Impact of scoring single or multiple occlusal lesions on estimates of diagnostic accuracy of the visual ICDAS-II system

Jablonski-Momeni, Anahita, Ricketts, David N.J., Heinzel-Gutenbrunner, Monika, Stoll, Richard, Stachniss, Vitus, and Pieper, Klaus (2009) Impact of scoring single or multiple occlusal lesions on estimates of diagnostic accuracy of the visual ICDAS-II system. International Journal of Dentistry, 2009. 798283. pp. 1-7.

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DOI: 10.1155/2009/798283

View at Publisher Website: http://dx.doi.org/10.1155/2009/798283

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Abstract

Carious lesions can occur at different sites on the occlusal surfaces of teeth and may differ in appearance and severity. This study aimed to evaluate how estimates of reproducibility and accuracy of ICDAS-II were affected when all lesions on occlusal surfaces, or only a representative lesion, were scored. 100 permanent teeth with 1-4 investigation sites on the occlusal surface were examined visually by four examiners. Serial sections of the teeth were assessed for lesion depth. Intra- and interexaminer reproducibility (weighted kappa values), sensitivity, and specificity were calculated for all investigation sites and for a randomly selected site per tooth. Comparing the kappa values for the whole sample and the independent sites, no effect or only a small effect was found. Comparing the areas under the ROC-curves no effect could be shown. Examining multiple sites on teeth leads to results comparable to when a single independent site is chosen per tooth.


Item ID:	17718
Item Type:	Article (Research - C1)
ISSN:	1687-8736
Additional Information:	Copyright © 2009 Anahita Jablonski-Momeni et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Date Deposited:	04 Oct 2011 06:03
FoR Codes:	11 MEDICAL AND HEALTH SCIENCES > 1105 Dentistry > 110505 Oral Medicine and Pathology @ 100%
SEO Codes:	92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920402 Dental Health @ 100%
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