在口腔外科医生之间,根据放射学发现的上第三的治疗计划有所不同:一个基于网络的"纸质"临床研究
Louise Hermann1, Sven Erik Nørholt2, Ann Wenzel1
1Oral Radiology, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
Oral surgery, oral medicine, oral pathology and oral radiology
|August 10, 2024
概括
口腔外科医生在比较全景 (PAN) 图像和形光束CT (CBCT) 时,显示了尾牙的治疗计划和病理发现的显著差异. 在成像方式之间注意到根吸收评估的差异.
科学领域:
- 牙科 牙科是指牙科的专业.
- 口腔和牙面部外科手术
- 放射学 放射学是一门学科.
背景情况:
- 大的第二和第三 presents复杂的治疗规划挑战.
- 像全景 (PAN) 放射和束CT (CBCT) 这样的诊断成像模式在评估这些牙中起着至关重要的作用.
- 解释的差异可能会影响治疗决策.
研究的目的:
- 评估尾第2和第3的治疗计划和病理发现的变化.
- 为了比较基于PAN成像与CBCT的解释.
- 评估成像模式对手术决策的影响.
主要方法:
- 一项基于互联网的研究涉及28名口腔和面外科医生,评估了10例受影响的上第三的病例.
- 使用临床信息,PAN和CBCT评估了治疗计划和病理发现.
- 外科医生确定了第二和第三牙的治疗方法,并评估了根吸收,骨损失和卵泡空间.
主要成果:
- 在PAN和CBCT评估之间观察到治疗计划 (0-43%) 的显著差异.
- 在任何情况下,都无法就治疗计划达成完全的协议.
- 病理发现,特别是根吸收重度,显示出变化,并且在CBCT上通常被评为较差,而不是PAN.
结论:
- 在治疗计划和尾的病理评估中存在大量的外科医生间变异性.
- 图像学模式的选择 (PAN与CBCT) 影响病理发现和治疗决策.
- 病理发现的变化与随后治疗计划的变化之间没有直接的相关性.
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