Mobile photographic screening for dental caries in children: Diagnostic performance compared to unaided visual dental examination.

Autor: Estai M; The Australian e-Health Research Centre, CSIRO, Perth, Australia.; School of Human Sciences, University of Western Australia, Perth, Australia., Kanagasingam Y; School of Medicine, University of Notre Dame, Fremantle, Australia., Mehdizadeh M; The Australian e-Health Research Centre, CSIRO, Perth, Australia., Vignarajan J; The Australian e-Health Research Centre, CSIRO, Perth, Australia., Norman R; School of Population Health, Curtin University, Perth, Australia., Huang B; School of Dentistry and Health Sciences, Charles Sturt University, Orange, Australia., Spallek H; School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia., Irving M; School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia., Arora A; Translational Health Research Institute, Western Sydney University, Campbelltown, NSW, Australia.; School of Health Sciences, Western Sydney University, Campbelltown, NSW, Australia.; Oral Health Services, Sydney Local Health District and Sydney Dental Hospital, NSW Health, Surry Hills, NSW, Australia.; Discipline of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Westmead, NSW, Australia., Kruger E; School of Human Sciences, University of Western Australia, Perth, Australia., Tennant M; School of Human Sciences, University of Western Australia, Perth, Australia.
Jazyk: angličtina
Zdroj: Journal of public health dentistry [J Public Health Dent] 2022 Mar; Vol. 82 (2), pp. 166-175. Date of Electronic Publication: 2021 Jan 26.
DOI: 10.1111/jphd.12443
Abstrakt: Objectives: This study was conducted to compare the use of intraoral photographs with the unaided visual dental examination as a means of dental caries detection in children.
Methods: Children aged 4- to 14-year-olds were visually examined at their schools. Following dental examinations, children had five photographs of their teeth taken using a smartphone camera. Four dental reviewers, who are different from those who visually examined the children, assessed intraoral photographs for dental caries. Sensitivity, specificity, and inter-rater reliability agreement were estimated to assess the diagnostic performance of the photographic method relative to the benchmark visual dental assessments. Caries prevalence was measured using dft/DFT (decayed and filled teeth) index.
Results: One hundred thirty-eight children (67 male and 71 female) were enrolled and had a mean age of 7.8 ± 2.1 years. The caries prevalence (dft/DFT > 0) using photographic dental assessments ranged from 30 percent to 39 percent but was not significantly different from the prevalence (42 percent) estimated with the visual dental examination (P ≥ 0.07). The sensitivity and specificity of the photographic method for detection of dental caries compared to visual dental assessments were 58-80 percent and 99.7-99.9 percent, respectively. The sensitivity for the photographic assessments was high in the primary dentition (63-82 percent) and children ≤7-year-olds (67-78 percent). The inter-rater reliability for the photographic assessment versus the benchmark ranged from substantial to almost perfect agreement (Kappa = 0.72-0.87).
Conclusions: The photographic approach to dental screening, used within the framework of its limitations, yielded an acceptable diagnostic level of caries detection, particularly in younger children with primary dentition.
(© 2021 American Association of Public Health Dentistry.)
Databáze: MEDLINE
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