1. DenTiUS Plaque, a Web-Based Application for the Quantification of Bacterial Plaque: Development and Usability Study
- Author
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Carlos Balsa-Castro, Vicente Freire, Nicolás Vila-Blanco, Inmaculada Tomás, María J. Carreira, Universidade de Santiago de Compostela. Centro de Investigación en Tecnoloxías da Información, Universidade de Santiago de Compostela. Departamento de Cirurxía e Especialidades Médico-Cirúrxicas, and Universidade de Santiago de Compostela. Departamento de Electrónica e Computación
- Subjects
Adult ,Plaque index ,Computer science ,030303 biophysics ,Dental Plaque ,Dentistry ,Health Informatics ,computer-based biomedical applications ,Dental plaque ,lcsh:Computer applications to medicine. Medical informatics ,Oral hygiene ,Dental plaque quantification ,03 medical and health sciences ,dental plaque quantification ,Young Adult ,0302 clinical medicine ,Dental health ,Web-based tools ,medicine ,Web application ,medical informatics ,Humans ,dental health ,Computer-based biomedical applications ,0303 health sciences ,Original Paper ,Internet ,Bacteria ,business.industry ,lcsh:Public aspects of medicine ,Usability ,lcsh:RA1-1270 ,030206 dentistry ,web-based tools ,medicine.disease ,Telemedicine ,Computer-aided diagnoses ,Medical informatics ,Time index ,Plaque area ,Research studies ,lcsh:R858-859.7 ,business ,computer-aided diagnoses - Abstract
Background: In the dentistry field, the analysis of dental plaque is vital because it is the main etiological factor in the 2 most prevalent oral diseases: caries and periodontitis. In most of the papers published in the dental literature, the quantification of dental plaque is carried out using traditional, non-automated, and time-consuming indices. Therefore, the development of an automated plaque quantification tool would be of great value to clinicians and researchers. Objective: This study aimed to develop a web-based tool called DenTiUS and various clinical indices to evaluate dental plaque levels using image analysis techniques. Methods: The tool was executed as a web-based application to facilitate its use by researchers. Expert users are free to define experiments, including images from either a single patient (to observe an individual plaque growth pattern) or several patients (to perform a group characterization) at a particular moment or over time. A novel approach for detecting visible plaque has been developed as well as a new concept known as nonvisible plaque. This new term implies the classification of the remaining dental area into 3 subregions according to the risk of accumulating plaque in the near future. New metrics have also been created to describe visible and nonvisible plaque levels. Results: The system generates results tables of the quantitative analysis with absolute averages obtained in each image (indices about visible plaque) and relative measurements (indices about visible and nonvisible plaque) relating to the reference moment. The clinical indices that can be calculated are the following: plaque index of an area per intensity (API index, a value between 0 and 100), area growth index (growth rate of plaque per unit of time in hours; percentage area/hour), and area time index (the time in days needed to achieve a plaque area of 100% concerning the initial area at the same moment). Images and graphics can be obtained for a moment from a patient in addition to a full report presenting all the processing data. Dentistry experts evaluated the DenTiUS Plaque software through a usability test, with the best-scoring questions those related to the workflow efficiency, value of the online help, attractiveness of the user interface, and overall satisfaction. Conclusions: The DenTiUS Plaque software allows automatic, reliable, and repeatable quantification of dental plaque levels, providing information about area, intensity, and growth pattern. Dentistry experts recognized that this software is suitable for quantification of dental plaque levels. Consequently, its application in the analysis of plaque evolution patterns associated with different oral conditions, as well as to evaluate the effectiveness of various oral hygiene measures, can represent an improvement in the clinical setting and the methodological quality of research studies This work received financial support from Johnson & Johnson company (Grant 2016‐CE219), Consellería de Cultura, Educación e Ordenación Universitaria (accreditation 2019-2022 ED431G-2019/04, 2017-2020 Potential Growth Group ED431B 2017/029, 2017-2020 Competitive Reference Group ED431C 2017/69, and N. Vila-Blanco support ED481A-2017), and the European Regional Development Fund (ERDF), which acknowledges the CiTIUS-Research Center in Intelligent Technologies of the University of Santiago de Compostela as a Research Center of the Galician University System SI
- Published
- 2020