Journal article
Examiner reliability of fluorosis scoring: a comparison of photographic and clinical examination findings
Journal of public health dentistry, Vol.72(2), pp.172-175
2012
DOI: 10.1111/j.1752-7325.2012.00315.x
PMCID: PMC3349819
PMID: 22316120
Abstract
To assess and compare examiner reliability of clinical and photographic fluorosis examinations using the Fluorosis Risk Index (FRI) among children in the Iowa Fluoride Study (IFS). The IFS examined 538 children for fluorosis and dental caries at age 13 and obtained intraoral photographs from nearly all of them. To assess examiner reliability, duplicate clinical examinations were conducted for 40 of the subjects. In addition, 200 of the photographs were scored independently for fluorosis by two examiners in a standardized manner. Fluorosis data were compared between examiners for the clinical exams and separately for the photographic exams, and a comparison was made between clinical and photographic exams. For all three comparisons, examiner reliability was assessed using kappa statistics at the tooth level. Interexaminer reliability for the duplicate clinical exams on the sample of 40 subjects as measured by kappa was 0.59, while the repeat exams of the 200 photographs yielded a kappa of 0.64. For the comparison of photographic and clinical exams, interexaminer reliability, as measured by weighted kappa, was 0.46. FRI scores obtained using the photographs were higher on average than those obtained from the clinical exams. Fluorosis prevalence was higher for photographs (33 percent) than found for clinical exam (18 percent). Results suggest that interexaminer reliability is greater and fluorosis scores are higher when using photographic compared with clinical examinations.
Details
- Title: Subtitle
- Examiner reliability of fluorosis scoring: a comparison of photographic and clinical examination findings
- Creators
- Noemi Cruz-Orcutt - Department of Preventive & Community Dentistry, The University of Iowa, Iowa City, IA, USAJohn J WarrenBarbara BroffittSteven M LevyKarin Weber-Gasparoni
- Resource Type
- Journal article
- Publication Details
- Journal of public health dentistry, Vol.72(2), pp.172-175
- DOI
- 10.1111/j.1752-7325.2012.00315.x
- PMID
- 22316120
- PMCID
- PMC3349819
- NLM abbreviation
- J Public Health Dent
- ISSN
- 0022-4006
- eISSN
- 1752-7325
- Publisher
- United States
- Grant note
- R01-DE09551 / NIDCR NIH HHS R01 DE009551 / NIDCR NIH HHS R01 DE009551-12 / NIDCR NIH HHS
- Language
- English
- Date published
- 2012
- Academic Unit
- Preventive and Community Dentistry; Epidemiology; Pediatric Dentistry
- Record Identifier
- 9983917766202771
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