Reliability analysis using the in-lux examination method for dental indices in adolescents for use in epidemiological studies

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dc.creatorRafaela da Silveira Pinto
dc.creatorMario Vianna Vettore
dc.creatorMauro Henrique Guimarães Nogueira de Abreu
dc.creatorAndrea Clemente Palmier
dc.creatorRosa Núbia Vieira de Moura
dc.creatorAngelo Giuseppe Roncalli
dc.date.accessioned2025-03-13T15:49:02Z
dc.date.accessioned2025-09-08T22:58:01Z
dc.date.available2025-03-13T15:49:02Z
dc.date.issued2023
dc.identifier.doihttps://doi.org/10.1111/cdoe.12775
dc.identifier.issn1600-0528
dc.identifier.urihttps://hdl.handle.net/1843/80613
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofCommunity Dentistry and Oral Epidemiology
dc.rightsAcesso Restrito
dc.subjectEpidemiological studies
dc.subjectOral health
dc.subjectSurveys and questionnaires
dc.subject.otherEpidemiological studies
dc.subject.otherOral health
dc.subject.otherSurvey method
dc.titleReliability analysis using the in-lux examination method for dental indices in adolescents for use in epidemiological studies
dc.typeArtigo de periódico
local.citation.epage853
local.citation.issue5
local.citation.spage847
local.citation.volume51
local.description.resumoObjective: To evaluate the in-lux examination method to assess the reliability of exam-iners for oral health surveys. Methods: A calibration study involving 10 examiners and 27 patients was conducted,and high-quality photographs of dental epidemiological indices were projected. The latter refers to the in-lux examination method. Two groups, comprised of five ex-aminers each, were trained to assess dental caries (DMFT index) and malocclusion (DAI). The first group carried out in vivo (clinical) and in-lux examinations in the samepatients. The second group performed in-lux examinations only. The measurementswere repeated to obtain intraexaminer weighted kappa coefficients .Results: Interexaminer weighted kappa coefficients of the in vivo examination method for DMFT and DAI ranged from 0.597 to 0.851 and from 0.574 to 0.844, respectively.The values for in-lux examination were between 0.440 and 0.856 (DMFT) and be-tween 0.524 and 0.783 (DAI). The intraexaminer kappa coefficients of the in vivoexamination method ranged between 0.569 and 0.851 (DMFT) and between 0.644and 0.834 (DAI). In the in-lux method, these values were between 0.426 and 0.831(DMFT) and between 0.341 and 0.838 (DAI). Three examiners did not reach the mini-mum acceptable kappa value (k = 0.610) for DMFT, and one for DAI. Of these, one examiner managed to reach the minimum kappa coefficient for DMFT after additional training. The three others maintained the kappa coefficients at lower than acceptable limits. Conclusions: Calibration, using both in vivo and in-lux examination methods, was ableto discriminate the examiners regarding their reliability to reproduce dental indices.The in-lux examination method was considered reliable and can replace the in vivo ex-amination method. The in-lux method might be more feasible to evaluate the reliability of examiners when clinical calibration is unrealistic due to logistic issues and when a large number of examiners are involved in the survey.
local.identifier.orcidhttps://orcid.org/0000-0002-6169-7708
local.identifier.orcidhttps://orcid.org/0000-0001-6299-4432
local.identifier.orcidhttps://orcid.org/0000-0001-8794-5725
local.identifier.orcidhttps://orcid.org/0000-0001-8943-6836
local.identifier.orcidhttps://orcid.org/0000-0002-8947-2797
local.identifier.orcidhttps://orcid.org/0000-0001-5311-697X
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA
local.publisher.initialsUFMG
local.url.externahttps://onlinelibrary.wiley.com/doi/epdf/10.1111/cdoe.12775

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