Dental Erosion Evaluation with Intact-Tooth Smartphone Application: Preliminary Clinical Results from September 2019 to March 2022

Abstract

Dental erosion is a process of deterioration of the dental hard tissue; it is estimated that about 30% of permanent teeth are affected in adolescence. The Intact-Tooth application allows for the better estimation of the problem, inserting itself in the diagnosis process, and better care and prevention for the patient. It provides him with scientifically validated protocols, which the patient can consult at any time. The purpose of this report was to conduct an initial evaluation on the use of the application, which has been available since September 2019: the analysis of the collected data allowed the first investigation of the incidence of the problem and the degree of susceptibility in the registered patients. Photos of 3894 patients with dental erosion were uploaded, through which the degree of susceptibility and the BEWE (basic erosive wear examination index) index could be assessed; of these, 99.72% had a susceptibility grade of 0 to 8, while 0.28% had a medium-high susceptibility grade; this result is related to the age and sex of the patients. The management of patients through the help of the application could promote the diagnosis and treatment of enamel diseases and encourage the self-learning of the learning machine, thanks to the number of clinical cases uploaded.

Home Oral Care Domiciliary Protocol for the Management of Dental Erosion in Rugby Players: A Randomized Clinical Trial

“…At the first appointment (T0), patients were asked to sign the informed consent document to participate to the study. An instructed operator collected the following periodontal clinical indexes by means of a probe (UNC probe 15; Hu-Friedy, Chicago, IL, USA): Plaque Index (PI) (values from zero to three, respectively representing no plaque, thin plaque layer, moderate plaque layer, and abundant plaque layer) [ 17 ]; Bleeding on Probing (BOP) (values from zero to three, respectively representing no inflammation with no bleeding, mild inflammation with no bleeding, moderate inflammation with bleeding on probing, and severe inflammation with tendency to spontaneous bleeding) [ 11 ]; BEWE index assessed with Intact Tooth ® smartphone application (values from zero to three, respectively representing no erosion, initial loss of surface texture, hard tissue loss less than 50%, and hard tissue loss more than 50%) [ 17 ]; Visual Analogue Scale (VAS) for dental sensitivity (values from zero to 10 referred by the patient) [ 18 ]; Schiff Air Index (values from zero to three, respectively representing no response to air stimulus, response to air stimulus but with no request of discontinuation, response to air stimulus and request of air discontinuation, and response to air stimulus perceived as painful and request of discontinuation) [ 18 ]. Then, a professional supragingival and subgingival oral hygiene procedure was conducted using a piezoelectric instrument (Multipiezo, Mectron S.p.a, Carasco, Italy) and Gracey curettes (Hu-Friedy, Chicago, IL, USA).…”

Smartphone Applications in Dentistry: A Scoping Review

“…The studies belonged to four categories: randomized controlled clinical trials [41][42][43][44][45][46][47][48][49][50][51], cross-sectional studies [52], before-after (pre-post) studies with no control group [53], and observational studies [54][55][56][57][58][59][60]. Table S3 (Supplementary Materials) shows the studies excluded from this review and the reasons for exclusion [30][31][32][33][34][35][36][37][38][39][40].…”

“…The studies belonged to four categories: randomized controlled clinical trials [41][42][43][44][45][46][47][48][49][50][51], cross-sectional studies [52], before-after (pre-post) studies with no control group [53], and observational studies [54][55][56][57][58][59][60].…”

Home Oral Care with Biomimetic Hydroxyapatite vs. Conventional Fluoridated Toothpaste for the Remineralization and Desensitizing of White Spot Lesions: Randomized Clinical Trial

“…In particular, SAI is an index that evaluates the state of dental sensitivity and its values range from 0 to 3; VAS is an index that evaluates pain whose values range from 0 to 10. Finally, BEWE evaluates the state of dental erosion and its values range from 0 to 3 [ 19 ]. As shown in Table 2 , the clinical parameters were collected at the baseline (T0) and after 15 (T1), 30 (T2), and 90 days (T3) using a manual periodontal probe (UNC probe 15; Hu-Friedy, Chicago, IL, USA).…”