Diagnosis training and calibration for epidemiological studies on primary and permanent teeth with hypomineralization

Purpose The objective of this study was to assess the impact on diagnostic accuracy and Kappa values improvement during the three-phase training and calibration process for MIH/HSPM. Methods Thirty dentists were calibrated as examiners for diagnosis of Molar Incisor Hypomineralization (MIH) using Gh...

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Published in:European archives of paediatric dentistry 2022-02, Vol.23 (1), p.169-177
Main Authors: Amarante, Bruna Cordeiro, Arima, Letícia Yumi, Pinheiro, Emanuella, Carvalho, Patricia, Michel-Crosato, Edgard, Bönecker, Marcelo
Format: Article
Language:English
Subjects:
Calibration
Criteria
Cross-Sectional Studies
Defects
Dental enamel
Dental Enamel Hypoplasia - diagnosis
Dental Enamel Hypoplasia - epidemiology
Dental schools
Dentistry
Dentists
Diagnosis
Educational materials
Epidemiologic Studies
Epidemiology
Humans
Medicine
Meetings
Molar
Original Scientific Article
Prevalence
Public speaking
Teeth
Training
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Summary:Purpose The objective of this study was to assess the impact on diagnostic accuracy and Kappa values improvement during the three-phase training and calibration process for MIH/HSPM. Methods Thirty dentists were calibrated as examiners for diagnosis of Molar Incisor Hypomineralization (MIH) using Ghanim’s index. The whole process was divided into three phases. Phase 1: three meetings with the dentists for the first diagnosis training and calibration (sessions 1a and 1b); phase 2: for a period of 1 month, the dentists started practicing MIH/HSPM diagnosis in the Basic Health Units and an online follow-up group was created to discuss cases and resolve doubts; phase 3: two meetings with the dentists for the second calibration (sessions 2a and 2b). A webpage with educational material was prepared as support during the whole process to improve the dentists’ skills in diagnosing MIH/HSPM. The examiners’ responses were compared to a gold standard and the Kappa value was obtained. Results The average clinical criteria kappa value of the examiners was 0.76 ± 0.19 for the first calibration and 0.93 ± 0.07 ( p  
ISSN:1818-6300
1996-9805
DOI:10.1007/s40368-021-00686-3