Eticidade da calibração in vivo em inquéritos de saúde bucal

Andrade, Flávia Reis de; Narvai, Paulo Capel; Montagner, Miguel Ângelo

doi:10.1590/1980-5497201600040011

Cited by 2 publications

(7 citation statements)

References 13 publications

(16 reference statements)

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“…For calibration sessions, children (12 to 14 years old) attending in a school (not included in the main study) participated. The “consensus technique” was used for the calibration [11, 12]. For this technique, two or three examiners evaluated the same child, and the results were compared and discussed among them and the benchmark examiners.…”

Section: Methodsmentioning

confidence: 99%

Oral health of 12-year-old children in Quito, Ecuador: a population-based epidemiological survey

et al. 2019

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Background There is a paucity of population-based surveys on oral health conditions in Ecuador. Thus, the aim of this study was to conduct an epidemiological survey with a representative sample of children aged 12 years from public schools of Quito, Ecuador. The aim of this initial report was to describe the methodology used in the survey, as well to present results regarding calibration procedures and prevalence of oral-health related outcomes. Methods We invited 33 public schools’ coordinators from the urban area of Quito, and 1100 children (12 years old) to take part in this study. Six trained and calibrated examiners conducted clinical examinations using oral mirrors and ball-ended probes to assess: dental caries, traumatic dental injuries, malocclusion, gingival bleeding, presence of calculus and fluorosis. Children also responded a questionnaire on Oral Health-Related Quality of Life (OHRQoL). Individual sociodemographic data was collected through a questionnaire sent to parents. Moreover, some contextual data on school environment (infrastructure conditions, promotion of health practices and negative episodes) were also evaluated. Prevalence values, crude and weighted by sampling weights, and 95% confidence intervals (95%CI) were calculated. Results Nine hundred and ninety-eight children from 31 schools were examined from March to May 2017. The adjusted prevalence values (95%CI) for the six outcomes evaluated were: dental caries = 60.3% (55.3 to 65.0%); traumatic dental injuries = 20.7% (17.2 to 24.8%); dental fluorosis = 63.7% (58.5 to 68.5%); gingival bleeding = 92.0% (87.1 to 95.2%); presence of calculus = 69.9 (60.5 to 77.9%); and malocclusion = 25.8% (21.8 to 30.3%). Adjusted mean of number of decayed, missed or filled permanent teeth (DMF-T) was 1.61 (1.37 to 1.84). Results on OHRQoL and other contextual variables will be reported in other articles. Conclusion The prevalence of the majority of oral health problems in 12-year-old children from public schools in Quito-Ecuador was compatible with those observed in other similar cities. However, periodontal health and fluorosis seem to be highly prevalent in children from Quito. Electronic supplementary material The online version of this article (10.1186/s12903-019-0863-9) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Oral health of 12-year-old children in Quito, Ecuador: a population-based epidemiological survey

et al. 2019

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“…However, previous surveys have criticized the calibration using the in vivo examination method and suggested that there was space to improve the calibration process 28 . Calibration using the in vivo examination method requires a large number of participants, and discomfort is caused due to repeated dental examinations 14 . Moreover, calibration using the in vivo examination method depends upon extensive efforts from volunteers and examiners, as well as a considerable amount of time to perform the examinations.…”

Section: Discussionmentioning

confidence: 99%

“…In view of the aforementioned difficulties and limitations, calibration through the in‐lux examination method was developed and used in the 2010 Brazilian oral health survey to evaluate the reliability of examiners for oral conditions of low prevalence, such as dental trauma and fluorosis 13 . The use of this calibration method was considered innovative and may be useful in forthcoming oral health surveys 14 . The in‐lux examination method was also successfully used to assess the examiner's reliability to estimate the oral health conditions in another regional population‐based survey in Brazil, 17 as well as in the oral health survey of schoolchildren in Pelotas in the South of Brazil.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the use of the in vivo examination method has important ethical implications due to the long time taken by participants who are examined multiple times. The repetition of dental examinations may also cause pain, discomfort and possible damage to the soft oral tissues during periodontal assessment 14 …”

Section: Introductionmentioning

confidence: 99%

“…The repetition of dental examinations may also cause pain, discomfort and possible damage to the soft oral tissues during periodontal assessment. 14 The in-lux examination method follows the same principles as the in vivo method. However, the participants' clinical examinations are replaced by the projection of high-quality photographs of the epidemiological dental indices, which supports the use of the term "in-lux."…”

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Reliability analysis using the in‐lux examination method for dental indices in adolescents for use in epidemiological studies

Pinto

Vettore

Abreu

et al. 2022

Comm Dent Oral Epid

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ObjectiveTo evaluate the in‐lux examination method to assess the reliability of examiners for oral health surveys.MethodsA calibration study involving 10 examiners and 27 patients was conducted, and high‐quality photographs of dental epidemiological indices were projected. The latter refers to the in‐lux examination method. Two groups, comprised of five examiners each, were trained to assess dental caries (DMFT index) and malocclusion (DAI). The first group carried out in vivo (clinical) and in‐lux examinations in the same patients. The second group performed in‐lux examinations only. The measurements were repeated to obtain intraexaminer weighted kappa coefficients.ResultsInterexaminer weighted kappa coefficients of the in vivo examination method for DMFT and DAI ranged from 0.597 to 0.851 and from 0.574 to 0.844, respectively. The values for in‐lux examination were between 0.440 and 0.856 (DMFT) and between 0.524 and 0.783 (DAI). The intraexaminer kappa coefficients of the in vivo examination method ranged between 0.569 and 0.851 (DMFT) and between 0.644 and 0.834 (DAI). In the in‐lux method, these values were between 0.426 and 0.831 (DMFT) and between 0.341 and 0.838 (DAI). Three examiners did not reach the minimum acceptable kappa value (k = 0.610) for DMFT, and one for DAI. Of these, one examiner managed to reach the minimum kappa coefficient for DMFT after additional training. The three others maintained the kappa coefficients at lower than acceptable limits.ConclusionsCalibration, using both in vivo and in‐lux examination methods, was able to discriminate the examiners regarding their reliability to reproduce dental indices. The in‐lux examination method was considered reliable and can replace the in vivo examination method. The in‐lux method might be more feasible to evaluate the reliability of examiners when clinical calibration is unrealistic due to logistic issues and when a large number of examiners are involved in the survey.

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Eticidade da calibração in vivo em inquéritos de saúde bucal

Cited by 2 publications

References 13 publications

Oral health of 12-year-old children in Quito, Ecuador: a population-based epidemiological survey

Oral health of 12-year-old children in Quito, Ecuador: a population-based epidemiological survey

Reliability analysis using the in‐lux examination method for dental indices in adolescents for use in epidemiological studies

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