Use of an Intra‐Oral camera: An important addition for patient education and improving the patient‐provider relationship

Sandhu, Rubee; Sahni, Shibani

doi:10.1002/jdd.12941

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“…In the present teledentistry program, the IOC was used due to its low cost, being convenient to transport, and easy to maintain. The IOC has been used for patient-dentist communication [ 5 , 22 ], oral examination [ 17 , 18 ], screening oral cancer lesions [ 23 ], and identifying dental diseases and soft tissue conditions [ 21 , 24 ]. Previous studies have found that the IOC is a valid and reliable tool for screening oral diseases, such as dental caries [ 21 ] and oral cancer [ 23 ], compared with a direct oral examination.…”

Section: Discussionmentioning

confidence: 99%

Facilitating dental disease screening program in prisoners using an intraoral camera in teledentistry

2023

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Objectives To facilitate dental disease screening program in prisoners by testing the diagnostic accuracy of teledentistry examination in comparison to direct oral examination by a dentist. Materials and methods This crossover study comprised three phases. Phase I, prisoner health volunteers (PHVs) enrolled teledentistry training for an intraoral camera (IOC) use. Phase II, the PHV used IOC for examining dental diseases of prisoners who reported dental-related problems, and captured symptomatic areas. The PHV and dentist independently determined tentative dental treatment need, comprising dental fillings, scaling, extraction, and surgical removal of impacted tooth. Phase III, another dentist performed direct oral examination of the prisoners who reported problems in phase II and determined dental treatment needs. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated, using direct oral examination by dentist as a true positive. Results Diagnostic accuracy was determined in 152 prisoners with 215 teeth. Sensitivity, specificity, PPV, and NPV of teledentistry and direct examination between two dentists were above 80%. The lowest sensitivity and specificity of teledentistry examination by the PHV were scaling and surgical removal. Conclusions IOC use in teledentistry facilitates dentists in dental diseases screening for prisoners with acceptable diagnostic accuracy in identifying possible treatment needs. However, the imaging obtained from teledentistry is not adequate to accurately identify all dental treatment needs.

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