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Diagnostic accuracy...
Diagnostic accuracy of carious lesions in digital radiographs at a public dental clinic - can it be improved by optimizing viewing conditions and further education?
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- Milosavljevic, Aleksandar (författare)
- Malmö högskola,Odontologiska fakulteten (OD)
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- Westerberg, Jane (författare)
- Folktandvården Skåne AB, Trelleborg, Region Skåne, Sweden
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- Hellen-Halme, Kristina (författare)
- Malmö högskola,Odontologiska fakulteten (OD)
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(creator_code:org_t)
- Swedish Dental Association, 2016
- 2016
- Engelska.
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Ingår i: Swedish Dental Journal. - : Swedish Dental Association. - 0347-9994. ; 40:2, s. 235-242
- Relaterad länk:
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https://mau.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Objective:This study investigated the diagnostic accuracy of digital dental radiography for detecting carious lesions on approximal surfaces before and after optimization of the environment, and after joint training on evaluation and review of x-rays. A further aim was to evaluate differences in diagnostic accuracy between general dental practitioners (GDPs) and dental hygienists (DHs). Materials and methods:One hundred extracted teeth (premolars and molars) underwent standardized radiography. Eleven participants (seven GDPs and four DHs) evaluated digital images for approximal carious lesions in three sessions: (1) at current conditions with no optimization or further training, (2) under optimized viewing conditions, and (3) under optimized viewing conditions after a short educational session. Receiver operating characteristic curves were used to evaluate the results. Histological evaluation was made and served as a criterion standard for differentiating sound teeth and teeth with carious lesions. Kappa statistics evaluated intra-observer agreement. Results: Diagnostic accuracy in the GDP group differed significantly for all types of carious lesions between the first and third evaluations (p=0.002), and also between the second and third (p=0.015). Diagnostic accuracy also differed significantly for carious lesions into the dentin between the first and third evaluations (p=0.010) and between the second and third (p=0.015). Conclusion: Most of the staff had optimized the environment when evaluating digital radiographs. A short educational session highlighting the difficulty of caries diagnostics in digital dental radiography can increase diagnostic accuracy. Diagnostic accuracy in the detection of approximal carious lesions on digital radiographs did not differ between GDPs and DHs.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Nyckelord
- caries detection
- dental radiography
- observer agreement
- public health care
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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