制定基于证据的临床成像指南,用于诊断垂直骨折的牙
Ki-Hong Kim1, Jo-Eun Kim2, Sam-Sun Lee1
1Department of Oral and Maxillofacial Radiology, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Korea.
Oral radiology
|July 8, 2024
概括
对于诊断垂直根骨折,特别是痛时,建议进行周周放射. 如果初始放射图无法得出结论,形光束计算断层扫描 (CBCT) 是另一种选择,但人工阴影可能会阻碍其在内牙治疗牙中的使用.
科学领域:
- 牙科 牙科是指牙科的专业.
- 放射学 放射学是一门学科.
- 基于证据的实践实践.
背景情况:
- 垂直根骨折 (VRF) 是导致牙脱落的常见原因之一.
- 准确诊断VRF对于适当的治疗计划至关重要.
- 现有的VRF诊断方法存在局限性.
研究的目的:
- 制定基于证据的临床成像指南,用于诊断疑似垂直根骨折的牙.
- 为VRF检测提供关于最佳成像方式的建议.
主要方法:
- 韩国临床成像指南 (K-CIG) 方法的调整.
- 在主要的国际和国内数据库中进行系统的文献搜索.
- 根据两个独立审稿人的预定义标准,包含相关文章.
主要成果:
- 确定了20篇文章,其中3篇被选为准则制定.
- 为诊断VRF的成像方法制定了具体的建议.
- 被确定为主要成像方法的周周放射学.
结论:
- 周周放射是怀疑VRF和相关疼痛的牙的首选成像方法.
- 小视野圆束计算断层扫描 (CBCT) 可以考虑当口腔内射线图是不够的.
- 在经过内牙治疗的牙中,人工阴影可以限制CBCT的诊断效用.
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