CBCT和临床经验是否会影响内牙诊断和治疗规划中的决策? 一个前后研究研究
Tamyres Veleda Fonseca1, Gabriel Lima Braz2, Henrique Timm Vieira2
1Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
概括
形束计算断层扫描 (CBCT) 与周周放射 (PR) 相比,显著改变了内牙诊断和治疗计划. 虽然CBCT增加了学生的决策难度,但它帮助了专业人士,突出了临床经验的影响.
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.
- 牙周内科医院 牙周内科医院 牙周内科医院
背景情况:
- 周周放射 (PR) 是牙周内科的传统成像工具.
- 圆束计算机断层扫描 (CBCT) 为牙科诊断提供先进的3D成像.
- 鉴于评估者的经验,CBCT与PR对牙周内科决策的比较影响需要进一步阐明.
研究的目的:
- 评估CBCT和临床经验对内牙诊断和治疗规划的影响.
- 为了比较使用CBCT与PR进行的诊断和治疗决策.
- 评估评估者经验如何影响内牙病例中CBCT和PR的解释.
主要方法:
- 在28个内牙科病例中采用了前后研究设计.
- 五位内脏牙科专家和五位牙科学生评估了使用PR的病例,然后使用CBCT,隔30天.
- 统计分析包括McNemar和Wilcoxon签名等级测试,以及后勤回归.
主要成果:
- 大多数评估者,特别是学生,在从PR过渡到CBCT时改变了他们的诊断和治疗决策.
- 评估者的经验显著影响了诊断和治疗规划的困难,特别是CBCT.
- CBCT解释增加了学生的感知困难,但为专家提供了更容易的决策.
结论:
- CBCT显著影响内牙科的临床决策和感知到的困难.
- CBCT对诊断和治疗计划的影响是由评估者的临床经验水平调节的.
- CBCT代表了牙周内科的一个有价值的工具,其实用性受到专业专业知识的影响.
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