Parsegian Karo, Okano David K, Chandrasekaran Sangeetha, Kim Yoolim, Carter Tonia C, Shimpi Neel, Fadakar Sadaf, Angelov Nikola
Division of Periodontics, Department of Diagnostic Sciences and Surgical Dentistry, School of Dental Medicine, University of Colorado Anschutz Medical Campus, 13065 E 17Th Ave, Rm 130J, Aurora, CO, 80045-2532, USA.
Department of Periodontics and Dental Hygiene, School of Dentistry, University of Texas Health Science Center at Houston, Houston, TX, USA.
Sci Rep. 2024 May 3;14(1):10189. doi: 10.1038/s41598-024-59394-9.
The study aimed to determine the accuracy of diagnosing periodontal conditions using the developed web-based PocketPerio application and evaluate the user's perspective on the use of PocketPerio. First, 22 third-year dental students (DS3) diagnosed ten cases without PocketPerio (control) and with PocketPerio (test) during a mock examination. Then, 105 DS3, 13 fourth-year dental students (DS4), and 32 senior second-year International Standing Program students (ISP2) used PocketPerio chairside. Statistical analysis was performed using a non-parametric paired two-tailed test of significance with the Wilcoxon matched-pairs signed rank test. The null hypothesis that PocketPerio did not increase the accuracy of periodontal diagnoses was rejected at α < 0.01. Periodontal diagnoses made using PocketPerio correlated with those made by periodontics faculty ("gold standard") in all cases. During the mock examination, PocketPerio significantly increased the accuracy of periodontal diagnoses compared to the control (52.73 vs. 13.18%, respectively). Chairside, PocketPerio significantly increased the accuracy of primary (100 vs. 40.0%) and secondary (100 vs. 14.25%) periodontal diagnoses compared to the respective controls. Students regardless of their training year felt more confident in diagnosing periodontal conditions using PocketPerio than their current tools, provided positive feedback on its features, and suggested avenues for its further development.
该研究旨在确定使用所开发的基于网络的PocketPerio应用程序诊断牙周疾病的准确性,并评估用户对使用PocketPerio的看法。首先,22名三年级牙科学生(DS3)在模拟考试期间对10个病例进行了诊断,一次不使用PocketPerio(对照组),另一次使用PocketPerio(测试组)。然后,105名DS3、13名四年级牙科学生(DS4)和32名国际二年级高级课程学生(ISP2)在椅旁使用PocketPerio。使用Wilcoxon配对符号秩检验进行非参数配对双尾显著性检验。在α<0.01的情况下,PocketPerio不会提高牙周诊断准确性的原假设被拒绝。在所有病例中,使用PocketPerio做出的牙周诊断与牙周病学教员做出的诊断(“金标准”)相关。在模拟考试期间,与对照组相比,PocketPerio显著提高了牙周诊断的准确性(分别为52.73%和13.18%)。在椅旁,与各自的对照组相比,PocketPerio显著提高了一级(100%对40.0%)和二级(100%对14.25%)牙周诊断的准确性。无论培训年份如何,学生们使用PocketPerio诊断牙周疾病时比使用他们现有的工具更有信心,对其功能给予了积极反馈,并提出了进一步开发的途径。