227 - Use of Clinical Photographs in the Diagnosis of Traumatic Dental Injuries

Purpose: The purpose of this study was to assess the effectiveness of clinical photographs in the diagnosis and treatment planning of traumatic dental injuries (TDIs). A secondary objective was to determine if dentists find clinical photographs of TDIs valuable.

Methods: A three-part survey was sent to AAPD members. Individuals were randomly assigned to 1 of 2 versions for part one. Part one consisted of 6 case-based questions. Three questions were written description only and 3 questions had clinical photographs, which were version dependent. Part two provided a complex TDI photograph and respondents selected all teeth with an injury. Part three consisted of 6 opinion questions pertaining to TDI photographs.

Results: Total of 496 respondents participated. Part one results were mixed. Overall, no significance between written descriptions only versus written description plus photograph. In part 2, a majority of respondents correctly selected the injured teeth. However, 31% misdiagnosed or over-diagnosed TDIs. The majority of respondents agreed photographs of TDIs aided their ability to diagnose, saves time, should be taken for legal and insurance purposes, and recommend photographs should be taken routinely. Approximately 1/4 respondents cited a barrier to taking photographs. Technical difficulties, patient’s cooperation and time were the most common barriers cited.

Conclusion: (1.) AAPD respondents agree there is value in taking photographs for TDIs. (2.) There are practice barriers in taking photographs preventing its routine use at TDI visits. (3.) Photographs are not a replacement of an exam and radiographs, but add valuable information to TDI baseline examinations.