ArticleOral radiology2026
Diagnostic evaluation of the relationship between impacted mandibular third molars and the mandibular canal in panoramic radiographs shared via WhatsApp.
Article in Oral radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
objectiveTo compare the diagnostic accuracy of computer and smartphone screens for assessing the radiographic proximity between impacted mandibular third molars and the mandibular canal.
methodsFour examiners evaluated 121 digital panoramic radiographs for the presence of proximity between third molars and the mandibular canal, as well as for specific radiographic signs indicative of this relationship. Assessments were performed on a computer screen and on their personal smartphone screens; for the latter, images were shared via WhatsApp. Diagnostic performance was analyzed using accuracy (Ac), sensitivity (Se), specificity (Sp), and positive and negative predictive values (PPV and NPV). Differences in the frequency of correct and incorrect responses between methods were tested using the McNemar test, as were the proportions of correct and incorrect classifications for each radiographic sign.
resultsExaminers correctly classified true positives and true negatives in 86.5% of cases using the computer monitor and 85.1% using the smartphone. Comparable diagnostic performance was observed for computer monitor (Se = 0.975; Sp = 0.758; Ac = 0.865) and smartphone (Se = 0.942; Sp = 0.762; Ac = 0.851) assessments. No statistically significant differences were found between methods for any radiographic sign (p > 0.05).
conclusionSmartphones demonstrated diagnostic accuracy comparable to that of computer screens for evaluating the proximity between impacted mandibular third molars and the mandibular canal on panoramic radiographs.
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