Innovation of A Smart Dental Mirror for More Effective and Efficient Plaque Score Assessment

Authors

  • Fradita Fernanda Politeknik Kesehatan Kementerian Kesehatan Semarang, Semarang City, Central Java, Indonesia and Politeknik Kesehatan Kementerian Kesehatan Pontianak, Pontianak City, West Kalimantan, Indonesia
  • Supriyana Supriyana Politeknik Kesehatan Kementerian Kesehatan Semarang, Semarang City, Central Java, Indonesia
  • Ari Suwondo Politeknik Kesehatan Kementerian Kesehatan Semarang, Semarang City, Central Java, Indonesia

DOI:

https://doi.org/10.53770/medica.v8i4.1000

Keywords:

Smart Dental Mirror, Dental Plaque Assessment, Plaque Score, Deep Learning Technology, Oral Health Innovation

Abstract

Dental plaque is one of the primary etiological factors contributing to oral diseases. Therefore, plaque detection and control are essential components of preventive dental care. Conventional plaque detection methods using disclosing agents still present several limitations, including chemical content, complicated application procedures, subjective interpretation, and potential side effects on oral tissues. Consequently, technological innovation is needed to improve the effectiveness and efficiency of plaque examination. This study aimed to develop and evaluate a smart dental mirror based on camera technology and deep learning sensors as an innovative tool for plaque assessment. The study employed a Research and Development (R&D) approach with a quasi-experimental crossover design. A total of 33 dental health professionals were recruited using purposive sampling. Product testing was conducted to evaluate the effectiveness and efficiency of plaque examination through observation and interview methods. Data were analyzed descriptively and statistically using the Wilcoxon test. The results of expert validation showed that the smart dental mirror achieved a feasibility score of 72.2%, indicating that the device was suitable for use. The effectiveness test demonstrated no statistically significant difference between the smart dental mirror and the conventional method (p = 0.439), indicating comparable effectiveness in plaque assessment. However, the efficiency test revealed a statistically significant difference (p = 0.001), indicating that the smart dental mirror provided greater efficiency compared to the conventional method. In conclusion, the smart dental mirror is considered a feasible, efficient, and innovative alternative for dental plaque assessment, with effectiveness comparable to conventional methods while offering improved operational efficiency in clinical practice.

References

Adnyasari, N. L. P. S. M., Syahriel, D., & Haryani, I. G. A. D. (2023). Plaque control in periodontal disease. Interdental Jurnal Kedokteran Gigi, 19(1), 55–61.

Akbar, A., & Zahfa, F. (2025). Validity and reliability. Jurnal Intelek Insan Cendikia, 2(5), 8781–8787.

Al, H., Deni, Q., Warman, A., Candra, A., Ridha, M., Muhammad, E., et al. (2026). Analisis usability sistem informasi berbasis web menggunakan metode System Usability Scale (SUS). Teknik, 2(1), 117–127.

Alkalah, C. (2016). Standar kompetensi kerja bidang terapis gigi dan mulut.

Azevedo, C. L., Henriques, P. S. G., Pannuti, C. M., & Michel-Crosato, E. (2022). Selfie dental plaque index: A new tool for dental plaque assessment. Journal of Clinical and Experimental Dentistry, 14(11), e926–e931.

Ayhan, B., Ayan, E., Karadağ, G., & Bayraktar, Y. (2025). Evaluation of caries detection on bitewing radiographs: A comparative analysis of the improved deep learning model and dentist performance. Journal of Esthetic and Restorative Dentistry, 37(7), 1949–1961.

Carter, K., Landini, G., & Walmsley, A. D. (2004). Automated quantification of dental plaque accumulation using digital imaging. Journal of Dentistry, 32(8), 623–628.

Dwi, C. R. D., Purnamasari, V. G., Pratama, R. Y., & Wulandari, R. P. (2025). Efektivitas pemanfaatan teknologi digital dalam meningkatkan kualitas pelayanan kesehatan: Systematic review. Jurnal Inovasi Kesehatan Adaptif, 7, 59–69.

Erten, H., Üçtasli, M. B., Akarslan, Z. Z., Uzun, Ö., & Semiz, M. (2006). Restorative treatment decision making with unaided visual examination, intraoral camera and operating microscope. Operative Dentistry, 31(1), 55–59.

Fasoulas, A., Pavlidou, E., Petridis, D., Mantzorou, M., Seroglou, K., & Giaginis, C. (2019). Detection of dental plaque with disclosing agents in the context of preventive oral hygiene training programs. Heliyon, 5(7), e02064.

Fairuz, Z. E. A. (2023). Efektivitas ekstrak daun sirih hijau (Piper betle L.) dalam menghambat pertumbuhan bakteri Streptococcus mutans.

Fatmasari, D. M., Santoso, S., & B. (n.d.). Efektivitas buah bit (Beta vulgaris) sebagai disclosing solution.

Gawali, N., Shah, P. P., Gowdar, I. M., Bhavsar, K. A., Giri, D., & Laddha, R. (2024). The evolution of digital dentistry: A comprehensive review. Journal of Pharmacy and Bioallied Sciences, 16(Suppl 3), S1920–S1922.

Inggrid, P. H., Akhya, E., Misrohmasari, A., Probosari, N., & Dwiatmoko, S. (2019). Perbedaan indeks plak setelah pengolesan ekstrak daging buah naga merah dan larutan pengungkap. Stomatognatic, 16(1), 21–24.

Jung, I. H., Yeon, K. H., Song, H. R., & Hwang, Y. S. (2020). Cytotoxicity of dental disclosing solution on gingival epithelial cells in vitro. Clinical and Experimental Dental Research, 6(6), 669–676.

Kementerian Kesehatan Republik Indonesia. (2023). Survei kesehatan Indonesia 2023 (SKI).

Keerthana, R., & Jeevanandan, G. (2018). Recent developments in dental plaque. Drug Invention Today, 10(Special Issue 1), 2769–2772.

Kidd, E. A. M., & Bechal, S. J. (1991). Dasar-dasar karies. Jakarta: EGC.

Kim, Y., Lee, E., Kwon, H., & Kim, B. (2014). Monitoring dental biofilm maturation using quantitative light-induced fluorescence. Journal of Dentistry, 42(6).

Konsil Tenaga Kesehatan Indonesia. (2020). Standar profesi terapis gigi dan mulut. Jakarta: Kementerian Kesehatan RI.

Kusuma, N. (2016). Plak gigi.

Mangiri, B. S., Yani, S., & Anitasari, S. (2018). Sari buah naga super merah sebagai pewarna alami plak gigi. Jurnal Material Kedokteran Gigi, 7(1).

Metanfanuan, H. M. (2016). Perbandingan eritrosin pada disclosing solution dengan ekstrak antosianin kulit buah naga merah sebagai bahan alternatif pendeteksi plak.

Moharrami, M., Vahab, E., Bagherianlemraski, M., Hemmati, G., Singhal, S., Quinonez, C., et al. (2025). Deep learning for detecting dental plaque and gingivitis from oral photographs: A systematic review. Community Dentistry and Oral Epidemiology, 53(6), 617–632.

Motto, C. J. (2017). Gambaran dental and oral hygiene for students with special needs. Jurnal e-GiGi, 5(1), 106–111.

Naeimi, S. M., Darvish, S., Salman, B. N., & Luchian, I. (2024). Artificial intelligence in adult and pediatric dentistry: A narrative review. Bioengineering, 11(5), 1–14.

Nurbaeti, & Widya, A. (2017). Efektivitas sari buah blueberry sebagai indikator plak. Semarang: Poltekkes Kemenkes.

Pretty, I. A., Edgar, W. M., Smith, P. W., & Higham, S. M. (2005). Quantification of dental plaque in the research environment. Journal of Dentistry, 33(3), 193–207.

Putra, F. S., Mintjelungan, C. N., & Juliatri. (2017). The effectiveness of herbal and non-herbal toothpaste on reducing dental plaque. Jurnal e-GiGi, 5(2), 132–158.

Ramírez-Pedraza, A., Salazar-Colores, S., Cardenas-Valle, C., Terven, J., González-Barbosa, J. J., Ornelas-Rodriguez, F. J., et al. (2025). Deep learning in oral hygiene: Automated dental plaque detection via YOLO frameworks. Diagnostics, 15(2), 1–20.

Spagnuolo, G., & Sorrentino, R. (2020). The role of digital devices in dentistry: Clinical trends and scientific evidences. Journal of Clinical Medicine, 9(6), 10–13.

Stojanović, M., Apostolović, M., Stojanović, D., Milošević, Z., Toplaović, A., & Lakušić, V. M. (2014). Understanding sensitivity, specificity and predictive values. Vojnosanitetski Pregled, 71(11), 1062–1065.

Undang-Undang Republik Indonesia Nomor 17 Tahun 2023 tentang Kesehatan. (2023).

Van der Veen, M. H., Thomas, R. Z., Huysmans, M. C. D. N. J. M., & De Soet, J. J. (2006). Red autofluorescence of dental plaque bacteria. Caries Research, 40(6), 542–545.

Versteeg, C. H., Sanderink, G. C., & van der Stelt, P. F. (1997). Efficacy of digital intra-oral radiography in clinical dentistry. Journal of Dentistry, 25(3–4), 215–224.

World Health Organization. (2024). Global oral health status report: Towards universal health coverage for oral health by 2030.

World Health Organization. (2025). Health technology assessment of medical devices (2nd ed.). Geneva: WHO.

Yuwono, L. (1995). Pencegahan penyakit mulut. Jakarta: Hipokrates.

Downloads

Published

2026-04-30

How to Cite

Fernanda, F., Supriyana, S., & Suwondo, A. (2026). Innovation of A Smart Dental Mirror for More Effective and Efficient Plaque Score Assessment . MEDICA (International Medical Scientific Journal), 8(4), 219–231. https://doi.org/10.53770/medica.v8i4.1000