A comparison of photographic, replication and direct clinical examination methods for detecting developmental defects of enamel
2011

Comparing Methods for Detecting Enamel Defects in Children

Sample size: 110 publication 10 minutes Evidence: high

Author Information

Author(s): Golkari Ali, Sabokseir Aira, Pakshir Hamid-Reza, Dean M Christopher, Sheiham Aubrey, Watt Richard G

Primary Institution: University College London

Hypothesis

This study aimed to compare photographic and replication methods with the direct clinical examination method for detecting developmental defects of enamel (DDE) in children's permanent incisors.

Conclusion

The photographic method was much more sensitive than direct clinical examination in detecting DDE and was the best of the three methods for epidemiological studies.

Supporting Evidence

  • The photographic method detected significantly more subjects with DDE compared to direct examination (P = 0.002).
  • The photographic method detected 3.1 times more DDE lesions than the direct examination method.
  • The replication method detected 2.3 times more hypoplastic DDE lesions than the direct examination method.

Takeaway

This study looked at different ways to find problems with kids' teeth, and found that taking pictures of the teeth worked best.

Methodology

The study involved 110 children aged 8-10, using direct clinical examination, photographic, and replication methods to assess enamel defects.

Potential Biases

Observer bias may have affected the direct clinical examination results.

Limitations

The study did not test intra-examiner reliability for the direct clinical method and had a response rate of 81.8% for photographs and 66.4% for impressions.

Participant Demographics

Children aged 8-10 years from Shiraz, Iran.

Statistical Information

P-Value

0.002

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1472-6831-11-16

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