Diagnostic accuracy of intraoral mobile photography for oral health screening in children: a pilot study.

IF 2.6 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

BMC Oral Health Pub Date : 2025-07-11 DOI:10.1186/s12903-025-06500-6

Lia Mania, Ketevan Nanobashvili, Tinatin Manjavidze, Mamuka Benashvili, Ia Astamadze

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引用次数: 0

Abstract

Background: Mobile dental photography is increasing in relevance in the diagnosis of oral diseases. This study aimed to evaluate the diagnostic accuracy of intraoral mobile photography in assessing caries experience intensity (decayed, missing/extracted, filled teeth [DMFT/deft]), simplified oral hygiene index, and modified gingival index.

Methods: This study included 358 children of 7-12 years of age. A clinician evaluated DMFT/deft; simplified oral hygiene; and modified gingival indices by visual examination. Simultaneously, dental students recorded intraoral photographs with a mobile phone in eight predetermined projections. Another oral professional calculated indices based on the photographs. Sensitivity, specificity, and positive and negative predictive values of dental photography were evaluated, and Cohen's kappa was calculated.

Results: A total of 2864 photographs were evaluated in this study. The sensitivity and specificity of mobile photography for DMFT; deft; simplified oral hygiene, and modified gingival indices were 95.8 (95% confidence interval: 93.4-98.3) and 89.2 (83-95.5); 100.0 (100-100) and 88.6 (79.3-98); 89.7 (85.8-93.5) and 91.4 (86.3-96.5); and 77.6 (67.6-87.6) and 93.8 (91-96.6), respectively; positive predictive values were 96.2, 97.7, 95.6, and 74.3; negative predictive values 88.3, 100.0, 80.9, and 94.8; and Cohen's Kappa values were 0.848, 0.928, 0.784, and 0.702, respectively.

Conclusions: Intraoral mobile photography, based on appropriate guidelines, is reliable for assessing DMFT/deft; simplified oral hygiene; and modified gingival indices in children and could be a useful tool in dental public health, supporting the involvement of dental students in similar research studies.

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口腔内移动摄影对儿童口腔健康筛查的诊断准确性：一项初步研究。

背景：移动牙科摄影在口腔疾病的诊断中越来越重要。本研究旨在评估口腔内移动摄影在评估龋经历强度（蛀牙、缺牙/拔牙、补牙[DMFT/deft]）、简化口腔卫生指数和改良牙龈指数方面的诊断准确性。方法：本研究纳入358名7 ~ 12岁儿童。一位临床医生评估DMFT/deft；简化口腔卫生；并通过目测改善牙龈指标。与此同时，牙科学生用手机在八个预定的投影处记录口腔内的照片。另一名口腔专家根据照片计算出指数。评估牙科摄影的敏感性、特异性、阳性和阴性预测值，并计算Cohen’s kappa。结果：本研究共评估了2864张照片。移动摄影对DMFT的敏感性和特异性灵巧的;简化口腔卫生、改良牙龈指数分别为95.8（95%可信区间：93.4 ~ 98.3）和89.2 (83 ~ 95.5)；100.0（100-100）和88.6 (79.3-98)；89.7（85.8-93.5）和91.4 (86.3-96.5)；77.6（67.6 ~ 87.6）、93.8 (91 ~ 96.6)；阳性预测值分别为96.2、97.7、95.6和74.3；阴性预测值分别为88.3、100.0、80.9和94.8；Cohen’s Kappa值分别为0.848、0.928、0.784、0.702。结论：在适当的指导下，口内移动摄影是评估DMFT/deft的可靠方法；简化口腔卫生；改进儿童的牙龈指数，可以成为牙科公共卫生的有用工具，支持牙科学生参与类似的研究。

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

BMC Oral Health DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.90

自引率

6.90%

发文量

481

审稿时长

6-12 weeks

期刊介绍： BMC Oral Health is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of disorders of the mouth, teeth and gums, as well as related molecular genetics, pathophysiology, and epidemiology.