Journal of Evidence-Based Dental Practice最新文献_第5页

The Desensitizing Effect of Nanosilver Fluoride Compared to Photobiomodulation Therapy in Molar-Incisor Hypomineralization: A Randomized Clinical Trial 纳米氟化银与光生物调节治疗在磨牙-切牙低矿化中的脱敏效果：一项随机临床试验

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-09-01 Epub Date: 2025-03-14 DOI: 10.1016/j.jebdp.2025.102139

Nouran Nabil , Aly A. Sharaf , Marwa M. Essawy , Reham S. Soliman

Objectives

Molar-incisor hypomineralization (MIH) can cause hypersensitivity. This study compared nanosilver fluoride (NSF) and photobiomodulation therapy (PBMT) regarding desensitization in MIH-affected first permanent molars (FPMs) and plaque reduction.

Methods

Children aged 7-10 years, with 120 hypersensitive MIH-affected FPMs, were randomly assigned to receive NSF or PBMT. Hypersensitivity was assessed using the Schiff Cold Air Sensitivity Scale (SCASS) at baseline, after 15 minutes and 1 month. Plaque accumulation was assessed using the modified plaque index (PlI) of Silness and Löe at baseline and after 1 month. T-test and Mann–Whitney U test were used to compare groups. Intragroup comparisons were done using paired t-test and Friedman test. Multilevel ordinal logistic regression analysis was used to assess the effect of treatment on the outcomes, controlling for confounders.

Results

The study included 40 children, mean ± SD age = 8.03 ± 1.13 years. There was significantly less sensitivity and greater plaque reduction in the NSF than the PBMT group after 1 month (P < .05). NSF and PBMT significantly reduced sensitivity over time (P < .001), with the lowest scores after 1 month. In multilevel regression, NSF was associated with significantly less sensitivity than PBMT after 1 month (AOR = 0.18, 95% CI: 0.07, 0.51, P = .001). While both groups had reduced plaque accumulation, the decrease was significant only in the NSF group (P < .001).

Conclusion

NSF and PBMT reduced sensitivity associated with MIH and provided immediate pain relief. However, NSF was superior due to its longer-lasting effects on sensitivity and additional benefit in plaque reduction.

Clinical significance

NSF offers a promising alternative to PBMT in desensitizing MIH-related hypersensitivity, particularly for patients with limited access to laser therapy.

Trial registration

The trial was registered in the clinicaltrials.gov registry (# NCT06348849).

目的磨牙-切牙低矿化（MIH）可引起过敏反应。本研究比较了纳米氟化银（NSF）和光生物调节疗法（PBMT）对mih影响的第一恒磨牙（FPMs）脱敏和斑块减少的影响。方法选取7 ~ 10岁的120例伴有mih过敏的fpm患儿，随机分为NSF组和PBMT组。在基线，15分钟和1个月后，使用希夫冷空气敏感性量表（SCASS）评估超敏反应。在基线和1个月后，使用改良斑块指数（PlI） Silness和Löe评估斑块积累。组间比较采用t检验和Mann-Whitney U检验。组内比较采用配对t检验和Friedman检验。采用多水平有序逻辑回归分析来评估治疗对结果的影响，控制混杂因素。结果纳入40例儿童，平均±SD年龄 = 8.03±1.13岁。1个月后，与PBMT组相比，NSF组的敏感性明显降低，斑块减少明显增加(P <；. 05)。NSF和PBMT随着时间的推移显著降低了敏感性(P <；.001)， 1个月后得分最低。在多水平回归中，1个月后NSF的敏感性明显低于PBMT （AOR = 0.18,95% CI: 0.07, 0.51, P = .001）。虽然两组都减少了斑块的积累，但只有NSF组的减少是显著的(P <；措施)。结论nsf和PBMT降低了与MIH相关的敏感性，并能立即缓解疼痛。然而，NSF的优势在于其对敏感性的持久影响和对斑块减少的额外益处。临床意义：在脱敏mih相关的超敏反应方面，特别是对于激光治疗有限的患者，nsf提供了一种有希望的替代PBMT。试验注册该试验已在clinicaltrials.gov注册中心注册（# NCT06348849）。

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引用次数: 0

REMINERALIZATION OF WHITE SPOT LESIONS IN PRIMARY TEETH USING AN INTENSIVE APPLICATION PROTOCOL OF CURODONT REPAIR FLUORIDE PLUS, MI VARNISH OR DURAPHAT VARNISH (RANDOMIZED CONTROLLED CLINICAL TRIAL) 牙齿修复加氟、mi清漆或duraphat清漆强化应用方案对乳牙白斑病变再矿化（随机对照临床试验）

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-09-01 Epub Date: 2025-04-30 DOI: 10.1016/j.jebdp.2025.102163

SARAH M. KHAIRY, DALIA M. TALAAT, KARIN M.L. DOWIDAR

Objectives

To evaluate the efficacy of intensive application of Curodont Repair Fluoride Plus (CRFP), MI varnish or Duraphat in treating white spot lesions (WSLs) of primary teeth over 12-months follow-up.

Methods

Sixty-six high-caries-risk preschooler children with active WSLs in their primary anterior teeth, were randomly allocated to receive intensive application of CRFP, MI varnish, or Duraphat. Lesions were assessed using ICDAS-II criteria and DIAGNOdent laser fluorescence at baseline and after 3, 6, 9, and 12 months. lesion size changes were evaluated using standardized photographs after 3, 6, and 12 months. Visual analogue scale was used for assessing esthetic improvement after 6 and 12 months.

Results

Multivariable logistic regression models addressing caries arrest (using ICDAS-II severity scores) and reducing lesion activity revealed that CRFP achieved significantly higher odds of caries arrest (AOR=6.46, P = .011) and decreasing number of active lesions (AOR=19.86, P = .003) when compared to Duraphat. No significant difference was found between MI varnish and Duraphat regarding caries arrest (AOR=2.07, P = .242) or reducing lesion activity (AOR=4.11, P = .064). All study materials resulted in significant percent reduction in DIAGNOdent readings across time (P < .001). CRFP reduced DIAGNOdent readings significantly when compared to Duraphat at all time intervals while a significant difference appeared between CRFP and MI varnish groups only after 9 and 12 months. All the materials reduced lesion size significantly, with the greatest reduction achieved by CRFP, resulting in moderate to exceptional esthetic improvement.

Conclusion

Intensive application of CRFP exhibited superior remineralization and esthetic improvement of WSLs compared to MI varnish or Duraphat.

目的通过12个月的随访，评价密集应用currodon Repair Fluoride Plus （CRFP）、MI清漆或Duraphat治疗乳牙白斑病变（WSLs）的疗效。方法对66例乳牙前牙有活跃的高龋风险学龄前儿童进行随机分组，分别应用CRFP、MI清漆和Duraphat进行强化治疗。在基线和3、6、9和12个月后，使用ICDAS-II标准和诊断激光荧光评估病变。3个月、6个月和12个月后使用标准化照片评估病变大小变化。采用视觉模拟量表评估6个月和12个月后的审美改善情况。结果采用ICDAS-II严重程度评分和降低病变活跃性的多变量logistic回归模型显示，与Duraphat相比，CRFP实现了更高的龋齿抑制几率（AOR=6.46, P = .011）和减少活跃性病变数量（AOR=19.86, P = .003）。MI清漆与Duraphat在阻龋（AOR=2.07, P = .242）或降低病变活跃性（AOR=4.11, P = .064）方面无显著差异。所有的研究材料都导致诊断读数随时间的显著降低(P <；措施)。与Duraphat相比，CRFP在所有时间间隔内都显著降低了诊断读数，而CRFP和MI清漆组仅在9个月和12个月后才出现显著差异。所有的材料都显著减小了病变的大小，CRFP达到了最大的减小，导致中度到特殊的美学改善。结论与MI清漆或Duraphat相比，强化应用CRFP具有更好的再矿化效果和美观性。

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引用次数: 0

LASER-MICROTEXTURED ABUTMENTS MAY HELP REDUCE INFLAMMATION AND PERI‑IMPLANT TISSUE REMODELING FOLLOWING IMPLANT PLACEMENT 激光微纹理基台可以帮助减少种植体植入后的炎症和种植体周围组织重塑

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-09-01 Epub Date: 2025-04-29 DOI: 10.1016/j.jebdp.2025.102162

YU-HSUAN PI (Reviewers), WEI-CHUN LIN, CHIA-YU CHEN, CHIN-WEI WANG

Article Title and Bibliographic Information

Aldrin Huamán‐Mendoza, Renata Bommarito, Marcos Hideki Hagy, Nathalia Vilela, Marcelo Munhóes Romano, Mariana Minatel Braga, Claudio Mendes Pannuti, Marinella Holzhausen. Effect of laser‐microtextured abutments on peri‐implant outcomes: a systematic review and meta‐analysis. Clinical Oral Investigations (2024) 28:388 https://doi.org/10.1007/s00784-024-05785-1

Source of Funding

This research received no specific grant from any funding agency.

Type of Study/Design

Systematic review with meta-analysis.

文章标题和文献信息aldrin Huamán‐Mendoza， Renata Bommarito, Marcos Hideki Hagy, Nathalia Vilela, Marcelo Munhóes Romano, Mariana Minatel Braga, Claudio Mendes Pannuti, Marinella Holzhausen。激光微织构基台对种植体周围结果的影响：一项系统回顾和荟萃分析。临床口腔调查（2024）28:388 https://doi.org/10.1007/s00784-024-05785-1Source资助本研究未获得任何资助机构的特定资助。研究类型/设计：采用荟萃分析的系统评价。

引用次数: 0

MOBILE TEETH ARE AT A HIGHER RISK OF BEING EXTRACTED OR LOST THAN NONMOBILE TEETH IN PERIODONTITIS PATIENTS UNDER SUPPORTIVE CARE 在支持治疗下，牙周炎患者的活动牙比不活动牙有更高的拔牙或脱落风险

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-09-01 Epub Date: 2024-09-13 DOI: 10.1016/j.jebdp.2024.102038

SATHEESH ELANGOVAN (REVIEWER)

Article Title and Bibliographic Information

Peditto M, Rupe C, Gambino G, Di Martino M, Barbato L, Cairo F, Oteri G, Cavalcanti R. Influence of mobility on the long-term risk of tooth extraction/loss in periodontitis patients. A systematic review and meta-analysis. J Periodontal Res. 2024 May 20. doi: 10.1111/jre.13286.

Source of Funding

No funding received.

Type of Study/Design

Systematic review with meta-analysis of data.

peditto M, Rupe C, Gambino G, Di Martino M, barbatto L, Cairo F, Oteri G, Cavalcanti R.活动度对牙周炎患者拔牙/脱落风险的影响。系统回顾和荟萃分析。牙周病杂志。2024年5月20日。doi: 10.1111 / jre.13286。资金来源没有收到资金。研究类型/设计系统评价，数据荟萃分析。

引用次数: 0

BLUEPRINT PERSONA AND INFORMATION AND COMMUNICATION TECHNOLOGY INTERVENTIONS: ADDRESSING UNMET NEEDS IN BURNING MOUTH SYNDROME CARE 蓝图人物形象和信息通信技术干预：解决灼口综合征护理中未满足的需求

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-09-01 Epub Date: 2024-10-22 DOI: 10.1016/j.jebdp.2024.102047

FEDERICA CANFORA , MAURO CATALDI , MICHELE DAVIDE MIGNOGNA , GIULIA OTTAVIANI , STEFANIA LEUCI , NOEMI COPPOLA , GIUSEPPE PECORARO , VINCENZO DE LUCA , ELENA SALVATORE , GIOVANNI DELL'AVERSANA ORABONA , VINCENZO ABBATE , GUIDO IACCARINO , MICHELE VIRGOLESI , SARA APRANO , CLAUDIA VETRANI , DANIELA LEMMO , MASSIMO ARIA , MADDALENA ILLARIO , DANIELA ADAMO

OBJECTIVES

This study aimed to create a Blueprint Persona for Burning Mouth Syndrome (BMS) patients, focusing on Unmet needs that digital solutions can address.

METHODS

An interdisciplinary focus group formulated the BMS Blueprint Persona by discussing clinical data and survey results regarding education, informatics skills, and perceived unmet needs, collected from 500 BMS patients between 2022 and 2023.

RESULTS

The BMS Blueprint Persona, named Anna, represents a typical BMS patient profile: a young-old woman with limited computer skills who experiences anxiety, depression, and insomnia, has memory issues leading to medication adherence challenges, is obese due to overeating, and spends much time watching TV at home. Anna's primary concern is receiving inadequate treatment and not achieving disease remission. She also feels misunderstood and lacks family support. This persona reveals several areas where Information and Communication Technology (ICT) interventions, like telemedicine, anxiety and insomnia treatment, drug adherence improvement, and nutritional and lifestyle guidance, could be beneficial. The focus group also outlined the essential features for a prospective mHealth app to meet BMS patients' diverse needs.

CONCLUSION

The development of the BMS Blueprint Persona successfully identified patient characteristics and unmet needs, offering valuable insights for creating personalized diagnostic-therapeutic pathways and digital health solutions for BMS.

本研究旨在为灼口综合征（BMS）患者创建一个蓝图人物角色，重点关注数字解决方案可以解决的未满足需求。方法一个跨学科焦点小组通过讨论从2022年至2023年收集的500名BMS患者的临床数据和关于教育、信息技能和未满足需求的调查结果，制定了BMS蓝图人物角色。结果，名为安娜的BMS蓝图人物代表了一个典型的BMS患者的形象：一个年轻的老年妇女，计算机技能有限，患有焦虑、抑郁和失眠，记忆力问题导致药物依从性挑战，因暴饮暴食而肥胖，花很多时间在家里看电视。安娜最担心的是治疗不充分，无法缓解病情。她也感到被误解，缺乏家庭支持。这一人物形象揭示了信息和通信技术（ICT）干预措施（如远程医疗、焦虑和失眠治疗、药物依从性改善以及营养和生活方式指导）可能有益的几个领域。焦点小组还概述了未来移动健康应用程序的基本功能，以满足BMS患者的多样化需求。BMS蓝图人物角色的开发成功地识别了患者的特征和未满足的需求，为BMS的个性化诊断治疗途径和数字健康解决方案的创建提供了有价值的见解。

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引用次数: 0

ADJUNCTIVE PROBIOTICS SHOW A POSITIVE TREND BUT INCONCLUSIVE CLINICAL BENEFIT IN PERI-IMPLANTITIS MANAGEMENT 辅助益生菌在种植体周围炎治疗中表现出积极的趋势，但临床疗效尚无定论

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-09-01 Epub Date: 2025-05-11 DOI: 10.1016/j.jebdp.2025.102166

I-TING HSIEH (Reviewers), LING-CHENG MONG, CHIN-WEI WANG, FLAVIA PIRIH

Article Title and Bibliographic Information

Lo´ pez-Valverde N, Lo´ pez-Valverde A and Blanco Rueda JA (2024) The role of probiotic therapy on clinical parameters and human immune response in peri‑implant diseases: a systematic review and meta-analysis of randomized clinical studies. Front. Immunol. 15:1371072. doi: 10.3389/fimmu.2024.1371072

Source of Funding

No financial support.

Type of Study/Design

Systematic review with meta-analysis of data.

Lo´perez - valverde N， Lo´perez - valverde A和Blanco Rueda JA（2024）益生菌治疗对种植体周围疾病临床参数和人类免疫反应的作用：随机临床研究的系统回顾和荟萃分析。前面。Immunol 15:1371072。doi: 10.3389/ fimmune .2024.1371072经费来源无资金支持。研究类型/设计系统评价，数据荟萃分析。

引用次数: 0

PREDICTORS OF HEALTH-RELATED QUALITY OF LIFE IN TEMPOROMANDIBULAR DISORDER PATIENTS: 8-YEAR COHORT STUDY 颞下颌障碍患者健康相关生活质量的预测因素：8年队列研究

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-09-01 Epub Date: 2025-03-17 DOI: 10.1016/j.jebdp.2025.102140

IBRAHIM OGHLI PhD , BIRGITTA HÄGGMAN-HENRIKSON PhD , ERIC L. SCHIFFMAN MS , THOMAS LIST PhD

Objectives

This study aimed to identify baseline factors that predict Health-Related Quality of Life (HRQoL) in patients with TMD 8 years later.

Materials and Methods

401 participants (333 women, mean age 45.8 years) from a multicenter cohort were examined using the Diagnostic Criteria for TMD (DC/TMD) and questionnaires. The main outcome was the 12-item Short Form Health Survey (SF-12), a HRQoL measure that provides physical (PCS) and mental (MCS) summaries. Baseline predictors included age, gender, self-reported health, Jaw Functional Limitation Scale (JFLS), pain intensity, pain frequency, and pain duration. Regression analysis with stepwise modeling identified predictive factors.

Results

54.3% had painful TMD, 15.7% had nonpainful TMD, and 27.7% were healthy controls. For the painful TMD group, the regression model was significant (R² = .25, F = 4.3, P < .01), with age and favorable general health predicting PCS scores. In the nonpainful TMD group, the model was significant (R² = .58, F = 3.8, P < .01), with JFLS and favorable general health (predicting PCS scores. The MCS model was significant in healthy controls (R² = .22, F = 1.8, P = .05), with JFLS as only predictor.

Conclusion

Predictors of mental HRQoL: JFLS in healthy controls, but no predictors were found in TMD groups. Predictors of physical HRQoL: General health in both TMD groups, JFLS in the nonpainful TMD group, and age in the painful TMD group.

目的：本研究旨在确定预测TMD患者8年后健康相关生活质量（HRQoL）的基线因素。材料和方法采用TMD诊断标准（DC/TMD）和问卷调查对来自多中心队列的401名参与者（333名女性，平均年龄45.8岁）进行检查。主要结果是12项简短健康调查（SF-12），这是一种提供身体（PCS）和精神（MCS）总结的HRQoL测量。基线预测指标包括年龄、性别、自我报告的健康状况、颌骨功能限制量表（JFLS）、疼痛强度、疼痛频率和疼痛持续时间。结果疼痛性TMD占54.3%，非疼痛性TMD占15.7%，健康对照占27.7%。疼痛性TMD组回归模型显著（R² = ）。25、F = 4.3,P <；.01)，年龄和良好的总体健康状况预测PCS得分。在非疼痛性TMD组，模型显著（R² = ）。58、F = 3.8,P <；.01)， JFLS和良好的一般健康状况（预测PCS评分）。MCS模型在健康对照组中显著（R2 = ）。22, F = 1.8,P = .05)，JFLS是唯一的预测因子。结论精神HRQoL的预测因素：健康对照组为JFLS， TMD组无预测因素。躯体HRQoL的预测因素：两个TMD组的一般健康状况，非疼痛性TMD组的JFLS，以及疼痛性TMD组的年龄。

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引用次数: 0

EFFECTIVENESS OF ASSISTED TOOTHBRUSHING ON PRESCHOOLERS’ ORAL HYGIENE: A CAREGIVER-INTERVENTION APPROACH 辅助刷牙对学龄前儿童口腔卫生的影响：一种照顾者干预方法

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-09-01 Epub Date: 2025-03-17 DOI: 10.1016/j.jebdp.2025.102138

Luis Limo , Ronald Espíritu Ayala-Mendívil , Juliana Gabrielle Martins

Objective

To assess the effectiveness of an intervention on caregivers' assisted toothbrushing techniques and oral health maintenance for preschool-aged children, and to determine whether these effects differ by age.

Methods

A single group pre/post intervention study was conducted among children aged 3-5 years and their caregivers in Callao, Peru. Eligible caregivers were trained on assisted toothbrushing using large and real-scale typodonts, along with practical demonstrations by a dentist. Additionally, they were instructed on healthy practices and oral health in children. Children's oral hygiene status (OHS) was assessed using the Simplified Oral Hygiene Index (OHI-S) at baseline and three months postintervention. To assess the effectiveness and quantify the magnitude of the difference between the OHI-S before and after the intervention, we used Wilcoxon signed-rank test and the Cliff's Delta test, respectively. Results were stratified by age group to examine potential differences.

Results

The sample (n = 210) predominantly comprised 3-year-old Peruvian females, primarily cared for by their mothers, who identified as single mothers who had not previously received instruction in oral hygiene practices. We found improvement in children's OHI-S in most age groups. Specifically, among 3-year-olds, the OHI-S score improved significantly from 'fair' (m = 2.6, ± 0.2, range 2.4-2.8) to 'good' (m = 1.1, ± 0.2, range 0.9-1.3). The intervention showed a moderate effect size (δ = −0.15, 95% CI −0.18, −0.10) in the 3-year-olds and a moderate effect size (δ = −0.05, 95% CI −0.08, −0.01) in the 4-year-olds. No significant improvements were observed in the 5-year-old group.

Conclusion

A caregiver-focused intervention significantly improved OHS among preschool-aged children, particularly in younger age groups. Substantial improvements in OHI-S scores were noted for 3- and 4-year-olds, while age-specific factors may have limited efficacy in the 5-year-old group. These findings highlight the importance of early, targeted oral health education for caregivers.

方法在秘鲁卡亚俄对 3-5 岁儿童及其看护者进行了单组干预前后研究。符合条件的看护人接受了使用大型真实牙托辅助刷牙的培训，并由牙医进行了实际演示。此外，他们还接受了有关儿童健康做法和口腔健康的指导。在基线和干预后三个月，使用简化口腔卫生指数（OHI-S）对儿童的口腔卫生状况（OHS）进行评估。为了评估干预前后OHI-S的有效性和量化差异的大小，我们分别使用了Wilcoxon符号秩检验和Cliff's Delta检验。结果样本（n = 210）主要由 3 岁的秘鲁女性组成，主要由母亲照顾，她们都是单身母亲，以前没有接受过口腔卫生指导。我们发现，在大多数年龄组中，儿童的口腔卫生知识水平都有所提高。特别是在 3 岁儿童中，OHI-S 分数从 "一般"（m = 2.6，± 0.2，范围 2.4-2.8）显著提高到 "良好"（m = 1.1，± 0.2，范围 0.9-1.3）。干预对 3 岁儿童的影响程度为中等（δ = -0.15，95% CI -0.18，-0.10），对 4 岁儿童的影响程度为中等（δ = -0.05，95% CI -0.08，-0.01）。结论以照顾者为中心的干预能明显改善学龄前儿童的户外活动能力，尤其是在较小的年龄组。3岁和4岁儿童的OHI-S得分有了大幅提高，而5岁儿童的年龄特异性因素可能限制了干预的效果。这些研究结果突显了对照顾者进行早期、有针对性的口腔健康教育的重要性。

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引用次数: 0

ACCURACY OF INTRAORAL CAMERA AND SMARTPHONE CAMERA IN TELEDETECTION OF DENTAL CARIES AMONG ADULTS: A DIAGNOSTIC ACCURACY STUDY 口腔内相机和智能手机相机在成人龋齿远程检测中的准确性：一项诊断准确性研究

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-09-01 Epub Date: 2025-04-22 DOI: 10.1016/j.jebdp.2025.102160

RANA MAHROUS, HALA AMER, WAFAA ESSAM

Background and Objectives

Tele-dentistry combines telecommunications and dentistry to transmit clinical data for remote consultation and treatment planning. It improves dental care access for screening, referrals, and treatment. This study aimed to test the accuracy of intraoral camera and smartphone camera in the diagnosis of cavitated carious lesions among adults in Alexandria, Egypt.

Methods

A diagnostic accuracy study was conducted on adults above 18 years old visiting clinics of the Faculty of Dentistry, Alexandria University to compare 2 different tele-dentistry caries detection methods (intraoral camera (C50 Full HD with fluorescence) and smartphone camera (Samsung Galaxy A24) after randomizing the participants into 2 groups. The reference standard was face-to-face examination. The caries diagnosis was based on the International Caries Detection and Assessment System (ICDAS) through clinical examination, intraoral camera videos, and smartphone photos. Sensitivity, specificity, accuracy, positive and negative predictive values were calculated for the 2 methods at tooth and surface levels.

Results

The study included 50 adults. The age group (26-40) comprised (46%) of the participants. Both cameras had high specificity and accuracy (>90%). The lowest sensitivity was in the case of detecting cavitated lesions at surface level (intraoral camera = 84.62% and smartphone = 79.52%). The smartphone camera had the lowest precision at both tooth (49.3%) and surface (58.4%) levels."

Conclusion

The intraoral camera showed higher accuracy than the smartphone camera especially in detecting cavitated carious lesions at surface level. While intraoral cameras are the preferred modality, smartphone cameras provide a more accessible and cost-effective alternative, especially in resource-limited settings. However, their limitations should be acknowledged.

背景与目的ele-dentistry将电信与牙科相结合，传输临床数据，用于远程会诊和治疗计划。它改善了筛查、转诊和治疗的牙科保健机会。本研究旨在测试口腔内相机和智能手机相机在埃及亚历山大成年人中诊断空化龋齿病变的准确性。方法对在亚历山大大学牙科学院就诊的18岁以上成人进行诊断准确性研究，比较两种不同的远程口腔龋检测方法（C50全高清荧光口腔内相机）和智能手机相机（三星Galaxy A24），并将参与者随机分为两组。参照标准为面对面考核。根据国际龋齿检测和评估系统（ICDAS），通过临床检查、口腔内相机视频和智能手机照片进行龋齿诊断。计算两种方法在牙齿和表面水平的敏感性、特异性、准确性、阳性预测值和阴性预测值。结果该研究包括50名成年人。年龄层（26-40岁）占参与者的46%。两种相机均具有较高的特异性和准确性（>90%）。口腔内相机（ = 84.62%）和智能手机（ = 79.52%）对空化病变的检测灵敏度最低。智能手机相机在牙齿（49.3%）和表面（58.4%）水平上的精度最低。结论口腔内相机对口腔表面蛀牙的检测精度高于智能手机相机。虽然口腔内相机是首选的方式，但智能手机相机提供了一种更容易获得和更具成本效益的替代方案，特别是在资源有限的环境中。然而，应该承认它们的局限性。

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引用次数: 0

Levels of Evidence—Grading System 证据分级系统的等级

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-09-01 Epub Date: 2025-07-25 DOI: 10.1016/S1532-3382(25)00095-8

引用次数: 0