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Validity and reliability of remote dental screening by different oral health professionals using a store-and-forward telehealth model
Accuracy and consistency of remote dental checks by various oral health workers using stored telehealth data
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Abstract
Intraoral photographic assessments of 126 children (ages 2 to 18) achieved a sensitivity of 82-89% and specificity of 97% when compared to expert evaluations.
- The inter-examiner agreement between the expert panel and photographic assessments was almost perfect, with kappa scores ranging from 0.82 to 0.88.
- Mean dental caries scores determined by the expert panel and photographic assessment were not significantly different (P = 0.746), ranging from 5.41 to 5.79.
- Mid-level dental practitioners and dentists demonstrated comparable diagnostic accuracy and reliability in screening for caries using intraoral photographs.
- This approach may support the use of dental therapists or hygienists in telehealth settings for screening oral diseases.
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