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06.01.2022 | Original Scientific Article

Diagnosis training and calibration for epidemiological studies on primary and permanent teeth with hypomineralization

verfasst von: Bruna Cordeiro Amarante, Letícia Yumi Arima, Emanuella Pinheiro, Patricia Carvalho, Edgard Michel-Crosato, Marcelo Bönecker

Erschienen in: European Archives of Paediatric Dentistry | Ausgabe 1/2022

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Abstract

Purpose

The objective of this study was to assess the impact on diagnostic accuracy and Kappa values improvement during the three-phase training and calibration process for MIH/HSPM.

Methods

Thirty dentists were calibrated as examiners for diagnosis of Molar Incisor Hypomineralization (MIH) using Ghanim’s index. The whole process was divided into three phases. Phase 1: three meetings with the dentists for the first diagnosis training and calibration (sessions 1a and 1b); phase 2: for a period of 1 month, the dentists started practicing MIH/HSPM diagnosis in the Basic Health Units and an online follow-up group was created to discuss cases and resolve doubts; phase 3: two meetings with the dentists for the second calibration (sessions 2a and 2b). A webpage with educational material was prepared as support during the whole process to improve the dentists’ skills in diagnosing MIH/HSPM. The examiners’ responses were compared to a gold standard and the Kappa value was obtained.

Results

The average clinical criteria kappa value of the examiners was 0.76 ± 0.19 for the first calibration and 0.93 ± 0.07 (p < 0.05) for the second calibration. For the eruption criteria, the average kappa value was 0.89 ± 0.14 for the first calibration and 0.98 ± 0.08 for the second calibration. Extension criteria had an average kappa value of 0.59 ± 0.15 during the first calibration and 0.75 ± 0.14 during the second calibration.

Conclusion

This study demonstrated that the methodology used was an effective tool for improving the diagnostic accuracy of MIH/HSPM.
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Metadaten
Titel
Diagnosis training and calibration for epidemiological studies on primary and permanent teeth with hypomineralization
verfasst von
Bruna Cordeiro Amarante
Letícia Yumi Arima
Emanuella Pinheiro
Patricia Carvalho
Edgard Michel-Crosato
Marcelo Bönecker
Publikationsdatum
06.01.2022
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Paediatric Dentistry / Ausgabe 1/2022
Print ISSN: 1818-6300
Elektronische ISSN: 1996-9805
DOI
https://doi.org/10.1007/s40368-021-00686-3

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