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Elhennawy K, Rajjoub O, Reissmann DR, Doueiri MS, Hamad R, Sierwald I, Wiedemann V, Bekes K, Jost-Brinkmann PG. Correction to: The association between molar incisor hypomineralization and oral health‑related quality of life: a cross‑sectional study. Clin Oral Investig 2022; 26:4079. [PMID: 35488135 PMCID: PMC9072517 DOI: 10.1007/s00784-022-04523-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- K Elhennawy
- Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charite - Universitatsmedizin Berlin, corporate member Freie Universitat Berlin, Humboldt-Universitat Zu Berlin, and Berlin Institute of Health, Berlin, Germany.
| | - O Rajjoub
- Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charite - Universitatsmedizin Berlin, corporate member Freie Universitat Berlin, Humboldt-Universitat Zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - D R Reissmann
- Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - M-S Doueiri
- Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charite - Universitatsmedizin Berlin, corporate member Freie Universitat Berlin, Humboldt-Universitat Zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - R Hamad
- Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charite - Universitatsmedizin Berlin, corporate member Freie Universitat Berlin, Humboldt-Universitat Zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - I Sierwald
- Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charite - Universitatsmedizin Berlin, corporate member Freie Universitat Berlin, Humboldt-Universitat Zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - V Wiedemann
- Private Practice "MUNDWERK", Berlin, Germany
| | - K Bekes
- Department of Paediatric Dentistry, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria
| | - P-G Jost-Brinkmann
- Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charite - Universitatsmedizin Berlin, corporate member Freie Universitat Berlin, Humboldt-Universitat Zu Berlin, and Berlin Institute of Health, Berlin, Germany
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Elhennawy K, Rajjoub O, Reissmann DR, Doueiri MS, Hamad R, Sierwald I, Wiedemann V, Bekes K, Jost-Brinkmann PG. The association between molar incisor hypomineralization and oral health-related quality of life: a cross-sectional study. Clin Oral Investig 2022; 26:4071-4077. [PMID: 35147789 PMCID: PMC9072460 DOI: 10.1007/s00784-022-04375-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 01/11/2022] [Indexed: 11/27/2022]
Abstract
Objectives We aimed to assess the association between molar incisor hypomineralization (MIH) and the oral health-related quality of life (OHRQoL) in a group of 7- to 14-year-old children in Berlin, Germany. Materials and methods The cross-sectional study consisted of a consecutive sample of 317 children, aged 7–14 years (49% girls, 51% boys; mean age, 8.71). Data were collected between June 2018 and December 2019. MIH was diagnosed using the criteria of the European Academy of Paediatric Dentistry. OHRQoL was assessed using the German 19-item version of the Child Oral Health Impact Profile (COHIP-G19). Differences in COHIP-19 summary scores between controls without MIH and MIH patients and with regards to MIH severity were tested for statistical significance using t test and analysis of variance (ANOVA), respectively. Results Data were obtained for 217 untreated MIH patients and 100 controls. OHRQoL of MIH patients was significantly more impaired than of controls indicated by COHIP-19 mean scores (60.9 ± 10.7 vs. 67.9 ± 7.8; p < 0.001). Patients with severe MIH (59.6 ± 11.0) reported significantly worse OHRQoL than patients with mild MIH (63.6 ± 9.1; p = 0.013). Conclusions MIH has a significant negative impact on the children’s OHRQoL. Patients with severe MIH experience a greater negative impact on OHRQoL than those diagnosed with mild MIH. Clinical significance MIH is one of the major dental problems of our time; pediatric dentists should be aware of its impact on the OHRQoL of the patient.
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Affiliation(s)
- K Elhennawy
- Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, and Berlin Institute of Health, Berlin, Germany.
| | - O Rajjoub
- Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - D R Reissmann
- Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - M-S Doueiri
- Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - R Hamad
- Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - I Sierwald
- Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - V Wiedemann
- Private practice "MUNDWERK", Berlin, Germany
| | - K Bekes
- Department of Paediatric Dentistry, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria
| | - P-G Jost-Brinkmann
- Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, and Berlin Institute of Health, Berlin, Germany
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Schwendicke F, Rossi JG, Göstemeyer G, Elhennawy K, Cantu AG, Gaudin R, Chaurasia A, Gehrung S, Krois J. Cost-effectiveness of Artificial Intelligence for Proximal Caries Detection. J Dent Res 2020; 100:369-376. [PMID: 33198554 PMCID: PMC7985854 DOI: 10.1177/0022034520972335] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Artificial intelligence (AI) can assist dentists in image assessment, for example, caries detection. The wider health and cost impact of employing AI for dental diagnostics has not yet been evaluated. We compared the cost-effectiveness of proximal caries detection on bitewing radiographs with versus without AI. U-Net, a fully convolutional neural network, had been trained, validated, and tested on 3,293, 252, and 141 bitewing radiographs, respectively, on which 4 experienced dentists had marked carious lesions (reference test). Lesions were stratified for initial lesions (E1/E2/D1, presumed noncavitated, receiving caries infiltration if detected) and advanced lesions (D2/D3, presumed cavitated, receiving restorative care if detected). A Markov model was used to simulate the consequences of true- and false-positive and true- and false-negative detections, as well as the subsequent decisions over the lifetime of patients. A German mixed-payers perspective was adopted. Our health outcome was tooth retention years. Costs were measured in 2020 euro. Monte-Carlo microsimulations and univariate and probabilistic sensitivity analyses were conducted. The incremental cost-effectiveness ratio (ICER) and the cost-effectiveness acceptability at different willingness-to-pay thresholds were quantified. AI showed an accuracy of 0.80; dentists’ mean accuracy was significantly lower at 0.71 (minimum–maximum: 0.61–0.78, P < 0.05). AI was significantly more sensitive than dentists (0.75 vs. 0.36 [0.19–0.65]; P = 0.006), while its specificity was not significantly lower (0.83 vs. 0.91 [0.69–0.98]; P > 0.05). In the base-case scenario, AI was more effective (tooth retention for a mean 64 [2.5%–97.5%: 61–65] y) and less costly (298 [244–367] euro) than assessment without AI (62 [59–64] y; 322 [257–394] euro). The ICER was −13.9 euro/y (i.e., AI saved money at higher effectiveness). In the majority (>77%) of all cases, AI was less costly and more effective. Applying AI for caries detection is likely to be cost-effective, mainly as fewer lesions remain undetected. Notably, this cost-effectiveness requires dentists to manage detected early lesions nonrestoratively.
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Affiliation(s)
- F Schwendicke
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - J G Rossi
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - G Göstemeyer
- Department of Operative and Preventive Dentistry, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - K Elhennawy
- Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - A G Cantu
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - R Gaudin
- Department of Oral and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - A Chaurasia
- Department of Oral Medicine and Radiology, King George's Medical University, Lucknow, India
| | - S Gehrung
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - J Krois
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité-Universitätsmedizin Berlin, Berlin, Germany
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