Evidence map›Paper›PMID 36983223›Full record

ArticleJournal of clinical medicine2023

The Detection of Dental Pathologies on Periapical Radiographs-Results from a Reliability Study.

Theresa Meusburger, Annika Wülk, Andreas Kessler, Katrin Heck, Reinhard Hickel, Helena Dujic, Jan Kühnisch

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
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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

7 authors.

Theresa MeusburgerDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University of Munich, 80336 Munich, Germany.
Annika WülkDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University of Munich, 80336 Munich, Germany.
Andreas KesslerDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University of Munich, 80336 Munich, Germany.
Katrin HeckDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University of Munich, 80336 Munich, Germany.ORCID 0000-0003-2273-3662
Reinhard HickelDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University of Munich, 80336 Munich, Germany.
Helena DujicDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University of Munich, 80336 Munich, Germany.
Jan KühnischDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University of Munich, 80336 Munich, Germany.ORCID 0000-0003-4063-2291

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Caries, periapical lesions, periodontal bone loss (PBL), and endo-perio lesions are common dental findings that require an accurate diagnostic assessment to allow appropriate disease management. The purpose of this reliability study was to compare the inter- and intra-rater reliability for the detection of the above-mentioned pathologies on periapical radiographs. (2) Methods: Fourteen dentists (three with more than two years and eleven with less than two years of work experience) participated in a training workshop prior to data acquisition. A total of 150 radiographs were assessed by all raters in two rounds. Cohen's Kappa (CK) values and a binary logistic regression were calculated. (3) Results: The reliability was found in a moderate and substantial range of agreement: caries (mean inter-rater CK value/first round 0.704/mean inter-rater CK value/second round 0.659/mean intra-rater CK value 0.778), periapical lesions (0.643/0.611/0.768), PBL (0.454/0.482/0.739) and endo-perio lesion (0.702/0.689/0.840). The regression model revealed a significant influence of the clinical experience, and furthermore, periapical pathologies and PBL were identified less reliably in comparison to caries and endo-perio lesions. (4) Conclusions: The dentist's ability to detect the chosen pathologies was linked with significant differences. Periapical lesions and PBL were identified less reliably than caries and endo-perio lesions.

Indexed as

bone losscariesdental caries diagnosisperiapical pathologyperiodontitisreliabilityreproducibility

Identifiers

PMID36983223
PMCPMC10056324

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Registered trials

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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.