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ArticleEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2019

Difficulties in identifying developmental defects of the enamel: a BITA study.

B Jälevik, A Szigyarto-Matei, A Robertson

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Article in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Diagnosis and Dentists' Treatment Preferences for Vestibular Enamel Defects-A Cross-Sectional Survey.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Diagnosis training and calibration for epidemiological studies on primary and permanent teeth with hypomineralization.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2022
    Article
  8. Article
  9. Structural and chemical enamel characteristics of hypomineralised second primary molars.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2021
    Article
  10. Distribution and morphology of enamel hypomineralisation defects in second primary molars.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

B JälevikDepartment of Pediatric Dentistry, Institute of Odontology at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. birgitta.jalevik@gu.se.ORCID http://orcid.org/0000-0002-7634-9423
A Szigyarto-MateiSpecialist Clinics of Pediatric Dentistry, Public Dental Service, VGR, Uddevalla, Sweden.
A RobertsonDepartment of Pediatric Dentistry, Institute of Odontology at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the ability to recognise different types of developmental defects of enamel (DDE) by a group of general dental staff, trained prior to the comprehensive prevalence study (the BITA study), and to compare their skills to that of an untrained group. To evaluate the validity and reliability of the DDE registrations and MIH diagnoses, 3 years after the BITA study ended. To evaluate the reliability of an MIH diagnose, 3 years after the study ended. MATERIALS AND

methodsThe dental staff from five clinics (n = 43) was given instructions in identifying different types of DDE, according to the mDDE index (FDI in Int Dent J 42:411-426 1992). A test protocol with 24 digital photos of teeth with different DDE was filled out. The dental staff from five other clinics (n = 60), without preceding instructions, also filled out the protocol. Ninety-one patients with reported DDE were clinically re-examined 3 years later by two dentists with certified experience of DDE.

resultsWhen untrained dental staff filled out the test protocol, only 42% of the affected surfaces were correctly assessed, whereas 85% of the dental staff instructed in recognizing DDE made a correct assessment (p < 0.000). The specialists confirmed 73% of the teeth diagnosed with DDE in the BITA study as affected. The agreement in judging the opacities as diffuse or demarcated was 76%. One-fourth of those being judged to be affected by MIH in the BITA-study also showed to be affected by other enamel disturbances.

conclusionsThe ability of the untrained dental staff to recognize DDE was insufficient. Instructions, using digital photos, raised the ability considerably. To ensure a correct MIH diagnosis, the patients should be followed until all the permanent teeth have erupted.

Indexed as

Dental Enamel HypoplasiaDental EnamelHumansIncisorPrevalenceReproducibility of ResultsEnamelHypomineralisationHypoplasiaIdentification

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.