JOURNAL OF UPDATES IN PEDIATRIC DENTISTRY - Volume 1 Issue 2, Volume 1, Issue 2, July - December 2022
Pages: 22-28
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Comparative evaluation of malocclusions using digital intraoral photography and conventional examination methods: A tele dentistry approach in orthodontics
Author: Yong Chen, Shuyi Zhang, Bai Wang Liu, Shuling Guo
Category: Pediatric Dentistry
Abstract:
Objective: To analyze the accuracy and duration of oral digital photographs in evaluating malocclusion status and elucidate the feasibility of remote malocclusion diagnosis.
Method: Two methods [clinical examinations (CE) combined with the panoramic radiographic assessment, which was conducted as a baseline, and intraoral digital photographs examinations (IDPE), which were taken one month later] were used to evaluate the malocclusion status of 31 college students' volunteers in this onemonth clinical investigation. Malocclusion examinations included: Angel's classification, overjet, overbite, upper arch space relationship, lower arch space relationship, and examination duration.
Result: 29 volunteers completed the whole study. The accuracy of Angel's classification, overjet, overbite, and upper and lower arch space relationship between CE and IDPE by digital photographs was 72.4%, 79.3%, 100.0%, 89.3%, and 85.7%, respectively. There were moderate consistencies in Angel's classification and overjet between CE and IDPE (Kappa = 0.46, P < 0.001; Kappa = 0.59, P < 0.001). There were high consistencies in the overbite, upper and lower arch crowding/spacing between CE and IDPE (Kappa = 0.92, P < 0.001; Kappa = 0.69, P < 0.001; Kappa = 0.66, P < 0.001). IDPE duration was less than that of CE (P<0.01).
Conclusion: Evaluating malocclusion using digital intraoral photographs seems feasible, and remote malocclusion evaluation deserves further exploration
Keywords: digital photographs, malocclusion, remote diagnosis, orthodontic, accuracy.
DOI: 10.54276/JUPD.2021.1205
DOI URL: http://doi.org/10.54276/JUPD.2021.1205
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