在儿科牙科中使用口腔内扫描仪检测口腔:一项比较性临床研究
Nelly Schulz-Weidner1, Marina Gruber2, Bernd Wöstmann2
1Department of Pediatric Dentistry, Dental Clinic, Justus Liebig University, Schlangenzahl 14, 35392 Giessen, Germany.
Journal of clinical medicine
|February 24, 2024
概括
内口扫描仪 (IOSs) 和Diagnocam显示出可视化闭口的潜力,但与视觉检查相比,它们对于诊断还不够可靠. 在它们能够取代传统方法之前,需要进一步的研究.
科学领域:
- 牙科 牙科是指牙科的专业.
- 数字诊断数字诊断的使用
- 虫检测 虫检测 检测
背景情况:
- 对儿科牙健康来说,检测闭口 (OCD) 非常重要.
- 传统的视觉检查 (VIS) 是强迫症的参考标准.
- 像口内扫描仪 (IOS) 和Diagnocam这样的新兴技术提供了新的诊断可能性.
研究的目的:
- 为了比较两种IOS (Trios 4, Emerald S) 和Diagnocam与视觉检查参考方法的闭塞虫检测性能.
- 为了评估不同牙值的诊断准确性 (声音与整体牙,和声音/乳与牙).
主要方法:
- 一项临床研究涉及60名儿童 (平均年龄9.6岁),在2022年8月至2023年2月期间进行了检查.
- 在初级和永久的未恢复牙的牙水平上进行的闭口虫检测.
- 使用科恩的卡帕和ROC分析对Diagnocam (DIA),Emerald S IOS (EME),Trios 4 IOS (TIO) 和视觉检查 (VIS) 的比较.
主要成果:
- 诊断仪 (DIA) 对初级牙 (=0.829) 和永久牙 (=0.846) 显示出与参考方法 (VIS) 最好的一致性,其次是 S (EME) 和Trios 4 (TIO).
- 与牙损伤值 (TH2) 相比,对声音和整体损伤值 (TH1) 观察到更高的诊断准确性 (灵敏度,特异性,AUC).
- IOS和Diagnocam的性能指标都低于已有的视觉检查 (VIS).
结论:
- 目前,口腔内扫描仪 (IOS) 最好作为可视化闭口的补充工具,以帮助检测.
- IOSs和Diagnocam不能被推作为闭塞性的首要诊断工具或指导侵入性/非侵入性治疗决策.
- 在这些数字工具能够取代传统的视觉检查在常规闭口的诊断中之前,需要进一步的验证和技术进步.
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