Comparing the outcomes of gold-standard dental examinations with photographic screening by mid-level dental providers.
Clin Oral Investig
; 23(5): 2383-2387, 2019 May.
Article
en En
| MEDLINE
| ID: mdl-30302610
ABSTRACT
OBJECTIVES:
To determine the detectability of the intra-oral photographic method in comparison to the baseline, comprehensive dental examination (CDE), in children when performed by different levels of dental practitioners. MATERIALS ANDMETHODS:
As part of a quality assurance program, intra-oral photographs were obtained from 77 patients (2-18 years) as part of a CDE before undertaking dental treatment under general anaesthesia. A DSLR camera was utilised to acquire images which were subsequently uploaded to a cloud-based server. The baseline for each participant was established during the CDE, utilising both visual and radiographic examination, which was then compared to the assessment made by a mid-level dental practitioners (MLDP). The evaluation was based on utilising an odontogram where the teeth were charted either as decayed or filled.RESULTS:
Specificity (95%) was higher than sensitivity (61.5%) when comparing the photographic assessment with the benchmark CDE assessment. The inter-rater reliability between the two methods of assessment was substantial, with a kappa score of 0.62. The photographic assessment method underestimated the decayed and filled teeth, as observed by the caries experience (dft/DFT scores) (CDE = 7.01 vs. photographic assessment = 5.22). There were lower levels of diagnostic detection in the posterior teeth as compared to the anterior teeth assessments.CONCLUSIONS:
Although the CDE is still considered to be the gold-standard, this study found that the photographic caries assessment by MLDP produced an acceptable diagnostic level of detection particularly for the anterior teeth. CLINICAL RELEVANCE The photographic method could offer a potential cost-saving and user-friendly screening.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Fotografía Dental
/
Caries Dental
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Diagnóstico Bucal
Tipo de estudio:
Diagnostic_studies
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Observational_studies
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Screening_studies
Límite:
Adolescent
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Child
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Child, preschool
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Humans
Idioma:
En
Revista:
Clin Oral Investig
Asunto de la revista:
ODONTOLOGIA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Australia