Diagnostic accuracy of teledentistry in the detection of dental caries: a systematic review

Estai, Mohamed; Bunt, Stuart; Kanagasingam, Yogesan; Kruger, Estie; Tennant, Marc

doi:10.1016/j.jebdp.2016.08.003

Cited by 70 publications

(65 citation statements)

References 22 publications

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“…For example, teledentistry has been shown to be an effective way of providing oral health services in regions where there is a shortage of dental care providers . Teledentistry has also been assessed for its efficacy and diagnostic accuracy with positive results, which supports the idea that teledentistry is a good alternative in the absence of dental care providers . Mobile clinics can also be effective in decreasing the decay in teeth, even when there is a longer than recommended interval between visits .…”

Section: Discussionmentioning

confidence: 75%

“…28,29 Teledentistry has also been assessed for its efficacy and diagnostic accuracy with positive results, which supports the idea that teledentistry is a good alternative in the absence of dental care providers. 30,31 Mobile clinics can also be effective in decreasing the decay in teeth, even when there is a longer than recommended interval between visits. 32 However, the end goal should be to provide consistent personal dental care in rural regions.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Preventive Dental Checkups and Their Association With Access to Usual Source of Care Among Rural and Urban Adult Residents

Khan

Thapa

Zhang

2017

The Journal of Rural Health

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Individuals with a USC were more likely to obtain a preventive dental visit, with similar effects in rural and urban settings. We attributed the lower odds of having a checkup in rural regions to the lower density of oral health care providers in these areas. Integration of rural oral health care into primary care may help mitigate the challenges due to a shortage of oral health care providers in rural areas.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Preventive Dental Checkups and Their Association With Access to Usual Source of Care Among Rural and Urban Adult Residents

Khan

Thapa

Zhang

2017

The Journal of Rural Health

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“…Therefore, telehealth in dentistry or teledentistry can be defined as using telecommunication to exchange dental information, images, and video over extensive distances in order to consult with a specialist, either by patients or by other oral care providers 12,14 . Although previous studies have confirmed the validity and effectiveness of teledentistry for dental diagnosis, 9,15 the adoption of teledentistry is still limited in United States. Teledentistry, as a new technological modality, has not been as widely accepted in dentistry as telehealth and telemedicine have by medical professionals 16,17 …”

Section: Introductionmentioning

confidence: 99%

Application of the unified theory of acceptance and use of technology model to predict dental students’ behavioral intention to use teledentistry

Alabdullah

Lunen

Claiborne

et al. 2020

Journal of Dental Education

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Teledentistry is an innovative technology that can be used to improve access to care and oral health outcomes. Dental students' intention to use teledentistry after completing dental school has not been investigated. Purpose: The unified theory of acceptance and use of technology (UTAUT) was used to predict intentions to use teledentistry among 4th-year U.S. dental students. Methods: A cross-sectional approach was performed for a 7-week period in Spring 2019. All U.S. dental schools (N = 66) were invited to participate and 16 schools agreed to participate. An anonymous survey link was emailed to academic deans for dissemination to students. A total of 1416 4th-year dental students received the anonymous survey link and 210 students completed the survey (response rate = 14.8%). The survey included questions and scales that measured the UTAUT constructs of performance expectancy (PE), effort expectancy (EE), social influence (SI), facilitating conditions (FC), and behavioral intentions (BI). Data were analyzed using SPSS version 24. The study was deemed exempt by institutional review board. Results: The dental students' BI to use teledentistry was significantly predicted by PE (R 2 = 33%, P < 0.01), EE (R 2 = 24%, P < 0.01), SI (R 2 = 24%, P < 0.01), and FC (R 2 = 14%, P < 0.01). The UTAUT model was statistically significant in predicting the BI and explained 40% of BI variance (R 2 = .40, P < 0.01). Conclusions: Dental students' perceptions about PE, EE, SI, and FC were associated with BI. Therefore, exposure to teledentistry while in dental school could increase the likelihood of use as a practicing provider.

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“…An Android App has been created to facilitate the acquisition ans transmission of dental images to a store-and-forward based telemedicine server [ 31 ]. A recent systematic review on the use of teledentistry for caries detection conclude that although valuable, further studies, based on carefully designed research are still needed to investigate its effectiveness [ 32 ]. Thus, further studies could focus on the technique itself, as well as on testing other functions and settings, rather than testing a different range of smartphone hardware.…”

Section: Discussionmentioning

confidence: 99%

Is it feasible to use smartphone images to perform telediagnosis of different stages of occlusal caries lesions?

et al. 2018

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The purpose of this study was to compare the performance of two different models of smartphone and a conventional camera with that of direct clinical examination in detecting caries lesions at different stages of progression in deciduous molars. The photographic equipment consisted of two smartphones (iPhone and Nexus 4) and a conventional macro camera setup. First, in the laboratory phase of the study, we compared the images of 20 exfoliated primary teeth having caries lesions at different stages. Then, in the clinical phase of the study, the images of 119 primary molars from fifteen children (3 to 6 years old) were used. All of the photographic images were taken using the previously described devices. In both groups, two examiners, blinded to the photographic equipment used, assessed the images independently on a computer screen, and classified them according to the International Caries Detection and Assessment System (ICDAS). The teeth were then examined directly by two other experienced examiners, and the consensus reached was considered the reference standard. Parameters of validity, such as percentage of correct answers, agreement with the reference standard, sensitivity, specificity and inter-examiner agreement (using the weighted kappa test) were calculated. The examiners performed similarly in both in vitro and in vivo studies. Inter-examiner reliability was approximately 0.7 for all the devices in the laboratory setting, and for the macro camera photography system in the clinical setting, but it was approximately 0.9 for the iPhone and Nexus images taken in vivo. With regard to the percentage of correct answers, the highest values were observed for sound and extensive caries lesions in both laboratory and clinical settings. The percentage of correct answers for initial and moderate lesions was particularly low in the clinical evaluation, irrespective of the camera devices used. Therefore, we concluded that photographic diagnosis using smartphone images is feasible and accurate for distinguishing sound tooth surfaces from extensive caries lesions; however, photographic images are not a good method for accurately detecting initial and moderate caries lesions.

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Diagnostic accuracy of teledentistry in the detection of dental caries: a systematic review

Cited by 70 publications

References 22 publications

Preventive Dental Checkups and Their Association With Access to Usual Source of Care Among Rural and Urban Adult Residents

Preventive Dental Checkups and Their Association With Access to Usual Source of Care Among Rural and Urban Adult Residents

Application of the unified theory of acceptance and use of technology model to predict dental students’ behavioral intention to use teledentistry

Is it feasible to use smartphone images to perform telediagnosis of different stages of occlusal caries lesions?

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