{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:45:35Z","timestamp":1791499535437,"version":"4.3.4"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T00:00:00Z","timestamp":1743379200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T00:00:00Z","timestamp":1743379200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"publisher","award":["01GY1802"],"award-info":[{"award-number":["01GY1802"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the accuracy and reliability of intraoral 3D scans for assessing the oral health of older patients living in nursing homes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      One examiner recorded missing teeth, restorations, caries lesions and oral hygiene (Geriatric\u2010Debris\u2010Index Simplified [GDI\u2010S]\u2009\u2265\u20091.9) in nursing home residents using visual\u2010tactile diagnostics (reference test) and afterwards obtained intraoral scans with an intraoral scanner (TRIOS 4, 3Shape). Two other independent investigators and the clinical examiner assessed only the scans to delineate the same diagnostic outcomes. For these outcomes, we assessed accuracy, sensitivity, specificity and the Area\u2010under\u2010the\u2010Receiver\u2010Operating\u2010Characteristics Curve (AUROC). Kappa values (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      ) were calculated to evaluate inter\u2010examiner and intra\u2010examiner reliability after re\u2010examination by all examiners after a minimum interval of 3\u2009weeks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010three partially dentate patients (65\u201395\u2009years of age) in need of care living in four nursing homes with a total of 486 teeth (mean [SD]: 11 [9] teeth per patient) were examined. Scans were perfectly accurate for detecting missing teeth (AUROC [sensitivity\/specificity]: 1 [1\/1]) and showed high accuracy for detecting restorations (0.96 [0.93\/0.98]), too. Accuracy was lower to detect caries (0.77 [0.58\/0.97]) and insufficient for oral hygiene (0.76 [0.54\/0.99]). Agreement between examiners was perfect for missing teeth (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      : 1), very good for the detection of restorations (0.94), and good for caries or insufficient oral hygiene (0.73 and 0.72, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Scans were suitable for basic diagnostic evaluations but showed considerable shortcomings in detecting caries and poor oral hygiene. Assessing scans was relatively reliable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Using scans may allow telemedical assessments of nursing home residents, but users should be aware of the differential accuracy for different diagnostic targets.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ger.12817","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T15:22:50Z","timestamp":1743520970000},"page":"507-513","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Accuracy and Reliability of Intraoral\n                    <scp>3D<\/scp>\n                    Scans for Diagnostic Evaluations in Nursing Home Residents"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9215-1179","authenticated-orcid":false,"given":"Basel","family":"Kharbot","sequence":"first","affiliation":[{"name":"Department of Operative, Preventive and Pediatric Dentistry Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maike","family":"Riegel","sequence":"additional","affiliation":[{"name":"Department of Operative, Preventive and Pediatric Dentistry Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Falk","family":"Schwendicke","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Periodontology Ludwig\u2010Maximilians\u2010Universit\u00e4t M\u00fcnchen  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Paris","sequence":"additional","affiliation":[{"name":"Department of Operative, Preventive and Pediatric Dentistry Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerd","family":"G\u00f6stemeyer","sequence":"additional","affiliation":[{"name":"Department of Operative, Preventive and Pediatric Dentistry Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,31]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034520908533"},{"key":"e_1_2_11_3_1","first-page":"557","volume-title":"F\u00fcnfte Deutsche Mundgesundheitsstudie (DMS V)","author":"Nitschke 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