque assessment due to their simplicity. Computerized planimetric assessment, though more time-consuming, provides a more accurate assessment of plaque load as it is less prone to subjectivity and assessor errors.