مقایسه دقت معاینه غیرکلینیکی دندان‌ها با استفاده از فتوگرافی تلفن همراه و معاینه حضوری در تعیین شاخص DMFT و ارزیابی اکلوژن

نوع مقاله : Original Articles

نویسندگان
راضیه میرباقری 1
فاطمه رشیدی میبدی 2
هاجر شکرچی زاده 3
سیده ماندانا جعفری 4
1 دندانپزشک، ﺩﺍﻧﺸﻜﺪﻩ‌ی ﺩﻧﺪﺍﻥﭘﺰﺷﻜﻲ، ﮔﺮﻭﻩ بیماری‌های دهان، ﺩﺍﻧﺸﮕﺎﻩ ﺁﺯﺍﺩ ﺍﺳﻼﻣﻲ، ﻭﺍﺣﺪ ﺍﺻﻔﻬﺎﻥ (ﺧﻮﺭﺍﺳﮕﺎﻥ)، ﺍﺻﻔﻬﺎﻥ، ﺍﻳﺮﺍﻥ
2 ﺍﺳﺘﺎﺩﻳﺎﺭ، ﮔﺮﻭﻩ بیماری‌های دهان، ﺩﺍﻧﺸﻜﺪﻩ‌ی ﺩﻧﺪﺍﻥﭘﺰﺷﻜﻲ، ﺩﺍﻧﺸﮕﺎﻩ ﺁﺯﺍﺩ ﺍﺳﻼﻣﻲ، ﻭﺍﺣﺪ ﺍﺻﻔﻬﺎﻥ (ﺧﻮﺭﺍﺳﮕﺎﻥ)، ﺍﺻﻔﻬﺎﻥ، ﺍﻳﺮﺍﻥ
3 ﺍﺳﺘﺎﺩﻳﺎﺭ، ﮔﺮﻭﻩ جامعه‌نگر، ﺩﺍﻧﺸﻜﺪﻩ‌ی ﺩﻧﺪﺍﻥﭘﺰﺷﻜﻲ، ﺩﺍﻧﺸﮕﺎﻩ ﺁﺯﺍﺩ ﺍﺳﻼﻣﻲ، ﻭﺍﺣﺪ ﺍﺻﻔﻬﺎﻥ (ﺧﻮﺭﺍﺳﮕﺎﻥ)، ﺍﺻﻔﻬﺎﻥ، ﺍﻳﺮﺍﻥ
4 ﺩﺳﺘﻴﺎﺭ ﺗﺨﺼﺼﻲ، ﮔﺮﻭﻩ ترمیمی، ﺩﺍﻧﺸﻜﺪﻩ‌ی ﺩﻧﺪﺍﻥﭘﺰﺷﻜﻲ، ﺩﺍﻧﺸﮕﺎﻩ ﺁﺯﺍﺩ ﺍﺳﻼﻣﻲ، ﻭﺍﺣﺪ ﺍﺻﻔﻬﺎﻥ (ﺧﻮﺭﺍﺳﮕﺎﻥ)، ﺍﺻﻔﻬﺎﻥ، ﺍﻳﺮﺍﻥ
10.22122/jids.v21.i2.0160
چکیده
مقدمه: بهدف از این مطالعه، مقایسه‌ی دقت معاینه‌ی غیرکلینیکی دندان‌ها با استفاده از فتوگرافی تلفن همراه و معاینه‌ی حضوری در تعیین شاخص DMFT و ارزیابی اکلوژن بود.
مواد و روش‌ها: ددر این مطالعه‌ی تجربی- آزمایشگاهی، 39 فرد که بر اساس شاخص DMFT دچار مشکلات پوسیدگی و ترمیمی دندان بودند انتخاب شدند. ابتدا تصاویر داخل دهانی هر شرکت‌کننده با استفاده از تلفن همراه تهیه شد و توسط دندانپزشک بررسی گردید. سپس همان افراد تحت معاینه حضوری کلینیکی قرار گرفتند. در هر دو روش، شاخص DMFT و وضعیت اکلوژن شامل کلاس دندانی، کراودینگ، نوع بایت و کراس‌بایت ارزیابی شد. داده‌ها با استفاده از آزمون Paired T-test و بوکر مک‌نمار تحلیل شدند.
یافته‌ها: ممیانگین شاخص DMFT در معاینه کلینیکی به‌طور معنی‌داری بالاتر از معاینه‌ی غیرکلینیکی بود (0/003 = P). بیشترین اختلاف مربوط به دندان‌های پوسیده و پس از آن پر شده بود؛ در حالی که دندان‌های از دست رفته تفاوت کمی را نشان دادند. در ارزیابی وضعیت اکلوژن، بین دو روش تفاوت معنی‌داری مشاهده نشد (0/05 < P).
نتیجه‌گیری: ممعاینه‌ی غیرکلینیکی با استفاده از فتوگرافی تلفن همراه در ارزیابی برخی شاخص‌های سلامت دهان مانند وضعیت اکلوژن و دندان‌های از دست رفته قابل اعتماد است، اما در تشخیص پوسیدگی‌ها و ترمیم‌ها، به‌ویژه موارد ثانویه و ابتدایی، دقت پایین‌تری دارد. لذا استفاده از تله‌دنتیستری به‌عنوان ابزار مکمل در غربالگری اولیه توصیه می‌شود، اما برای تشخیص‌های نهایی، معاینه حضوری همچنان ضروری است.
کلیدواژه‌ها
تله‌دنتیستری
فتوگرافی دهانی
DMFT
اکلوژن
دندانپزشکی از راه دور
ارزیابی غیرکلینیکی

عنوان مقاله English

Comparison of the Accuracy of Non-Clinical Dental Examination Using Mobile Phone Photography and Clinical Examination in Assessing DMFT Index and Occlusion

نویسندگان English

Razieh Mirbagheri 1
Fatemeh Rashidi Meybodi 2
Hajar Shekarchizadeh 3
Seyedeh Mandana Jafari 4
1 Dentist, School of Dentistry, Department of Oral Medicine, Isf.c, Islamic Azad University, Isfahan, Iran
2 Assistant Professor, Department of Oral Medicine, School of Dentistry, Isf.c, Islamic Azad University, Isfahan, Iran
3 Assistant Professor, Department of Community Dentistry, School of Dentistry, Isf.c, Islamic Azad University, Isfahan, Iran
4 Postgraduate Student, Department of Operative Dentistry, Isf.c, Islamic Azad University, Isfahan, Iran
چکیده English

Introduction: This study aimed to compare the accuracy of non-clinical dental examination using mobile phone photography and in-person clinical examination in determining the DMFT index and assessing occlusion.
Materials and Methods: In this experimental in vitro study, 39 individuals with dental caries or restorations, as determined by the DMFT index, were selected. Intraoral photographs of each participant were first taken using a smartphone and evaluated by a dentist. Subsequently, the same individuals underwent direct clinical examination. In both methods, the DMFT index and occlusion status—including dental class, crowding, bite type, and crossbite—were assessed. Data were analyzed using a paired t-test and Bowker's McNemar test.
Results: The mean DMFT index was significantly higher in the clinical examination compared to the non-clinical evaluation (P = 0.003). The greatest differences were related to decayed teeth, followed by filled teeth, while missing teeth showed minimal differences. In the assessment of occlusion status, no significant difference was observed between the two methods (P > 0.05).
Conclusion: Non-clinical examination using smartphone photography appears to be a reliable method for evaluating certain oral health parameters, such as occlusal status and missing teeth. However, it has lower accuracy in detecting caries and restorations, particularly in early or secondary cases. Therefore, teledentistry is recommended as a complementary tool for initial screening, while in-person clinical examination remains essential for definitive diagnoses.

کلیدواژه‌ها English

Teledentistry
Dental Caries
Telemedicine
Mobile Phone Photography
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مجله دانشکده دندان‌پزشکی اصفهان
دوره 21، شماره 2
دوره 21، شماره 1، تابستان1404
تابستان 1404
صفحه 160-166