Clinical and digital assessment of tooth wear.

Al-Seelawi, Zahra; Hermann, Nuno V; Peutzfeldt, Anne; Baram, Sara; Bakke, Merete; Sonnesen, Liselotte; Tsakanikou, Angeliki; Rahiotis, Christos; Benetti, Ana R (2024). Clinical and digital assessment of tooth wear. Scientific Reports, 14(1), p. 592. Nature Publishing Group 10.1038/s41598-023-50107-2

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The aim of this study was to compare the assessment of tooth wear performed on digital models with the one conducted at the clinical examination. Seventy-eight volunteers (29 males and 49 females, age range 20-30 years) with at least 24 teeth, normal oral function, and a neutral transverse relationship were examined. During the clinical examination, dental wear was registered according to the Basic Erosive Wear Examination (BEWE) index. Subsequently, the BEWE index was blindly applied by two examiners on digital models obtained from the volunteers. Data were analyzed using weighted Cohen's kappa coefficient and correlation tests with a confidence interval of 95%. All volunteers showed signs of tooth wear. Anterior teeth showed increased severity of tooth wear than first molars. Early loss of tooth substance could be identified on the digital models, including in areas with challenging direct intraoral visual access. Approximately 50% of the scores based on clinical examination agreed with those based on examination of digital models (k = 0.543, p < 0.01). A moderate, positive correlation was observed between scores registered clinically and on digital models (Spearman's rho = 0.560, p < 0.001). Considering the rather low agreement between the clinical and digital scores, alternatives to using BEWE on digital models are needed.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry

UniBE Contributor:

Peutzfeldt, Anne

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2045-2322

Publisher:

Nature Publishing Group

Language:

English

Submitter:

Pubmed Import

Date Deposited:

08 Jan 2024 09:41

Last Modified:

14 Jan 2024 02:44

Publisher DOI:

10.1038/s41598-023-50107-2

PubMed ID:

38182632

BORIS DOI:

10.48350/191326

URI:

https://boris.unibe.ch/id/eprint/191326

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