Assessing the Use of Radiographs Alone to Determine Air Force Dental Readiness Classification
Abstract
As a cost savings, it has been suggested that an examination of radiograph-only may be used to determine a military members readiness classification in lieu of a clinical examination plus radiographs. The primary aim of this study was to determine how sensitive the use of radiographs alone were in diagnosing Dental Readiness Classification (DRC) 3 based on caries, periodontal conditions, and other conditions separately. A secondary aim was to determine the ability to diagnose caries using radiographs alone compared to a clinical exam which included radiographs. Methods: Twelve months after completion of the 2018 Air Force Recruit Oral Health Study (AFROHS), five of the original 10 dentists reviewed only radiographs from 535 of the original 1362 subjects. The DRC for caries, periodontal conditions, and for conditions other than caries and periodontal conditions from the radiograph-only examination were compared to those from the AFROHS examination. Sensitivity and specificity were calculated for each DRC to assess the ability of the radiograph-only examination to detect DRC 3 conditions. Total number of caries per patient were also compared. Secondary analyses examined the mean confidence level of providers for each variable recorded using a 5-point Likert scale. Results: The sensitivity of using radiographs alone to identify DRC 3 based on caries = 58.4%, periodontal conditions = 8.3% and other conditions = 55.9%.For caries count, radiograph-only scores were significantly lower than a clinical exam with radiographs scores, p<0.05. Overall, the provider confidence levels were within the somewhat not confident level of the 5-point Likert scale. Radiographs alone can detect true DRC 3 for caries or other approximately one-half of the time and periodontal conditions less than 10% of the time.
Document Details
- Document Type
- Technical Report
- Publication Date
- May 21, 2021
- Accession Number
- AD1182967
Entities
People
- Kraig Vandewalle
- Rondre F Baluyot
- Scott Irwin
Organizations
- Uniformed Services University of the Health Sciences