Iain A. Pretty

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BACKGROUND To determine if a novel dual camera imaging system employing both polarized white light (PWL) and quantitative light induced fluorescence imaging (QLF) is appropriate for measuring enamel fluorosis in an epidemiological setting. The use of remote and objective scoring systems is of importance in fluorosis assessments due to the potential risk of(More)
OBJECTIVE To assess the reliability of the analysis stage of quantitative light-induced fluorescence (QLF). The QLF analysis involves subjective input from the user and this study examines the influence of this on the reproducibility of the QLF data. METHOD QLF images were taken of 20 human molar teeth that had been previously subjected to a(More)
Dentists are involved in diagnosing disease in every aspect of their clinical practice. A range of tests, systems, guides and equipment--which can be generally referred to as diagnostic procedures--are available to aid in diagnostic decision making. In this era of evidence-based dentistry, and given the increasing demand for diagnostic accuracy and properly(More)
Parts 5 and 6 of this series examine innovations in diagnostic and management procedures and assess their potential to become everyday tools of the dental clinician. This paper examines some of the diagnostic tools supporting a philosophical shift in mainstream dental practice from concern with extensively decayed teeth to a focus on detecting incipient(More)
This study compared the reliability of two methods used to produce computer-generated bitemark overlays with Adobe Photoshop (Adobe Systems Inc., San Jose, CA). Scanned images of twelve dental casts were sent to 30 examiners with different experience levels. Examiners were instructed to produce an overlay for each cast image based on the instructions(More)
When a clinician is planning to use a diagnostic test or procedure, it is important to establish the likelihood that an individual patient is affected by the condition or disease; this determination depends on predictions that are affected by various features of the diagnostic procedure. In this regard, sensitivity and specificity are limited because they(More)
Quantitative Light-induced Fluorescence (QLF) has been used to measure tooth stain in vitro; however the current analysis method cannot be used in vivo, as it requires regions of interest to be surrounded by unstained tissue. In this study, an algorithm was developed to detect stain on QLF images of teeth captured in vivo. It uses convex hulls to(More)
BACKGROUND The purpose of this study was to compare diagnostic performance for the detection of caries using photographs with an established visual examination method and histological sections as the reference standard. METHODS 50 extracted permanent teeth were assessed for the presence of occlusal caries by 9 examiners using two methods; traditional(More)
BACKGROUND Untreated caries in young children can result in a referral for extraction in hospital under general anaesthetic (GA). This study aims to explore the impact of caries during the ensuing wait for GA on children resident in the North West of England. METHODS The study involved 456 respondents referred to six hospitals in the Northwest of England.(More)
This article, the third in a series, uses the tools described in the first 2 articles to examine some of the radiographic diagnostic procedures that are employed regularly in dental practice. With a general grounding in the meaning of terms such as sensitivity, specificity, thresholds, kappa coefficients, and predictive values, the reader should now be a(More)