Influence of examiner's clinical experience on the reproducibility and accuracy of radiographic examination in detecting occlusal caries

Diniz, Michele Baffi; Rodrigues, Jonas Almeida; Neuhaus, Klaus W; Cordeiro, Rita C L; Lussi, Adrian (2010). Influence of examiner's clinical experience on the reproducibility and accuracy of radiographic examination in detecting occlusal caries. Clinical oral investigations, 14(5), pp. 515-23. Berlin: Springer-Verlag 10.1007/s00784-009-0323-z

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The aim of this in vitro study was to assess the influence of varying examiner's clinical experience on the reproducibility and accuracy of radiographic examination for occlusal caries detection. Standardized bitewing radiographs were obtained from 166 permanent molars. Radiographic examination was performed by final-year dental students from two universities (A, n = 5; B, n = 5) and by dentists with 5 to 7 years of experience who work in two different countries (C, n = 5; D, n = 5). All examinations were repeated after 1-week interval. The teeth were histologically prepared and assessed for caries extension. For intraexaminer reproducibility, the unweighted kappa values were: A (0.11-0.40), B (0.12-0.33), C (0.47-0.58), and D (0.42-0.71). Interexaminer reproducibility statistics were computed based on means ± SD of unweighted kappa values: A (0.07 ± 0.05), B (0.12 ± 0.09), C (0.24 ± 0.08), and D (0.33 ± 0.10). Sensitivity, specificity, and accuracy were calculated at D(1) and D(3) thresholds and compared by performing McNemar test (p = 0.05). D(1) sensitivity ranged between 0.29 and 0.75 and specificity between 0.24 and 0.85. D(3) specificity was moderate to high (between 0.62 and 0.95) for all groups, with statistically significant difference between the dentists groups (C and D). Sensitivity was low to moderate (between 0.21 and 0.57) with statistically significant difference for groups B and D. Accuracy was similar for all groups (0.55). Spearman's correlations were: A (0.12), B (0.24), C (0.30), and D (0.38). In conclusion, the reproducibility of radiographic examination was influenced by the examiner's clinical experience, training, and dental education as well as the accuracy in detecting occlusal caries.

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:

De Almeida Rodrigues, Jonas; Neuhaus, Klaus and Lussi, Adrian

ISSN:

1432-6981

Publisher:

Springer-Verlag

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

04 Oct 2013 14:08

Last Modified:

26 Jun 2018 14:42

Publisher DOI:

10.1007/s00784-009-0323-z

PubMed ID:

19669175

Web of Science ID:

000283106100005

BORIS DOI:

10.7892/boris.499

URI:

https://boris.unibe.ch/id/eprint/499 (FactScience: 199550)

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