Diagnostic efficacy of and indications for intraoral radiographs in pediatric dentistry: a systematic review

Aps, Johan; Lim, Li Zhen; Tong, Huei Jinn; Kalia, B; Chou, Amy

doi:10.1007/s40368-020-00532-y

Cited by 13 publications

(19 citation statements)

References 48 publications

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“…EAPD reinforces the use of the specific clinical signs and symptoms for the diagnosis of MIH, as previously described in the earlier EAPD publications (Weerheijm et al 2003 ; Lygidakis et al 2010 ). The use of intraoral X-Rays may add to the diagnosis (Aps et al 2020 ). These criteria are shown in Table 3 .…”

Section: Terminology and Diagnosis Of Mihmentioning

confidence: 99%

Best clinical practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralisation (MIH): an updated European Academy of Paediatric Dentistry policy document

Lygidakis

Garot

Somani

et al. 2021

Eur Arch Paediatr Dent

183

192

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Aim To update the existing European Academy of Paediatric Dentistry (EAPD) 2010 policy document on the ‘Best Clinical Practice guidance for clinicians dealing with children presenting with Molar-Incisor-Hypomineralisation (MIH).’ Methods Experts, assigned the EAPD, worked on two different topics: (A) Aetiological factors involved in MIH, and (B) Treatment options for the clinical management of MIH. The group prepared two detailed systematic reviews of the existing literature relevant to the topics and following a consensus process produced the updated EAPD policy document on the ‘Best Clinical Practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralisation (MIH).’ The GRADE system was used to assess the quality of evidence regarding aetiology and treatment which was judged as HIGH, MODERATE, LOW or VERY LOW, while the GRADE criteria were used to indicate the strength of recommendation regarding treatment options as STRONG or WEAK/CONDITIONAL. Results (A) Regarding aetiology, it is confirmed that MIH has a multifactorial aetiology with the duration, strength and timing of occurrence of the aetiological factors being responsible for the variable clinical characteristics of the defect. Perinatal hypoxia, prematurity and other hypoxia related perinatal problems, including caesarean section, appear to increase the risk of having MIH, while certain infant and childhood illnesses are also linked with MIH. In addition, genetic predisposition and the role of epigenetic influences are becoming clearer following twin studies and genome and single-nucleotide polymorphisms analyses in patients and families. Missing genetic information might be the final key to truly understand MIH aetiology. (B) Regarding treatment options, composite restorations, preformed metal crowns and laboratory indirect restorations provide high success rates for the posterior teeth in appropriate cases, while scheduled extractions provide an established alternative option in severe cases. There is great need for further clinical and laboratory studies evaluating new materials and non-invasive/micro-invasive techniques for anterior teeth, especially when aesthetic and oral health related quality of life (OHRQoL) issues are concerned. Conclusions MIH has been studied more extensively in the last decade. Its aetiology follows the multifactorial model, involving systemic medical and genetic factors. Further focused laboratory research and prospective clinical studies are needed to elucidate any additional factors and refine the model. Successful preventive and treatment options have been studied and established. The appropriate choice depends on the severity of the defects and the age of the patient. EAPD encourages the use of all available treatment options, whilst in severe cases, scheduled extractions should be considered.

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Section: Terminology and Diagnosis Of Mihmentioning

confidence: 99%

Best clinical practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralisation (MIH): an updated European Academy of Paediatric Dentistry policy document

Lygidakis

Garot

Somani

et al. 2021

Eur Arch Paediatr Dent

183

192

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“…18 Our results are difficult to compare with previous studies, since to our knowledge, no studies assessed the diagnostic accuracy of pulpo-periodontal complications of carious lesions in the particular case of primary molars. 18 Most studies assessed the radiographic diagnosis accuracy of caries detection in permanent teeth 19 and rarely in primary teeth. 20 For studies assessing education methods focusing on interpretation of bitewing or periapical radiographies, these are also rare and again tend to be based on carious lesions in permanent teeth (not pulpo-periodontal complications of carious lesions in primary teeth).…”

Section: Discussionmentioning

confidence: 55%

Improving radiographic diagnosis of pulpo‐periodontal complications in primary molars by training: Application in education and clinical research

Muller‐Bolla

Joseph

Innes

et al. 2022

Eur J Dental Education

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Introduction:The objective of this study was to assess an original learning intervention to train students and paediatric dentistry teachers in radiographic diagnostic accuracy of pulpo-periodontal complications in primary molars. Materials and Methods: The learning intervention was based on 250 different randomly ordered radiographs of primary molars within three quizzes (A, B and C) for 5 sessions (S): quiz A (50 X-rays), B and C (100 X-rays) were, respectively, completed in S1 to assess the extent of agreement with 5 experts' diagnoses, in S2 and S3 (B at days 8 and 23) and in S4 and S5 (C at days 90 and 105). During S1 and at the end of S3 and S5, the participants (48 students and 16 teachers) were informed of correct diagnoses. A satisfaction questionnaire was completed by all the students. Alongside the descriptive analyses, generalised linear mixed model (GLMM) analyses assessed the odds of participants' correct diagnosis over the study duration.Results: At S1, the odds of diagnostic accuracy among students were significantly lower than those among the teachers. After receiving feedback at S1, GLMM analyses showed that among all the participants, accuracy improved over time with the odds of correct diagnoses higher in S2-5 than in S1; and there were similar increases across sessions between teachers and students, except in S3, where the improvement among teachers tended to be greater than that among the students. All students were satisfied though one-third reported that quizzes with 100 radiographs felt too long. Conclusion:The online case-based learning was a good training format for dental education.

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“…Indeed, even though some papers report strong accuracy and agreement metrics, they are frequently only tested in extracted teeth or cadavers [ 120 , 121 , 122 ]. Other reviews explore intraoral radiology in more detail [ 123 , 124 ]. With advancements in image processing algorithms, imaging devices are ideally placed to leverage these developments to further improve the image analsyis pipeline and provide automatic detection or diagnosis of medical conditions.…”

Section: Discussionmentioning

confidence: 99%

Performance of Oral Cavity Sensors: A Systematic Review

Bueno

Kwong

Bergmann

2023

Sensors

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Technological advancements are enabling new applications within biomedical engineering. As a connection point between the outer environment and the human system, the oral cavity offers unique opportunities for sensing technologies. This paper systematically reviews the performance of measurement systems tested in the human oral cavity. Performance was defined by metrics related to accuracy and agreement estimation. A comprehensive search identifying human studies that reported on the accuracy or agreement of intraoral sensors found 85 research papers. Most of the literature (62%) was in dentistry, followed by neurology (21%), and physical medicine and rehabilitation (12%). The remaining papers were on internal medicine, obstetrics, and aerospace medicine. Most of the studies applied force or pressure sensors (32%), while optical and image sensors were applied most widely across fields. The main challenges for future adoption include the lack of large human trials, the maturity of emerging technologies (e.g., biochemical sensors), and the absence of standardization of evaluation in specific fields. New research should aim to employ robust performance metrics to evaluate their systems and incorporate real-world evidence as part of the evaluation process. Oral cavity sensors offer the potential for applications in healthcare and wellbeing, but for many technologies, more research is needed.

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Diagnostic efficacy of and indications for intraoral radiographs in pediatric dentistry: a systematic review

Cited by 13 publications

References 48 publications

Best clinical practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralisation (MIH): an updated European Academy of Paediatric Dentistry policy document

Best clinical practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralisation (MIH): an updated European Academy of Paediatric Dentistry policy document

Improving radiographic diagnosis of pulpo‐periodontal complications in primary molars by training: Application in education and clinical research

Performance of Oral Cavity Sensors: A Systematic Review

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