Abstract
Purpose
To compare direct clinical and indirect digital photographic assessment of resin composite restorations. Ninety-two posterior resin composite restorations were classified using World Dental Federation (FDI) criteria by two different clinical examiners (C1 and C2). In the same appointment of clinical assessment, intraoral high-quality digital photographs were taken and posteriorly two different digital examiners (D1 and D2) classified the images of each restoration. Restorations of each patient were assessed once by C1 and C2 independently. D1 and D2 assessed the digital images from different locations and in different time. Data were analyzed using the Cohen’s kappa coefficient, Kruskal–Wallis non-parametric test and Dunn's multiple shared test, with 95% confidence. Agreement levels varied from very good (0.81–1.00) to fair (0.21–0.40). Statistically significant differences (p < 0.05) between assessments were found for surface lustre, staining, color match and translucency, esthetic anatomical form, fracture of material and retention and marginal adaptation. The classification of the resin composite restorations varied significantly according to clinical or high-quality digital photographic assessments. Overall, clinical assessment detected more demand for repair or replacement.
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References
Blum IR, Ozcan M. Reparative dentistry: possibilities and limitations. Curr Oral Health Rep. 2018;5:264–9.
Estay J, Martın J, Viera V, Valdivieso J, Bersezio C, Vildosola P, Mjor IA, Andrade MF, Moraes RR, Moncada G, Gordan VV, Ferndéz E. 12 years of repair of amalgam and composite resins: a clinical study. Oper Dent. 2018;43:12–211.
Brantley CF, Bader JD, Shugars DA, Nesbit SP. Does the cycle of restoration lead to larger restorations? J Am Dent Assoc. 1995;126:1407–13.
Bottenberg P, Jaquet W, Behrens C, Stachniss V, Jablonski-Momeni A. Comparison of occlusal caries detection using ICDAS criteria on extracted teeth or their photographs. BMC Oral Health. 2016;16(1):93 (1–8).
Moncada G, Silva F, Angel P, Oliveira OB Jr, Fresno MC, Cisternas P, Fernandez E, Estay J, Martin J. Evaluation of dental restorations: a comparative study between clinical and digital photographic assessments. Oper Dent. 2014;39(2):E45–56.
Signori C, Collares K, Cumerlato CBF, Correa MB, Opdam NJM, Cenci MS. Validation of assessment of intraoral digital photography for evaluation of dental restorations in clinical research. J Dent. 2018;71:54–60.
Smales RJ, Creaven PJ. Evaluation of three clinical methods for assessing amalgam and resin restorations. J Prosthet Dent. 1985;54(3):340–6.
Chen Y, Lee W, Ferretti GA, Slayton RL, Nelson S. Agreement between photographic and clinical examinations in detecting developmental defects of enamel in infants. J Public Health Dent. 2013;73(3):204–9.
Golkari A, Sabokseir A, Pakshir HR, Dean MC, Sheiham A, Watt RG. A comparison of photographic, replication and direct clinical examination methods for detecting developmental defects of enamel. BMC Oral Health. 2011;11(16):1–7.
Silvani S, Trivelato RF, Nogueira RD, Gonçalves Lde S, Geraldo-Martins VR. Factors affecting the placement or replacement of direct restorations in a dental school. Contemp Clin Dent. 2014;5(1):54–8.
Pintado-Palomino K, de Almeida CVVB, da Motta RJG, Fortes JHP, Tirapelli C. Clinical, double blind, randomized controlled trial of experimental adhesive protocols in caries-affected dentin. Clin Oral Investig. 2019;23(4):1855–64.
Subbalekshmi T, Anandan V, Apathsakayan R. Use of a teledentistry-based program for screening of early childhood caries in a school setting. Cureus. 2017;9(7):e1416 (1–7).
Hu X, Fan M, Mulder J, Frencken JE. Are carious lesions in previously sealed occlusal surfaces detected as well on colour photographs as by visual clinical examination? Oral Hlth Prev Dent. 2016;14(3):275–81.
Estai M, Kanagasingam Y, Huang B, Checker H, Steele L, Kruger E, Tennant M. The efficacy of remote screening for dental caries by mid-level dental providers using a mobile teledentistry model. Community Dent Oral Epidemiol. 2016;44:435–41.
Erten H, Uçtasli MB, Akarslan ZZ, Uzun O, Semiz M. Restorative treatment decision making with unaided visual examination, intraoral camera and operating microscope. Oper Dent. 2006;31(1):55–9.
Cruz-Orcutt N, Warren JJ, Broffitt B, Levy SM, Weber-Gasparoni K. Examiner reliability of fluorosis scoring: a comparison of photographic and clinical examination findings. J Public Health Dent. 2012;72(2):172–5.
Martins CC, Chalub L, Lima-Arsati YB, Pordeus IA, Paiva SM. Agreement in the diagnosis of dental fluorosis in central incisors performed by a standardized photographic method and clinical examination. Cad Saúde Pública. 2009;25(5):1017–24.
Pinto GS, Goettems ML, Brancher LC, da Silva FB, Boeira GF, Correa MB, dos Santos IS, Torriane DD, Demarco FF. Validation of the digital photographic assessment to diagnose traumatic dental injuries. Dent Traumatol. 2016;32:37–42.
Opdam NJM, Collares K, Hickel R, Bayne SC, Loomans BA, Cenci MS, Lynch CD, Correa MB, Demarco F, Schwendicke F, Wilson NHF. Clinical studies in restorative dentistry: new directions and new demands. Dent Mater. 2018;34(1):1–12.
Ioannidis JP, Greenland S, Hlatky MA, Khoury MJ, Macleod MR, Moher D, Schulz KF, Tibshirani R. Increasing value and reducing waste in research design, conduct, and analysis. Lancet. 2014;383(9912):166–75.
Marquillier T, Doméjean S, Le Clerc J, Chemla F, Gritsch K, Maurin JC, Millet P, Pérard M, Grosgogeat B, Dursun E. The use of FDI criteria in clinical trials on direct dental restorations: a scoping review. J Dent. 2018;68:1–9.
Hickel R, Roulet JF, Bayne S, Heintze SD, Mjör IA, Peters M, Rousson V, Randall R, Schmalz G, Tyas M, Vanherle G. Recommendations for conducting controlled clinical studies of dental restorative materials. Science Committee Project 2/98--FDI World Dental Federation study design (Part I) and criteria for evaluation (Part II) of direct and indirect restorations including onlays and partial crowns. J Adhes Dent. 2007; 9 Suppl 1:121–47. Review. Erratum in: J Adhes Dent. 2007; 9(6):546.
Hickel R, Peschke A, Tyas M, Mjör I, Bayne S, Peters M, Hiller KA, Randall R, Vanherle G, Heintze SD. FDI World Dental Federation—clinical criteria for the evaluation of direct and indirect restorations. Update and clinical examples. J Adhes Dent. 2010;12(4):259–72.
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74.
Funding
This work was supported by the Grant #2010/12032-6, #2011/07039-4 and #2012/08312-9 from São Paulo Research Foundation (FAPESP) and the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES)—Finance Code 001.
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All procedures performed in studies involving human participants were conducted in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Informed consent was obtained from all individual participants included in the study.
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Digital photography is useful in the dental exam by the provision of more detailed/magnified information to be observed repeated times and by other examiners. Depending if the observation was done through digital photographic images or in the dental clinical exam the clinical decision on the maintenance, repair or replace the restoration can change.
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de Almeida, C.V.V.B., Pintado-Palomino, K., Fortes, J.H.P. et al. Digital photography vs. clinical assessment of resin composite restorations. Odontology 109, 184–192 (2021). https://doi.org/10.1007/s10266-020-00511-1
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DOI: https://doi.org/10.1007/s10266-020-00511-1