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Digital photography vs. clinical assessment of resin composite restorations

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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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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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Correspondence to Karen Pintado-Palomino.

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The authors declare that they have no conflict of interest.

Ethical approval

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.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Clinical relevance

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

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