Efficient gingival health screening using biofluorescence of anterior dental biofilms

Purpose: In study, we aimed to evaluate the biofluorescence of anterior dental biofilms using Quantitative Light-induced Fluorescence (QLF) technology to screen for gingival health. Methods: Fifty-five (n = 55) adult participants aged ≥ 20 years with gingivitis were included in this study. Fluoresce...

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Main Authors: Hyo-Jung Kim, Eun-Song Lee, Baek-Il Kim
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Photodiagnosis and Photodynamic Therapy
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Online Access:http://www.sciencedirect.com/science/article/pii/S1572100025000754
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author Hyo-Jung Kim
Eun-Song Lee
Baek-Il Kim
author_facet Hyo-Jung Kim
Eun-Song Lee
Baek-Il Kim
author_sort Hyo-Jung Kim
collection DOAJ
description Purpose: In study, we aimed to evaluate the biofluorescence of anterior dental biofilms using Quantitative Light-induced Fluorescence (QLF) technology to screen for gingival health. Methods: Fifty-five (n = 55) adult participants aged ≥ 20 years with gingivitis were included in this study. Fluorescence images of the upper and lower anterior teeth were obtained using Qraycam Pro, a device based on the QLF technology. To evaluate the biofilm fluorescence deposition level, the percentage of the dental biofilm area detected using red biofluorescence was calculated relative to the total surface area of the anterior teeth. To evaluate the gingival health status, the Silness-Lӧe plaque index (PI), Lӧe -Silness gingival index (GI), and bleeding-on-probing index (BOP) were assessed. Pearson's correlation and logistic regression analyses were performed to examine the relationship between biofilm biofluorescence and the gingival health status. Results: The group with the larger fluorescent biofilm area exhibited significantly higher GI and BOP values (p < 0.05) than the group with the smaller fluorescent biofilm area. Furthermore, significant correlations were found between the fluorescent biofilm area and GI, BOP, and PI (r = 0.422, r = 0.376, and r = 0.499, respectively; p < 0.05). Logistic regression analysis adjusted for sociodemographic variables, smoking, and alcohol consumption showed that the odds ratio for moderate gingivitis in the group with a larger fluorescent biofilm area was 6.07 compared with that in the group with a smaller area (p < 0.05). Conclusion: Evaluating the biofluorescence of anterior dental biofilms using QLF technology is an effective indicator for screening gingival health and identifying individuals at a high risk for gingivitis.
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spelling doaj-art-2d7df4e47f974e69a9d5ae3f67e33deb2025-08-20T03:42:56ZengElsevierPhotodiagnosis and Photodynamic Therapy1572-10002025-06-015310454610.1016/j.pdpdt.2025.104546Efficient gingival health screening using biofluorescence of anterior dental biofilmsHyo-Jung Kim0Eun-Song Lee1Baek-Il Kim2Department of Preventive Dentistry &amp; Public Oral Health, BK21 FOUR Project, Yonsei University College of Dentistry, 03722, 50-1 Yonsei-ro, Seodaemun-Gu, Seoul, Republic of KoreaDepartment of Preventive Dentistry &amp; Public Oral Health, BK21 FOUR Project, Yonsei University College of Dentistry, 03722, 50-1 Yonsei-ro, Seodaemun-Gu, Seoul, Republic of KoreaCorresponding author at: 03722, 50-1 Yonsei-ro, Seodaemun-Gu, Seoul, Republic of Korea.; Department of Preventive Dentistry &amp; Public Oral Health, BK21 FOUR Project, Yonsei University College of Dentistry, 03722, 50-1 Yonsei-ro, Seodaemun-Gu, Seoul, Republic of KoreaPurpose: In study, we aimed to evaluate the biofluorescence of anterior dental biofilms using Quantitative Light-induced Fluorescence (QLF) technology to screen for gingival health. Methods: Fifty-five (n = 55) adult participants aged ≥ 20 years with gingivitis were included in this study. Fluorescence images of the upper and lower anterior teeth were obtained using Qraycam Pro, a device based on the QLF technology. To evaluate the biofilm fluorescence deposition level, the percentage of the dental biofilm area detected using red biofluorescence was calculated relative to the total surface area of the anterior teeth. To evaluate the gingival health status, the Silness-Lӧe plaque index (PI), Lӧe -Silness gingival index (GI), and bleeding-on-probing index (BOP) were assessed. Pearson's correlation and logistic regression analyses were performed to examine the relationship between biofilm biofluorescence and the gingival health status. Results: The group with the larger fluorescent biofilm area exhibited significantly higher GI and BOP values (p < 0.05) than the group with the smaller fluorescent biofilm area. Furthermore, significant correlations were found between the fluorescent biofilm area and GI, BOP, and PI (r = 0.422, r = 0.376, and r = 0.499, respectively; p < 0.05). Logistic regression analysis adjusted for sociodemographic variables, smoking, and alcohol consumption showed that the odds ratio for moderate gingivitis in the group with a larger fluorescent biofilm area was 6.07 compared with that in the group with a smaller area (p < 0.05). Conclusion: Evaluating the biofluorescence of anterior dental biofilms using QLF technology is an effective indicator for screening gingival health and identifying individuals at a high risk for gingivitis.http://www.sciencedirect.com/science/article/pii/S1572100025000754BiofluorescenceDental biofilmGingivitisPeriodontal diseasesTeledentistryQuantitative Light Induced Flourescence
spellingShingle Hyo-Jung Kim
Eun-Song Lee
Baek-Il Kim
Efficient gingival health screening using biofluorescence of anterior dental biofilms
Photodiagnosis and Photodynamic Therapy
Biofluorescence
Dental biofilm
Gingivitis
Periodontal diseases
Teledentistry
Quantitative Light Induced Flourescence
title Efficient gingival health screening using biofluorescence of anterior dental biofilms
title_full Efficient gingival health screening using biofluorescence of anterior dental biofilms
title_fullStr Efficient gingival health screening using biofluorescence of anterior dental biofilms
title_full_unstemmed Efficient gingival health screening using biofluorescence of anterior dental biofilms
title_short Efficient gingival health screening using biofluorescence of anterior dental biofilms
title_sort efficient gingival health screening using biofluorescence of anterior dental biofilms
topic Biofluorescence
Dental biofilm
Gingivitis
Periodontal diseases
Teledentistry
Quantitative Light Induced Flourescence
url http://www.sciencedirect.com/science/article/pii/S1572100025000754
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