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A method for scoring denture plaque

J F McCabe1, I D Murray, J Laurie

  • 1Dental School, Newcastle upon Tyne, UK.

The European Journal of Prosthodontics and Restorative Dentistry
|June 1, 1996
PubMed
Summary
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This study highlights the challenge of accurately measuring denture plaque removal. Using standardized reference dentures improved inter-examiner agreement, leading to more reliable comparisons of denture cleaning materials.

Area of Science:

  • Dental Materials Science
  • Biomaterials
  • Oral Hygiene Research

Background:

  • Comparative studies on denture cleaning materials often lack direct comparability due to varied scoring methods.
  • Accurate, reliable, and reproducible measurements with minimal inter-examiner error are crucial for evaluating denture deposit removal.

Purpose of the Study:

  • To assess inter-examiner agreement in scoring denture plaque.
  • To improve the reliability of plaque scoring methods for denture cleaning material evaluation.

Main Methods:

  • Three operators performed 'blind' scoring of disclosed plaque on dentures using a 0-10 scale.
  • A second test involved operators scoring plaque against standardized reference dentures simulating 0-10 plaque levels.
  • Plaster models were used to simulate plaque scores on polished, teeth, and fitting denture surfaces.

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Main Results:

  • Initial scoring showed poor inter-examiner agreement.
  • Using standardized reference dentures resulted in no significant difference in plaque scores among operators.
  • Plaque scores were significantly lower on polished denture surfaces compared to teeth and fitting surfaces (F = 10.55, P < 0.001).

Conclusions:

  • Standardized reference dentures significantly improve inter-examiner agreement in plaque scoring.
  • Plaque accumulation is less on polished denture surfaces than on teeth and fitting surfaces.
  • This standardized method enhances the reliability of comparative studies on denture cleaning efficacy.