Development and Validation of Grading System for Assessing the Periradicular Region of Primary Teeth on Intraoral Periapical Radiographs.

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry Pub Date : 2025-10-16 DOI:10.1111/ipd.70042

Nitesh Tewari, Mugilan Ravi, Partha Haldar, Ece Eden, Hany Mohamed Aly Ahmed, Makkada Yuvaraj Padmanabhan, Mohammad Atif

{"title":"Development and Validation of Grading System for Assessing the Periradicular Region of Primary Teeth on Intraoral Periapical Radiographs.","authors":"Nitesh Tewari, Mugilan Ravi, Partha Haldar, Ece Eden, Hany Mohamed Aly Ahmed, Makkada Yuvaraj Padmanabhan, Mohammad Atif","doi":"10.1111/ipd.70042","DOIUrl":null,"url":null,"abstract":"Purpose: To develop and validate a grading system for assessing the periradicular region of primary teeth on intraoral periapical radiographs.Methods: A mixed-methods approach was employed, comprising three phases: (1) Development of the grading system through a systematic literature review and analysis of 300 radiographs, (2) Delphi exercise with 20 expert pediatric dentists assessed face and content validity, and statistical measures such as Content Validity Index (CVI) and Content Validity Ratio (CVR) were calculated, and (3) Initial user feedback (n = 50) for acceptability, time taken, and accuracy of grading were assessed after grading 10 radiographs.Results: A pool of 41 items was devised after phase 1. Two rounds of deliberations by the Delphi group resulted in 49 items for inclusion, with ≥ 85% expert agreement and high content validity (CVR ranging from 0.7-1.0). The majority (60%) of the feedback group found the developed index to be acceptable. The correct response rate was 29.6% while it was 43% for the retest. The mean time taken for grading 10 radiographs was 51.12 ± 7.84 min, which decreased to 44.2 ± 4.47 min during the retest.Conclusion: A novel grading system with high face and content validity was developed. Further evaluation of the feasibility and reliability is required prior to regular use.","PeriodicalId":14268,"journal":{"name":"International journal of paediatric dentistry","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of paediatric dentistry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/ipd.70042","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: To develop and validate a grading system for assessing the periradicular region of primary teeth on intraoral periapical radiographs.

Methods: A mixed-methods approach was employed, comprising three phases: (1) Development of the grading system through a systematic literature review and analysis of 300 radiographs, (2) Delphi exercise with 20 expert pediatric dentists assessed face and content validity, and statistical measures such as Content Validity Index (CVI) and Content Validity Ratio (CVR) were calculated, and (3) Initial user feedback (n = 50) for acceptability, time taken, and accuracy of grading were assessed after grading 10 radiographs.

Results: A pool of 41 items was devised after phase 1. Two rounds of deliberations by the Delphi group resulted in 49 items for inclusion, with ≥ 85% expert agreement and high content validity (CVR ranging from 0.7-1.0). The majority (60%) of the feedback group found the developed index to be acceptable. The correct response rate was 29.6% while it was 43% for the retest. The mean time taken for grading 10 radiographs was 51.12 ± 7.84 min, which decreased to 44.2 ± 4.47 min during the retest.

Conclusion: A novel grading system with high face and content validity was developed. Further evaluation of the feasibility and reliability is required prior to regular use.

查看原文本刊更多论文

口腔内根尖周x线片评价乳牙根周区分级系统的建立与验证。

目的：发展并验证一种评估口腔内根尖周x线片上乳牙根周区域的分级系统。方法：采用混合方法，分为三个阶段：(1)通过对300张x线片进行系统的文献综述和分析，开发评分体系；(2)与20名儿科专家牙医进行德尔菲练习，评估面部效度和内容效度，计算内容效度指数（CVI）和内容效度比（CVR）等统计指标；(3)在对10张x线片进行评分后，评估评分的可接受性、耗时和准确性的初始用户反馈（n = 50）。结果：第一阶段结束后设计了41个项目。德尔菲小组经过两轮审议，得出49个项目纳入，专家一致性≥85%，内容效度高（CVR范围为0.7-1.0）。大多数反馈组（60%）认为开发的指数是可以接受的。正确率为29.6%，复测正确率为43%。10张x线片的平均分级时间为51.12±7.84 min，复测时为44.2±4.47 min。结论：建立了一种具有高表面效度和内容效度的评分系统。在常规使用之前，需要对其可行性和可靠性进行进一步评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.