Telemed J E Health - Performance of distant diagnosis of dental caries by teledentistry in juvenile offenders.

Tópicos

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Resumo

CKGROUND: Telehealth has been considered a practical and potentially cost-effective method of providing healthcare to the underprivileged population. The aim of this study was to determine whether a teledentistry system is a valid tool to screen for the presence of dental caries in a cohort of 102 Brazilian juvenile offenders.MATERIALS AND METHODS: Clinical examinations were performed to evaluate the decayed, missing, and filled teeth (DMFT) index and oral conditions of each adolescent, documented using a digital camera. For distant diagnosis, two methods of image transmission were tested. In the first, images were uploaded on a file-sharing service, and the link was sent via e-mail to one distant consultant. The other consultant received the images recorded on a compact disc. Both assessed the files and calculated the DMFT index for each case. The degree of agreement between the traditional examination and distant consultant assessments was measured by the kappa coefficient of agreement. Sensitivity and specificity were also calculated.RESULTS: According to the traditional clinical examination, 93.1% of the adolescents had at least one instance of dental caries with a mean DMFT index of 5.9. Kappa statistics ranged from "strong" to "almost perfect." Sensitivity ranged from 48% to 73%, and specificity was either 97% or 98%.CONCLUSIONS: Adolescent inmates could benefit from oral health screening using digital photography. Teledentistry appears to be a reliable alternative to the traditional oral examination for dental caries assessment.

Resumo Limpo

ckground telehealth consid practic potenti costeffect method provid healthcar underprivileg popul aim studi determin whether teledentistri system valid tool screen presenc dental cari cohort brazilian juvenil offendersmateri method clinic examin perform evalu decay miss fill teeth dmft index oral condit adolesc document use digit camera distant diagnosi two method imag transmiss test first imag upload fileshar servic link sent via email one distant consult consult receiv imag record compact disc assess file calcul dmft index case degre agreement tradit examin distant consult assess measur kappa coeffici agreement sensit specif also calculatedresult accord tradit clinic examin adolesc least one instanc dental cari mean dmft index kappa statist rang strong almost perfect sensit rang specif either conclus adolesc inmat benefit oral health screen use digit photographi teledentistri appear reliabl altern tradit oral examin dental cari assess

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