Comparison of a full arch digital photographic assessment of caries prevalence in 5-year-old children to an established visual assessment method: a cross-sectional study
Abstract Introduction Digital epidemiology in dental disease screening has a number of advantages which warrant further exploration. Aim This study aimed to test the examination accuracy of digital images to evaluate child oral health by comparing the new method to a gold standard method. It also in...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Nature Publishing Group
2021-08-01
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| Series: | BDJ Open |
| Online Access: | https://doi.org/10.1038/s41405-021-00087-0 |
| _version_ | 1818661661667491840 |
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| author | Nicole Thomas Elizabeth Kay Robert Witton Cath Quinn |
| author_facet | Nicole Thomas Elizabeth Kay Robert Witton Cath Quinn |
| author_sort | Nicole Thomas |
| collection | DOAJ |
| description | Abstract Introduction Digital epidemiology in dental disease screening has a number of advantages which warrant further exploration. Aim This study aimed to test the examination accuracy of digital images to evaluate child oral health by comparing the new method to a gold standard method. It also investigated the levels of diagnostic accuracy between different examiners, including dental care professionals and a lay examiner, when quantifying dental disease using images. Methods A calibrated dental examiner inspected forty 5-year-olds. In addition, three sets of digital images were taken per child. These images were assessed by six examiners. Sensitivity and specificity of caries diagnosis and inter-examiner reliability were calculated to compare the caries scores derived from examination of the images to those of the gold standard examinations. Results The mean values for sensitivity and specificity scores were 48.0% and 99.1%, respectively. The mean value for kappa showed moderate agreement between 0.43 and 0.73 (0.57). Mean values for agreement using intra-class coefficients were excellent (0.78) and good (0.73) for dt and dmft, respectively. No statistical difference in the validity of the caries scores was shown between the different image assessors. Conclusions These data demonstrate the feasibility of using digital images to screen child oral health and for nondental professionals to be recruited to carry out digital epidemiology for the oral health surveillance of children. |
| first_indexed | 2024-12-17T04:48:36Z |
| format | Article |
| id | doaj.art-875368b788474ee280b80cfd9ca06509 |
| institution | Directory Open Access Journal |
| issn | 2056-807X |
| language | English |
| last_indexed | 2024-12-17T04:48:36Z |
| publishDate | 2021-08-01 |
| publisher | Nature Publishing Group |
| record_format | Article |
| series | BDJ Open |
| spelling | doaj.art-875368b788474ee280b80cfd9ca065092022-12-21T22:02:59ZengNature Publishing GroupBDJ Open2056-807X2021-08-01711610.1038/s41405-021-00087-0Comparison of a full arch digital photographic assessment of caries prevalence in 5-year-old children to an established visual assessment method: a cross-sectional studyNicole Thomas0Elizabeth Kay1Robert Witton2Cath Quinn3Faculty of Health, University of PlymouthFaculty of Health, University of PlymouthFaculty of Health, University of PlymouthFaculty of Health, University of PlymouthAbstract Introduction Digital epidemiology in dental disease screening has a number of advantages which warrant further exploration. Aim This study aimed to test the examination accuracy of digital images to evaluate child oral health by comparing the new method to a gold standard method. It also investigated the levels of diagnostic accuracy between different examiners, including dental care professionals and a lay examiner, when quantifying dental disease using images. Methods A calibrated dental examiner inspected forty 5-year-olds. In addition, three sets of digital images were taken per child. These images were assessed by six examiners. Sensitivity and specificity of caries diagnosis and inter-examiner reliability were calculated to compare the caries scores derived from examination of the images to those of the gold standard examinations. Results The mean values for sensitivity and specificity scores were 48.0% and 99.1%, respectively. The mean value for kappa showed moderate agreement between 0.43 and 0.73 (0.57). Mean values for agreement using intra-class coefficients were excellent (0.78) and good (0.73) for dt and dmft, respectively. No statistical difference in the validity of the caries scores was shown between the different image assessors. Conclusions These data demonstrate the feasibility of using digital images to screen child oral health and for nondental professionals to be recruited to carry out digital epidemiology for the oral health surveillance of children.https://doi.org/10.1038/s41405-021-00087-0 |
| spellingShingle | Nicole Thomas Elizabeth Kay Robert Witton Cath Quinn Comparison of a full arch digital photographic assessment of caries prevalence in 5-year-old children to an established visual assessment method: a cross-sectional study BDJ Open |
| title | Comparison of a full arch digital photographic assessment of caries prevalence in 5-year-old children to an established visual assessment method: a cross-sectional study |
| title_full | Comparison of a full arch digital photographic assessment of caries prevalence in 5-year-old children to an established visual assessment method: a cross-sectional study |
| title_fullStr | Comparison of a full arch digital photographic assessment of caries prevalence in 5-year-old children to an established visual assessment method: a cross-sectional study |
| title_full_unstemmed | Comparison of a full arch digital photographic assessment of caries prevalence in 5-year-old children to an established visual assessment method: a cross-sectional study |
| title_short | Comparison of a full arch digital photographic assessment of caries prevalence in 5-year-old children to an established visual assessment method: a cross-sectional study |
| title_sort | comparison of a full arch digital photographic assessment of caries prevalence in 5 year old children to an established visual assessment method a cross sectional study |
| url | https://doi.org/10.1038/s41405-021-00087-0 |
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