ABSTRACT
BACKGROUND: In our previous study of oral health intervention in children, laser fluorescence (LF) values of occlusal surfaces were reduced after 1 year. AIM: The aim of this study was to explore the relationship between DIAGNOdent pen values and clinical status of the occlusal surfaces. DESIGN: The study conducted in 2007 and 2008 in 700 children aged 13-14 included a clinical examination and LFpen measurement of the occlusal surfaces of first and second molars. Four teams consisting of a dental hygienist and a dental nurse performed the examinations on school premises. The dental hygienist scored the surfaces using the Nyvad criteria for caries assessment; the surfaces were then scanned using a DIAGNOdent pen(®) device. RESULTS: The more severe the visual caries category was, the higher the mean LFpen values were. Correlation coefficients between LF values and NY categories were 0.542 and 0.408 in years 2007 and 2008, respectively (all examiners combined). The LFpen values of active and inactive lesions did not differ significantly. CONCLUSIONS: The correlation between the mean LFpen values and the NY categories was significant. Fissures can be reliably examined with LF and by visual inspection on school premises if certain special arrangements are made.
Subject(s)
Dental Caries Activity Tests/instrumentation , Dental Enamel/pathology , Dental Fissures/diagnosis , School Dentistry/instrumentation , Adolescent , Dental Caries Activity Tests/methods , Fluorescence , Humans , Molar , Reproducibility of Results , Sensitivity and SpecificityABSTRACT
BACKGROUND: This pilot study compared data obtained using traditional methods of visual dental screenings in a school setting with data obtained using an intraoral camera and transmitted to a distant location via telehealth technology. METHODS: For the study, 137 schoolchildren were screened using traditional methods. Two months later, 32 children were randomly selected and rescreened in a single day using the intraoral camera and the telehealth system. The measurement indices used were deft/DMFT. RESULTS: A comparison revealed no significant difference in the data collected by the two screening methods. The percentage agreement between the methods ranged from 89% to 100%. CONCLUSION: In under-serviced or remote areas, the telehealth system may allow for accurate identification of oral conditions and act as a means of consultation at a distance between specialists, general dental practitioners, dental hygienists and individual patients.
Subject(s)
Dental Care for Children/methods , Mass Screening/methods , Remote Consultation/methods , School Dentistry/methods , Alberta , Child , DMF Index , Dental Care for Children/instrumentation , Dental Hygienists , Humans , Mass Screening/instrumentation , Pilot Projects , Random Allocation , Remote Consultation/instrumentation , School Dentistry/instrumentationABSTRACT
Introducción, Generalidades, Técnicas proyectivas, Metodología, Conclusiones, Sugerencias, Observaviones, del tribunal, Bibliografia
