Dynamics of red fluorescent dental plaque during experimental gingivitis—A cohort study

• Published in: Journal of dentistry Vol. 48; pp. 71 - 76
• Main Authors: van der Veen, Monique H., Volgenant, Catherine M.C., Keijser, Bart, ten Cate, Jacob (Bob) M., Crielaard, Wim
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.05.2016; Elsevier Limited
• Subjects: Adolescent; Adult; Biofilms; Biofilms - growth & development; Bleeding; Cameras; Clinical studies\trials; Clinical trials; Cohort Studies; Conflicts of interest; Correlation; Dental Plaque - diagnosis; Dental Plaque - diagnostic imaging; Dental Plaque Index; Dentistry; Diagnostic systems; Dynamic tests; Dynamics; Female; Fluorescence; Gingivitis; Gingivitis - diagnosis; Gingivitis - diagnostic imaging; Human subjects; Humans; Hygiene; Imaging; Incisor - pathology; Inflammatory response; Male; Middle Aged; Oral Hygiene; Periodontal Index; Plaque\plaque biofilms; Prospective Studies; Recovery; Software; Staining and Labeling - methods; Young Adult; Netherlands; Diagnostic systems; Gingivitis; Oral hygiene; Imaging; Clinical studies\trials; Plaque\plaque biofilms
• DOI: 10.1016/j.jdent.2016.02.010
• ISSN: 0300-5712; 1879-176X

[Display omitted] The dynamics of red fluorescent plaque (RFP) in comparison to clinical plaque and bleeding scores were studied during an experimental gingivitis protocol in a cohort of healthy participants. Forty-one participants were monitored for RFP before (24h plaque), during 14 days plaque accumulation (days 2, 5, 9, 14) and after 7 days recovery (24h plaque). RFP was assessed on fluorescence photographs of the vestibular aspect of the anterior teeth (cuspid to cuspid) in the upper and lower jaw. Clinical plaque and bleeding were assessed at days −14, 0, 14 and 21. RFP of 24h plaque was reproducible (days −14, 0), then increased during 14 days plaque accumulation and returned to baseline after 7 days recovery. Groups of low, moderate and high RFP formers were statistically significantly different at all times even already at baseline. The individual RFP response during 14 days plaque accumulation correlated well with RFP of 24h plaque (days −14, 0). RFP correlated moderate to well with clinical plaque at days −14, 0, 14 and 21. From day 2 of the gingivitis challenge RFP correlated with bleeding at day 14. RFP provided an objective measure of oral hygiene status. Given the correlation with clinical parameters found, the amount of RFP after 24h plaque accumulation was indicatory for the inflammatory response during a prolonged period of no oral hygiene. This trial was registered at the public trial register ​of the Central Committee on Research Involving Human Subjects (CCMO) under number NL51111.029.14 This paper shows the association between RFP after 24h plaque accumulation and inflammatory response after a prolonged period of no oral hygiene. Red plaque fluorescence can be used to identify subjects at risk for developing gingival inflammation.