Parameters of radiologic care: An official report of the American Academy of Oral and Maxillofacial Radiology

White, Stuart C.; Heslop, Edward W.; Hollender, L; Mosier, Kristine M.; Ruprecht, A; Shrout, Michael K.

doi:10.1067/moe.2001.114380

Cited by 111 publications

(67 citation statements)

References 12 publications

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“…The limited benefit of using CBCT to detect implant width and the high levels of correct prediction at both initial (71.6%) and final planning (73.7%) stages must be viewed with some latitude, especially because cases with poor bone dimensions -in which a CBCT exam would be essential 10 were previously excluded from the study sample.…”

Section: Discussionmentioning

confidence: 99%

Impact of cone-beam computed tomography on implant planning and on prediction of implant size

et al. 2014

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Abstract:The aim was to investigate the impact of cone-beam computed tomography (CBCT) on implant planning and on prediction of final implant size. Consecutive patients referred for implant treatment were submitted to clinical examination, panoramic (PAN) radiography and a CBCT exam. Initial planning of implant length and width was assessed based on clinical and PAN exams, and final planning, on CBCT exam to complement diagnosis. The actual dimensions of the implants placed during surgery were compared with those obtained during initial and final planning, using the McNemmar test (p < 0.05). The final sample comprised 95 implants in 27 patients, distributed over the maxilla and mandible. Agreement in implant length was 50.5% between initial and final planning, and correct prediction of the actual implant length was 40.0% and 69.5%, using PAN and CBCT exams, respectively. Agreement in implant width assessment ranged from 69.5% to 73.7%. A paired comparison of the frequency of changes between initial or final planning and implant placement (McNemmar test) showed greater frequency of changes in initial planning for implant length (p < 0.001), but not for implant width (p = 0.850). The frequency of changes was not influenced by implant location at any stage of implant planning (chi-square test, p > 0.05). It was concluded that CBCT improves the ability of predicting the actual implant length and reduces inaccuracy in surgical dental implant planning.

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Section: Discussionmentioning

confidence: 99%

Impact of cone-beam computed tomography on implant planning and on prediction of implant size

et al. 2014

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“…Ao contrário do procedimento em humanos, no qual o posicionamento e imobilização do paciente ocorrem de forma voluntária, após instrução do técnico do serviço (White et al 2001), para os cães e gatos utilizados neste estudo, a metodologia desenvolvida foi fundamental para a correta aquisição das imagens, o que significou evitar a repetição de exames, diminuir o tempo e o risco anestési-co e a exposição à radiação ionizante pelos pacientes.…”

Section: Resultsunclassified

Tomografia computadorizada de feixe cônico na odontologia veterinária: descrição e padronização da técnica

Roza

Silva

Januário³

et al. 2009

Pesq. Vet. Bras.

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ABSTRACT.-Roza M.R., Silva L.A.F., Januário A.L., Barriviera M., Oliveira A. Eleven dogs and four cats with buccodental alterations, treated in the Centro Veterinário do Gama, in Brasilia, DF, Brazil, were submitted to cone beam computed tomography. The exams were carried out in a i-CAT tomograph, using for image acquisition six centimeters height, 40 seconds time, 0.2 voxel, 120 kilovolts and 46.72 milliamperes per second. The ideal positioning of the animal for the exam was also determined in this study and it proved to be fundamental for successful examination, which required a simple and safe anesthetic protocol due to the relatively short period of time necessary to obtain the images. Several alterations and diseases were identified with accurate imaging, demonstrating that cone beam computed tomography is a safe, accessible and feasible imaging method which could be included in the small animal dentistry routine diagnosis.INDEX TERMS: Diseases of dogs, cone beam computed tomography, diagnosis by imaging, veterinary dentistry.

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“…Ainda, deve-se averiguar a existência de exames radiográficos anteriores, que tornem desnecessário um novo exame 16 . Adicionalmente, a American Academy of Oral and Maxillofacial Radiology aponta que a natureza e a extensão do diagnóstico requerido para o paciente constituem a única base racional para determinar o tipo e a frequência de exames radiográficos, não o conceito do uso rotineiro de radiografias como parte dos exames periódicos 9 .…”

Section: Discussionunclassified

Exames radiográficos solicitados no atendimento inicial de pacientes em uma Faculdade de Odontologia brasileira

Moura

Blasco

Damian

2014

Rev. odontol. UNESP

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ResumoIntrodução: Para que radiografias ofereçam mais benefícios do que riscos, precisam ser realizadas ou solicitadas de acordo com cada situação clínica. Objetivo: Avaliar os exames radiográficos solicitados no atendimento inicial em uma Faculdade de Odontologia, considerando os sinais/sintomas e o motivo para busca pelo atendimento. Material e método: Foram avaliados os prontuários de 3.100 pacientes adultos, tratados em um período de três anos, excluindo aqueles em que os pacientes não haviam realizado exames radiográficos na consulta inicial. Numa amostra final de 1.567 prontuários, foram coletados os seguintes dados: idade e gênero, razão da procura pelo tratamento, presença de sinais e/ou sintomas, além da técnica e do número de radiografias realizadas. Os dados foram analisados por estatística descritiva. Resultado: 5.034 radiografias realizadas, com média de 3,24 (±2,97) por paciente. Entre as técnicas, a mais utilizada foi a periapical seguida pela panorâmica. Extração dentária e dor foram as razões mais prevalentes da procura pelo atendimento, enquanto dor, doença periodontal e presença de patologias de tecidos moles foram os sinais/sintomas mais comuns. Verificou-se que 35,41% da amostra não apresentou sinais ou sintomas. Conclusão: Há uma grande variação na requisição de radiografias no exame inicial, mostrando uma falha na aplicação de critérios de seleção de imagens para diagnóstico, o que pode levar à exposição desnecessária do paciente à radiação X.Descritores: Radiografia dentária; dosagem de radiação; guia de práticas clínicas; assistência odontológica; registros odontológicos. AbstractIntroduction: For X-rays offer more benefits than risks, they need to be performed or ordered according to each clinical situation. Objective: To evaluate the radiographic exams requested in the initial care in a dental school, considering signs/symptoms and the reported reasons for seeking care. Material and method: We evaluated the medical records of 3100 adult patients treated over a period of three years, and eliminated those who had not performed radiographic examinations in the initial care. In a final sample of 1567 records, was collected: age and gender, reason for seeking care, presence of signs and/or symptoms, beyond technique and the number of radiographs requested. The dates were analysed by descriptive statistics. Result: 5034 radiographs were made, mean of 3.24 (±2.97) per patient. Among the techniques, the most widely used was the periapical, followed by panoramic. Tooth extraction and pain were the most prevalent reasons for seeking care, while pain, periodontal disease and the presence of soft tissue pathologies were the signs/symptoms more common. 35.41% of the sample had no signs or symptoms. Conclusion: There is a wide variation in the request of radiographs for initial care showing a lack of application of criteria in the selection diagnostic imaging, which can lead to unnecessary exposure to radiation X.

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Parameters of radiologic care: An official report of the American Academy of Oral and Maxillofacial Radiology

Cited by 111 publications

References 12 publications

Impact of cone-beam computed tomography on implant planning and on prediction of implant size

Impact of cone-beam computed tomography on implant planning and on prediction of implant size

Tomografia computadorizada de feixe cônico na odontologia veterinária: descrição e padronização da técnica

Exames radiográficos solicitados no atendimento inicial de pacientes em uma Faculdade de Odontologia brasileira

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