Pentapati Kalyana Chakravarthy, Mishra Preetinanda, Damania Mehrshad, Narayanan Siddharth, Sachdeva Garima, Bhalla Geetanshu
Public Health Dentistry, Manipal College of Dental Sciences, Manipal University, Manipal, Karnataka, India.
Saudi Dent J. 2017 Apr;29(2):74-77. doi: 10.1016/j.sdentj.2017.03.002. Epub 2017 Apr 19.
Reliability of intra-oral camera using teledentistry in screening of oral diseases.
A trained and calibrated examiner used intra-oral camera to capture videos of oral cavity along with clinical examination to evaluate caries, plaque, calculus, tooth wear and fluorosis, stains in children.
The mean DT and DMFT were significantly higher with use of intra-oral camera than with clinical examination ( = 0.001 and 0.001) respectively. A positive strong significant correlation was seen between intra-oral camera and clinical examination with respect to DT, MT, FT and DMFT ( = 0.721, < 0.001; = 0.908, < 0.001; = 0.869, < 0.001; = 0.876, < 0.001) respectively. Reliability of intra-oral camera when compared with clinical examination varied from substantial to almost perfect agreement various oral conditions. Disclosed immature plaque was not clear while mature plaque was clearly demonstrated.
CONCLUSION/RECOMMENDATIONS: Intra-oral camera was shown to be a reliable tool to identify common oral diseases. Further studies involving applications like sealant retention, pre-malignant lesions, recurrent apthae, gingival recession and dental malocclusion and effectiveness in regular screening are needed.
评估使用远程牙科的口腔内摄像头筛查口腔疾病的可靠性。
一名经过培训且校准的检查者使用口腔内摄像头拍摄口腔视频，并结合临床检查来评估龋齿、牙菌斑、牙结石、牙齿磨损、氟牙症以及儿童牙齿染色情况。
使用口腔内摄像头时，平均龋失补牙面数（DT）和龋失补恒牙数（DMFT）分别显著高于临床检查（P = 0.001和0.001）。在DT、磨牙面龋（MT）、前牙龋（FT）和DMFT方面，口腔内摄像头与临床检查之间存在强正相关（P分别为0.721，P < 0.001；P = 0.908，P < 0.001；P = 0.869，P < 0.001；P = 0.876，P < 0.001）。与临床检查相比，口腔内摄像头在各种口腔状况下的可靠性从高度一致到几乎完全一致不等。未成熟菌斑显示不清，而成熟菌斑显示清晰。
结论/建议：口腔内摄像头被证明是识别常见口腔疾病的可靠工具。需要进一步开展研究，涉及窝沟封闭剂留存、癌前病变、复发性口疮、牙龈退缩和牙列不齐等应用以及定期筛查的有效性。
