Telediagnosis performance of specialists in oral medicine and general dental practitioner using images of oral mucosa lesions in Chile.

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Medicina Oral Patologia Oral Y Cirugia Bucal Pub Date : 2024-11-25 DOI:10.4317/medoral.26825

C Morales-Gómez, G Ojeda-Uribe, D Adorno-Farías, A Maturana-Ramirez, I Espinoza-Santander

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引用次数: 0

Abstract

Background: The objective of this research was to evaluate the performance of specialists in oral medicine doing diagnosis of oral mucosa lesions through digital images comparing general dental practitioner in Chile.

Material and methods: 20 oral medicine specialists from the national registry of specialists in Chile and 20 general dental practitioners were invited to participate. Each participant reviewed 33 cases with digital images of oral mucosa lesions and was asked to submit diagnostic hypotheses. The proportions of correct diagnoses and diagnostic accuracy were determined. Analyses were performed using STATA 16.0.

Results: Specialists presented a higher total proportion of correct diagnoses than general dental practioners (86.5% vs 49.2%). Specialists also showed higher sensitivity (88.5% vs 59.3%) and greater specificity (85.8% vs 48.6 %) than general dental practioners in the diagnosis of oral cancer and oral potentially malignant disorders compared to benign oral lesions.

Conclusions: In Chile, oral medicine specialists are a reliable alternative to provide diagnostic guidance through e-consult, but its margin of error must be considered.

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智利口腔医学专家和全科牙医使用口腔黏膜病变图像进行远程诊断的情况。

背景：本研究的目的是评估口腔医学专家通过数字图像诊断口腔黏膜病变的表现，并与智利的普通牙科医生进行比较。材料和方法：邀请智利国家专家登记处的 20 名口腔医学专家和 20 名普通牙科医生参加。每位参与者都查看了 33 个口腔黏膜病变数字图像病例，并被要求提交诊断假设。研究确定了正确诊断的比例和诊断的准确性。分析使用 STATA 16.0 进行：专科医生的诊断正确率高于普通牙科医生（86.5% 对 49.2%）。在诊断口腔癌和口腔潜在恶性疾病与口腔良性病变方面，专科医生也比普通牙科医生表现出更高的灵敏度（88.5% 对 59.3%）和特异性（85.8% 对 48.6%）：在智利，口腔医学专家是通过电子会诊提供诊断指导的可靠选择，但必须考虑其误差范围。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medicina Oral Patologia Oral Y Cirugia Bucal DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.60

自引率

0.00%

发文量

审稿时长

3-8 weeks

期刊介绍： 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology