Ana Márcia Viana Wanzeler1, Francisco Montagner2, Henrique Timm Vieira1, Heraldo Luis Dias da Silveira3, Nádia Assein Arús3, Mariana Boessio Vizzotto4. 1. Postgraduate Program, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil. 2. Department of Conservative Dentistry, Endodontics Division, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil. 3. Department of Surgery and Orthopedics, Oral Radiology Division, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. 4. Department of Surgery and Orthopedics, Oral Radiology Division, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. Electronic address: mariana.vizzotto@ufrgs.br.
Abstract
INTRODUCTION: This study evaluated the influence of cone-beam computed tomography (CBCT) on endodondists' level of confidence in their diagnosis of endodontic cases and their treatment plans. METHODS: Twenty clinical cases with periapical radiographs and small-volume CBCT scans were classified according to the American Association of Endodontists guidelines. Information was provided on patient clinical history, and both extraoral and intraoral examinations were simulated. Fifteen endodontists filled out 2 questionnaires. In the first (Q1), the clinical description and a periapical radiograph were presented, followed by the questions. Thirty days later, they answered a second questionnaire (Q2) containing the same clinical description and CBCT. Their confidence in diagnosis and treatment planning was analyzed before and after receiving the tomographic images. Responses were recorded on a 5-point Likert scale, and the Wilcoxon test was used to investigate before and after levels of confidence in diagnosis and treatment planning. RESULTS: The CBCT images influenced confidence in diagnosis and treatment planning of endodontic cases classified as complex (Wilcoxon test; P ≤ .05). There was a substantial change in the treatment planned in both moderate and complex cases after CBCT. Case complexity did not affect the participants' decision to request complementary information through CBCT. CONCLUSIONS: In complex cases, CBCT increased endodontists' confidence to diagnose and plan treatment, when compared with periapical radiographs. Endodontists tended to recommend intervention when periapical images were supplemented with CBCT. CBCT proved to be an imaging method that influences endodontists' preoperative evaluation and treatment choice.
INTRODUCTION: This study evaluated the influence of cone-beam computed tomography (CBCT) on endodondists' level of confidence in their diagnosis of endodontic cases and their treatment plans. METHODS: Twenty clinical cases with periapical radiographs and small-volume CBCT scans were classified according to the American Association of Endodontists guidelines. Information was provided on patient clinical history, and both extraoral and intraoral examinations were simulated. Fifteen endodontists filled out 2 questionnaires. In the first (Q1), the clinical description and a periapical radiograph were presented, followed by the questions. Thirty days later, they answered a second questionnaire (Q2) containing the same clinical description and CBCT. Their confidence in diagnosis and treatment planning was analyzed before and after receiving the tomographic images. Responses were recorded on a 5-point Likert scale, and the Wilcoxon test was used to investigate before and after levels of confidence in diagnosis and treatment planning. RESULTS: The CBCT images influenced confidence in diagnosis and treatment planning of endodontic cases classified as complex (Wilcoxon test; P ≤ .05). There was a substantial change in the treatment planned in both moderate and complex cases after CBCT. Case complexity did not affect the participants' decision to request complementary information through CBCT. CONCLUSIONS: In complex cases, CBCT increased endodontists' confidence to diagnose and plan treatment, when compared with periapical radiographs. Endodontists tended to recommend intervention when periapical images were supplemented with CBCT. CBCT proved to be an imaging method that influences endodontists' preoperative evaluation and treatment choice.
Authors: Fernando José Mota de Almeida; Dalya Hassan; Ghada Nasir Abdulrahman; Malin Brundin; Nelly Romani Vestman Journal: Dentomaxillofac Radiol Date: 2021-06-04 Impact factor: 2.419
Authors: Konstantinos Kalogeropoulos; Alexandra Xiropotamou; Despina Koletsi; Giorgos N Tzanetakis Journal: Int J Environ Res Public Health Date: 2022-03-30 Impact factor: 3.390