Decision-making of general practitioners on interventions at restorations based on bitewing radiographs

Journal of Dentistry
Cácia SignoriNiek J M Opdam

Abstract

The aim of this study was to compare decision-making based on bitewing analysis of restored proximal surfaces by general dental practitioners (GDPs) with diagnossis and clinical decisions made by experts in cariology and restorative dentistry. This practice-based study used a database of 7 general dental practices. Posterior bitewing radiographs were selected from the electronic patient files of patients, and 770 cases of proximal restored surfaces were selected. Fifty percent of the cases which lead to the restorative decision, and the other half were cases decided for monitoring by the GDPs. Three experts performed radiographic assessment. The outcome variables were agreement of diagnosis and decision of treatment. Cohen's kappa statistic was used. For the experts, moderate to substantial intraexaminer agreement was observed for the diagnostic criteria, and kappa values of 0.77, 0.79, and 0.88 were obtained for each expert regarding the treatment assignment. Agreement between GDPs and the majority of experts for secondary caries varied between 67 and 83%. One hundred seventy-three out of 385 cases that were treated by GDPs were decided for monitoring by the experts, while 8 cases that were decided for monitoring by the GDPs w...Continue Reading

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Citations

Feb 21, 2019·Journal of Dental Research·M LaskeM C D N J M Huysmans
Aug 14, 2020·Brazilian Oral Research·Flávio Fernando DemarcoAndre Luis Faria-E-Silva
Jul 3, 2020·Journal of Dentistry·Bruna Lorena Pereira MoroFausto Medeiros Mendes
Dec 24, 2021·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·Sindhura AnamaliAditi Jain

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