Journal article
Clinical Versus Radiographic Caries Diagnosis in Primary Tooth Approximal Surfaces
Pediatric dentistry, Vol.42(3), pp.193-196
05/01/2020
PMID: 32522321
Abstract
Purpose: The purpose of this study was to compare approximal curious lesions in dentin diagnosed by clinical examination with those diagnosed radiographically in high caries-risk children. Methods: Eighty-four Amish two- to 11-year-olds were evaluated clinically by calibrated examiners using standard epidemiological criteria and radiographically using standard criteria as part of baseline examinations for a two-year pilot clinical trial. Approximal carious surfaces diagnosed by clinical examination were compared to those diagnosed radiographically to determine the number of lesions misdiagnosed by clinical examination alone. Comparisons between the number of lesions detected by clinical exam and radiographic exam were made using McNemar's test. Results: Among 124 anterior approximal tooth surfaces, clinical examination alone identified 61 lesions (492 percent), while radiograph examination identified 72 lesions (58.1 percent); thus, nine percent of lesions were misdiagnosed by clinical examination alone. For the 412 posterior approximal tooth surfaces included in the study, 101 lesions (24.5 percent) were identified by clinical examination, whereas 229 lesions (55.6 percent) were identified via radiographic examination. Thus, 128 (31.1 percent) were misdiagnosed by clinical examination alone. Conclusions: Clinical examinations without radiographs significantly underestimate caries prevalence. Therefore, the use of radiographs should be encouraged in epidemiological studies and clinical trials.
Details
- Title: Subtitle
- Clinical Versus Radiographic Caries Diagnosis in Primary Tooth Approximal Surfaces
- Creators
- Ashley Daniels - Univ Florida, Coll Dent, Dept Pediat Dent, Gainesville, FL 32611 USAArwa Owais - University of IowaMichael Kanellis - University of IowaDerek Blanchette - Univ Iowa, Coll Dent, Dept Prevent & Community Dent, Iowa City, IA 52242 USADeborah Dawson - University of IowaJohn Warren - University of IowaMatthew Geneser - University of IowaAlberto Gasparoni - University of IowaKarin Weber-Gasparoni - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Pediatric dentistry, Vol.42(3), pp.193-196
- PMID
- 32522321
- NLM abbreviation
- Pediatr Dent
- ISSN
- 0164-1263
- eISSN
- 1942-5473
- Publisher
- American Academy of Pediatric Dentistry
- Number of pages
- 4
- Grant note
- Delta Dental of Iowa Foundation, Johnston, Iowa, USA Pediatric Dentistry Department at the University of Iowa College of Dentistry, Iowa City, Iowa
- Language
- English
- Date published
- 05/01/2020
- Academic Unit
- Preventive and Community Dentistry; Oral Pathology, Radiology and Medicine; Dental Clinic Administration; Biostatistics; Pediatric Dentistry; Craniofacial Anomalies Research Center
- Record Identifier
- 9984367638602771
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