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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Performance of five different displays in the detection of artificial incipient and recurrent caries-like lesions

Countryman, Shawn C. 01 May 2017 (has links)
Objectives: To evaluate the influence of five different displays on the diagnosis of artificial caries-like lesions on restored and unrestored tooth surfaces. Materials & Methods: 60 extracted human teeth (30 premolars and 30 molars) were selected. All molars had class II cavities prepared and restored. Half of the premolars and molars were randomly selected and a 7mm² area was exposed to a demineralizing solution for 120 days. Phantoms with four teeth (two premolars and two molars) were created. Periapical radiographs were obtained on RVG 6100 digital sensor (Kodak Dental Systems, New York, USA). The images were evaluated under subdued lighting on five viewing displays (Barco MDNC-3321, NEC Wide, Apple iPad Pro, Microsoft Surface Pro 4 and Dell flat panel monitor) by three observers using a five-point rating scale. Sensitivity (Sn), specificity (Sp), accuracy (Ac) and Receiver Operating Characteristic (ROC) curves and their areas under the curves (AUC) were calculated and compared by Analysis of variance and post-hoc Tukey test. Intraobserver and interobserver agreement were accomplished after a three month interval observational.. The observer agreement was evaluated with the Cohen’s kappa test. Results: Even though the tablets slightly improved accuracy over the medical monitors, there was no statistically significant difference in sensitivity, specificity, accuracy or AUC among the five monitors when the same tooth group was considered (p< 0.05) with the exception of the iPad Pro which had a specificity p-value of 0.014 when comparing the two materials within the iPad Pro. Conclusion: There is no perceivable disadvantage to utilizing a higher resolution tablet viewing platform for plane images. No advantage to the medical grade monitors over the tablets or the consumer monitor. Both tablets improved detection accuracy on the unrestored premolars. However further evaluation especially in a clinical lighting setting is warranted to evaluate a displays impact on observer performance within common clinical practice lighting parameters.

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