The role of caries recognition: treatment decisions from bitewing radiographs

Dento Maxillo Facial Radiology
P Mileman, L T van der Weele

Abstract

To describe the effect of the ability to estimate caries depth from bitewing radiographs on restorative treatment decisions. A 10% random sample of Dutch dental practitioners (n = 444) was sent a two-part questionnaire based on an analytic approach to radiographic caries diagnosis and restorative treatment decision making. In the second part the dentists were asked to diagnose radiographs of 105 tooth surfaces with and without dentine caries and then to make a treatment decision for each surface. A regression analysis was carried out using the negative predictive value (TN/[TN + FN]) of the restorative treatment decision for dentine caries as the dependent variable. The mean negative predictive value for the dentists' proposals from radiographs to leave surfaces untreated was 0.77 (SD 0.05; min. 0.60, max 0.87). Nine significant (P < 0.05) variables explained 65% (R2 = 0.65) of the variation in decision making. One diagnostic ability variable explained 48% of the variation found. Dentists appear to take the seriousness of errors in restorative decisions into account when deciding on treatment. The ability of dental practitioners to identify and discriminate between lesions in the inner half of the enamel and the outer half of t...Continue Reading

References

Oct 1, 1992·Academic Medicine : Journal of the Association of American Medical Colleges·G R NormanC J Babcook
Aug 1, 1992·Dento Maxillo Facial Radiology·P A Mileman, J Kievit
Oct 1, 1992·Community Dentistry and Oral Epidemiology·E J KayR Knill-Jones
Aug 1, 1992·Community Dentistry and Oral Epidemiology·P A MilemanL van der Weele
Jun 1, 1990·Journal of Dentistry·P A Mileman, L T van der Weele
Dec 1, 1988·Community Dentistry and Oral Epidemiology·P MilemanD Purdell-Lewis
Feb 1, 1986·Acta Odontologica Scandinavica·I Espelid, A B Tveit
Feb 1, 1986·Acta Odontologica Scandinavica·I Espelid, A B Tveit
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Apr 1, 1996·Community Dentistry and Oral Epidemiology·D W LewisA Csima

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Citations

Jan 17, 2012·Journal of Dentistry·D B RindalUNKNOWN DPBRN Collaborative Group
Apr 21, 2012·Dento Maxillo Facial Radiology·A M ShelleyK Horner
May 11, 2002·Critical Reviews in Oral Biology and Medicine : an Official Publication of the American Association of Oral Biologists·K J Anusavice, D K Benn
Jan 14, 2004·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·P A MilemanG C H Sanderink

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