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首页> 外文期刊>International journal of dental hygiene >Comparison of calculus detection among dental hygienists using an explorer and ultrasonic insert
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Comparison of calculus detection among dental hygienists using an explorer and ultrasonic insert

机译：使用探索器和超声插入牙科卫生师微积分检测比较

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Abstract Introduction Periodontal therapy disrupts the biofilm harbouring calculus that triggers inflammation. The explorer is primarily used for calculus detection, and the ultrasonic instrument is primarily used for calculus removal. The efficiency in dental hygiene care may improve if the ultrasonic instrument could be used in both calculus detection and removal. Purpose The purpose of this study was to validate the effectiveness of calculus detection between the Thinsert? ultrasonic insert and the 11/12 explorer. Methods Upon IRB approval, this validation study involved three dental hygiene faculty from the Ohio State University Dental Hygiene Program and 30 patient participants from the Ohio State University community. Using both instruments, calculus was evaluated on Ramfjord index teeth and on four possible surfaces per tooth. Data were analysed to evaluate for interrater reliability, intrarater reliability, sensitivity, and specificity. Results For interrater reliability, the average measure of intraclass coefficient (ICC) value was 0.782 with a 95% confidence interval (CI) of 0.749‐0.810 ( F (1439, 2878) ?=?4.852, P ??0.01). For intrarater reliability, mean Kappa averages were in the full agreement range ( κ ?=?0.726, n?=?2160, P ??0.01). When using the Thinsert? for calculus detection, the sensitivity was 75%, specificity was 97%, PPV was 81%, and NPV was 94%. Conclusion Since calculus evaluation was comparable when using the ODU 11/12 explorer and the Thinsert?, efforts can be focused on developing the tactile sensitivity when using the Thinsert? ultrasonic instrument in the assessment, treatment, and maintenance of periodontal disease and the support of oral health. The efficiency in dental hygiene care may improve by using the Thinsert? ultrasonic instrument in both the detection and removal of calculus.
机译：摘要介绍牙周疗法扰乱了生物膜窝水沟通炎症的微分。勘探器主要用于微积分检测，超声仪器主要用于去除光跳。如果超声波仪器可以在微积分检测和移除中使用牙齿卫生护理的效率可以提高。目的本研究的目的是验证Thinsert之间微积分检测的有效性吗？超声波插入和11/12勘探器。方法对IRB批准，这项验证研究涉及来自俄亥俄州大学牙科卫生计划的三位牙科卫生学院，以及来自俄亥俄州州立大学社区的30名患者参与者。使用这两种仪器，在兰姆日索引牙齿上和每颗牙齿的四个可能的表面上评估微积分。分析数据以评估Interrater可靠性，内部可靠性，灵敏度和特异性。 Interrader可靠性的结果，内部系数（ICC）值的平均度量为0.782，95％置信区间（CI）为0.749-0.810（F（1439,2878）？=α.4.852，p？0.01）。对于内在的可靠性，平均κ平均值在完全协议范围内（κα=？0.726，n？=Δ2160，p？0.01）。使用thinsert时？对于微积分检测，敏感性为75％，特异性为97％，PPV为81％，NPV为94％。结论由于使用ODU 11/12探险家和Thinsert的微积分评估是可比的，因此在使用Thinsert时，努力可以集中精力开发触觉敏感性？超声仪在牙周病的评估，治疗和维持和口腔健康的支持下。牙科卫生护理的效率可以通过使用Thinsert改善？超声波仪器在微积分的检测和去除。

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