Diagnostic agreement between radiologist, dentist and dental students for radiographic detection of approximal caries.

Uribe, Sergio; Lara-Abarzúa, Felipe; Ruiz-Miranda, Nicolas; Bravo-Gajardo, Katherine; Huichaman, Daniela

doi:10.17126/joralres.2015.034

Cited by 3 publications

(7 citation statements)

References 18 publications

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“…This is in line with multiple human studies evaluating agreements rates for different oral pathologists. 5,19 The diagnostic agreement rate for radiographic detection of caries has been evaluated between maxillofacial radiologists, dentists and senior dental students concluding that the rate was moderate to good, 5 while another study found low reproducibility between oral radiologists and general dentists for radiographic evidence of caries. 20 A study evaluating teeth for evidence of endodontic disease found that interpretation of a dental radiograph is subjective and factors that had the most impact were years of experience of the examiner and familiarity of the operator with the given digital system.…”

Section: Discussionmentioning

confidence: 99%

“…The significance of interobserver variation has been studied extensively in radiographic caries diagnosis, incidence of apical periodontitis and the outcome of endodontic therapy in human radiology, [3][4][5] yet little research exists in the veterinary field. To the best of the authors' knowledge, there have not been any veterinary studies evaluating the dental radiographic agreement rate between different levels of expertise involving veterinary dentists and students.…”

Section: Introductionmentioning

confidence: 99%

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Intraoral Radiographic Interpretation Agreement Between Veterinary Students, Veterinary Dental Residents and Veterinary Dental Specialists

Feigin,

Snyder,

Tai

et al. 2023

J Vet Dent

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This study evaluated observer variations in the interpretation of radiographic evidence for periodontal disease, tooth resorption, and endodontic disease in dogs. Forty dental radiographs were evaluated for 12 different parameters (periapical destruction of bone, wider than expected root canal, narrower than expected root canal, apical root resorption, loss of alveolar bone, external surface resorption, external replacement resorption, external inflammatory resorption, external cervical root resorption, internal surface resorption, internal replacement resorption, internal inflammatory resorption). Interpretations by 20 veterinary dentists, 10 veterinary dental residents, and 10 veterinary students were analyzed for consistency within groups and between groups by intraclass correlation coefficients (ICCs [95% CI]). Additionally, the agreement rate between groups compared to histopathological diagnosis, when available, and to a consensus group were evaluated. The results showed fair to good interobserver agreement for all participants when looking at all questions simultaneously (0.578 [0.515-0.635]) and with the consensus group (0.483 [0.451-0.517]). However, questions pertaining to various types of tooth resorption scored the lowest ICCs ranging from 0.005 (−0.311 to 0.321) to 0.189 (−0.105 to 0.402) across individual groups. Students had the lowest agreement compared to the consensus group for all questions (0.383 [0.347-0.421]) with fair to good agreement involving groups of residents (0.501 [0.465-0.538]), recently boarded diplomates (0.541 [0.506-0.578]), and more experienced diplomates (0.545 [0.510-0.582]). While dental radiographs are essential for clinical decision making, this study shows that interpretation of radiographs is highly subjective.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Intraoral Radiographic Interpretation Agreement Between Veterinary Students, Veterinary Dental Residents and Veterinary Dental Specialists

Feigin,

Snyder,

Tai

et al. 2023

J Vet Dent

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“…33 Thus, the results obtained may have been influenced by factors such as age, training, skills, preferences, and students' experiences. 34 Another factor to be considered is the inadequacy of educational programs. There is a consensus that should be an emphasis on education and training to radiographic diagnosis in undergraduate dental students.…”

Section: Discussionmentioning

confidence: 99%

Dental undergraduate students' ability in the diagnosis of root fractures: Comparative analysis of different imaging methods

Paz

Borges

Rodrigues

et al. 2021

Journal of Dental Education

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The aim of this study was to evaluate the diagnostic ability of dental undergraduate students to detect horizontal and oblique root fractures (ORFs) using different imaging techniques. Materials and methods: Nine teeth were selected and randomly divided in three groups in order to create a fracture line without fragments separation: control (without fracture), horizontal root fracture (HRF), and ORF. The root fracture was created using perpendicular force and was confirmed by transillumination. A model with two adjacent teeth was created, and different imaging techniques were performed: conventional periapical radiograph; mesially and distally shifted periapical radiographs; cone-beam computer tomography (CBCT). Twenty students that had participation on dental trauma clinic at the year of 2019 were invited to identify root fractures by a five-point scale: (i) fracture definitely not present, (ii) fracture probably not present, (iii) uncertain whether fracture is present or not, (iv) fracture probably present, and (v) fracture definitely present. Data were analyzed by Kappa test for agreement evaluation. Results:Comparing each student to the gold standard, there was a variation in reproducibility and performance from poor to substantial (0.042-0.667). Reproducibility values ranged from poor to good for all periapical radiographs both in the diagnosis of ORF (−0.33-0.667) and in HRF (0-1). Conclusions: In CBCT images, the students' ability was lower in HRF detection in comparison with the oblique ones. The students showed limited capacity to diagnose root fractures; however when CBCT was used, the performance was more satisfactory than when periapical radiographs were used.

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“…As radiografias são documentos legais, que confirmam as informações encontradas no paciente, seja antes, durante ou depois do tratamento odontológico e, portanto, é considerada de grande contribuição na tomada de decisões (Kumar et al, 2012;Masthoff et al, 2018;Silva et al, 2016;Uribe et al, 2015). Contudo, é necessária uma atenção especial aos processos relacionados a técnica e processos de revelação para que tenham uma boa nitidez, densidade, contraste e não apresentem distorção (Andrade et al, 2016;Lima et al, 2010).…”

Section: Introductionunclassified

“…Outro aspecto está na interpretação das imagens em que a confiabilidade dos resultados é subjetiva e dependente da avaliação individual (Uribe et al, 2015). O que resulta Research, Society and Development, v. 9, n. 11, e88691110676, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i11.10676 em impactos negativos e interfere no diagnóstico e tratamento dos pacientes (Lima et al, 2017;Silva et al, 2017).…”

Section: Introductionunclassified

Análise do conhecimento na interpretação de imagens radiográficas de acadêmicos de um curso de Odontologia

Mota

Langoni

Almeida

et al. 2020

RSD

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A radiografia é o exame complementar mais utilizado pelos Cirurgiões Dentistas na prática odontológica e quando associado aos dados clínicos, permite uma melhor identificação de algumas alterações e por consequência um correto tratamento. O objetivo desta pesquisa foi avaliar o nível de conhecimento dos alunos do último período, matriculados na disciplina de Clínica Integrada do Curso de Odontologia da Faculdade de Patos de Minas – FPM no segundo semestre de 2020, no que tange a precisão de diagnóstico e decisão de tratamento ao analisar radiografias periapicais de diversas situações encontradas na rotina clínica. A pesquisa constou da aplicação de um questionário online com 11 seções. Nas 10 primeiras sessões, foi exposto uma radiografia periapical de situações frequentes da rotina odontológica. Para cada imagem havia uma pergunta referente ao diagnóstico e outra sobre opção de tratamento. Na 11º seção, os alunos responderam qual foi a imagem de mais difícil interpretação. Foi observado um percentual baixo de acertos – apenas 62,16% (37/23) da amostra acertaram metade ou menos da quantidade de radiografias apresentadas para análise. Quando diagnóstico e conduta foram avaliados separadamente, 69% (37/25) dos entrevistados interpretaram corretamente a imagem radiográfica e 46% (37/17) erraram a conduta clínica. A imagem 10 foi a que apresentou maior percentual de dificuldade 38% (37/14), de acordo com as respostas. Foram observadas fragilidades relacionadas a interpretação de imagens menos comuns à clínica odontológica e que pesquisas com metodologias mais abrangentes podem oferecer resultados mais precisos quanto a capacidade interpretativa e de decisão de tratamento frente a imagens radiográficas.

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Diagnostic agreement between radiologist, dentist and dental students for radiographic detection of approximal caries.

Cited by 3 publications

References 18 publications

Intraoral Radiographic Interpretation Agreement Between Veterinary Students, Veterinary Dental Residents and Veterinary Dental Specialists

Intraoral Radiographic Interpretation Agreement Between Veterinary Students, Veterinary Dental Residents and Veterinary Dental Specialists

Dental undergraduate students' ability in the diagnosis of root fractures: Comparative analysis of different imaging methods

Análise do conhecimento na interpretação de imagens radiográficas de acadêmicos de um curso de Odontologia

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