Development of a Clinically Relevant Index for Tooth Wear Treatment Needs

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Y. Deeban, K. Moharamzadeh, Moosa Abuzayeda, N. Martin
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Abstract

Background: This study aimed to develop a tooth wear classification system that combined the extent, severity, and aesthetic impact of tooth wear and correlated them with the most appropriate clinical management strategy. Methods: Three hundred photographs were used to develop a classification tool that contained four levels of severity and aesthetic impact (0, 1, 2, and 3) in three age groups of patients. Ten examiners assessed and classified the cases using validated forms. Additionally, they selected the recommended treatment modality for each level. The analysis was conducted using a coefficient correlation test. Results: The coefficient correlation for the severity was 0.81, 0.82 in the upper anterior and posterior segments, and 0.85 and 0.77 for the lower anterior and posterior segments, respectively. The aesthetic impact correlation coefficient was 0.84. Examiners had agreed that minor cases required monitoring or simple restorative interventions. The moderate-level cases had variety in the recommended management options depending on the aim of treatment. The severe level cases often required rehabilitation at an increased occlusal vertical dimension. Conclusion: Within the limitations of this preliminary study, a good agreement between the examiners was found using the provided tools. More strict criteria in the classification part of the tool can further improve the examiners’ agreement.
牙磨损治疗需求临床相关指标的建立
背景:本研究旨在建立一套结合牙齿磨损程度、严重程度和美观影响的牙齿磨损分类系统,并将其与最合适的临床管理策略相关联。方法:使用300张照片开发一个分类工具,该工具包含三个年龄组患者的四个严重程度和美学影响(0、1、2和3)。10名审查员使用经过验证的表格对案件进行评估和分类。此外,他们还为每个级别选择了推荐的治疗方式。采用系数相关检验进行分析。结果:上前后节段的相关系数分别为0.81、0.82,下前后节段的相关系数分别为0.85、0.77。美学影响相关系数为0.84。审查员一致认为,轻微病例需要监测或简单的恢复性干预。中等水平的病例根据治疗目的有多种推荐的管理方案。严重的病例通常需要增加咬合垂直尺寸的康复。结论:在本初步研究的局限性内,使用所提供的工具,审查员之间达成了很好的共识。在工具的分类部分更严格的标准可以进一步提高审查员的一致性。
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来源期刊
Open Dentistry Journal
Open Dentistry Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.00
自引率
0.00%
发文量
86
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