Soto-Rojas Armando E, Martínez-Mier E Angeles, Ureña-Cirett Jose, Jackson Richard D, Stookey George K
Oral Health Research Institute, Indiana University School of Dentistry, 415 Lansing Street, Indianapolis, Indiana 46202, USA.
Oral Health Prev Dent. 2008;6(1):29-36.
This study evaluated the agreement between clinical and photographic assessment of dental fluorosis (DF) in 73 children during a field study, using portable equipment and a standardising device.
A dental exam was performed using the Tooth Surface Index of Fluorosis (TSIF). Photographs of the facial aspects of front teeth and from the occlusal aspect of the mandibular posterior teeth were taken. All photographs were taken following a standard operating procedure. Photographs of anterior and posterior teeth were coded and assigned a random study number. Examiners scored photographs as fluorosis cases or non-cases.
Agreement among the clinical examiners ranged from good to excellent. Agreement was also good for the repeated photographic evaluations. In total, 22% of the children were diagnosed with DF during a clinical exam, and 19% were diagnosed with DF using the photographs.
Development of this method aided in the photographic assessment of DF. The photographs obtained were a useful tool for documenting DF, to re-train examiners, and to determine intra- and inter-examiner agreement.
在一项现场研究中，本研究使用便携式设备和标准化装置评估了73名儿童中临床评估与氟斑牙（DF）摄影评估之间的一致性。
使用氟斑牙表面指数（TSIF）进行牙科检查。拍摄了前牙面部和下颌后牙咬合面的照片。所有照片均按照标准操作程序拍摄。对前后牙的照片进行编码并分配一个随机研究编号。检查人员将照片评定为氟斑牙病例或非病例。
临床检查人员之间的一致性从良好到优秀不等。重复摄影评估的一致性也很好。总共有22%的儿童在临床检查中被诊断为DF，19%的儿童通过照片被诊断为DF。
该方法的开发有助于DF的摄影评估。获得的照片是记录DF、重新培训检查人员以及确定检查人员内部和之间一致性的有用工具。
