title: The influence of using digital diagnostic information on orthodontic treatment planning - a pilot study.
abstract: The purpose of this pilot study was to assess whether orthodontic treatment planning is reproducible when carried out using digital records compared with clinical examinations or using standard records. The study also assessed patients' opinion of face-to-face consultations and potential use of teleorthodontics. The study was designed as a prospective observational cross-sectional pilot study and carried out in a UK dental teaching hospital involving 27 subjects. Four consultant Orthodontists carried out treatment planning, firstly following a clinical examination, then using standard records, and then using digital records. Each subject completed a questionnaire. Cohen's kappa coefficient and Fleiss' kappa coefficient were used to assess intra-observer reproducibility and inter-observer reproducibility of treatment planning decisions, respectively. A change in the diagnostic information format affected treatment planning reproducibility for half of the observers. Inter-observer reproducibility was greater when using hard copy records in comparison to digital records. No subjects were unsatisfied with their face-to-face consultation.
authors.affiliation: Department of Orthodontics, Dundee Dental Hospital, Tayside, UK University of Dundee, UK.
authors.forename: A Craig
authors.initials: AC
authors.lastname: Dunbar
authors.affiliation: Department of Orthodontics, Dundee Dental Hospital, Tayside, UK University of Dundee, UK.
authors.forename: David
authors.initials: D
authors.lastname: Bearn
authors.affiliation: Department of Orthodontics, Dundee Dental Hospital, Tayside, UK University of Dundee, UK.
authors.forename: Grant
authors.initials: G
authors.lastname: McIntyre
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D054893:Cone-Beam Computed Tomography / Q000379:methods; D003936:Diagnosis, Computer-Assisted / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D003765:Models, Dental; D009971:Orthodontics, Corrective / Q000379:methods*; D017060:Patient Satisfaction; D010780:Photogrammetry / Q000379:methods; D010865:Pilot Projects; D011862:Radiography, Panoramic / Q000379:methods; D012017:Referral and Consultation; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D017216:Telemedicine; D055815:Young Adult
keywords: Orthodontic treatment planning; digital orthodontic records; teleorthodontics