Post-radiation dental index: development and reliability

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
Mary P WalkerBrian Wichman

Abstract

The aim of this paper was to develop, validate, and assess the reliability of a clinical index for assessing post-radiation dentition breakdown. An expert panel of four dentists with expertise in post-radiation patient care, oral radiology, and mineralized tissues reviewed a series of clinical photographs (n = 60) depicting a wide range of post-radiation lesions varying in size, severity, and location. Based on panel input related to lesion severity rankings and cut-points along a continuum of destruction, a semiquantitative, ordinal lesion scale was developed. A companion scale was developed to account for existing restorations. The index was then reviewed by a separate panel of dental clinician/researchers for confirmation of face and content validity and was refined based on their input. Following index approval by the expert and confirmatory panels, the index was evaluated for test-retest reliability by two educator/clinicians. After a brief calibration session, examiners reviewed and independently scored a second series of lesion images (n = 60). One week later, the same examiners independently scored the same images displayed in a different order. Inter- and intra-rater reliability and agreement were assessed (Spearman r ...Continue Reading

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Citations

Sep 29, 2011·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Juliette ThariatChristian Righini
Aug 23, 2011·Practical Radiation Oncology·Mary P WalkerKaren B Williams
Oct 25, 2017·Computer Methods in Biomechanics and Biomedical Engineering·Ganesh ThiagarajanMary P Walker
Nov 28, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Mariana de Pauli PaglioniAlan Roger Santos-Silva
Aug 7, 2021·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Beatriz Nascimento Figueiredo Lebre MartinsAlan Roger Santos-Silva

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