儿科咬合翼片夹：学龄前儿童的接受度及X线片的诊断质量
Pediatric bitewing film holder: preschoolers' acceptance and radiographs' diagnostic quality.
作者信息
Pierro Viviane Santos da Silva, Barcelos Roberta, de Souza Ivete Pomarico Ribeiro, Raymundo Rubens Júnior
机构信息
Department of Pediatric Dentistry, School of Dentistry, Federal University of Rio de janeiro, Rio de Janeiro. Brazil.
出版信息
Pediatr Dent. 2008 Jul-Aug;30(4):342-7.
PURPOSE
The purpose of this study was to evaluate a modified bitewing film holder based on preschoolers' acceptance and the diagnostic quality of radiographic images.
METHODS
Sixty-six 3- to 5-year-old children were radiographed with the modified device. Acceptance was assessed according to their behavior during the radiographic examination and to their perception of the procedure. In only the 4- and 5-year-olds, the children's perception was assessed using a faces scale. Evaluation of the images' diagnostic quality for each quadrant (considering pairs of radiographs) was based on anatomic structures usually present on bitewing radiographs.
RESULTS
During radiographic examination, 73% of the children were cooperative. As to the patients' perceptions (N = 43), 74% showed satisfaction with the radiographic examination. The diagnostic quality of radiographic images (N = 66) was adequate in more than 90% of the cases for all evaluated parameters, except for the visualization of alveolar bone crests (54%) and the absence of proximal overlapping (86%).
CONCLUSIONS
The modified bitewing film holder produced adequate radiographs for almost all parameters and was well accepted by preschoolers.
目的
本研究的目的是基于学龄前儿童的接受程度和X线影像的诊断质量，对一种改良的咬合翼片夹进行评估。
方法
使用改良装置对66名3至5岁儿童进行X线摄影。根据他们在X线检查期间的行为以及对该检查程序的感受来评估接受程度。仅针对4岁和5岁的儿童，使用面部表情量表评估他们的感受。基于咬合翼片X线片上通常出现的解剖结构，对每个象限（考虑成对的X线片）的图像诊断质量进行评估。
结果
在X线检查期间，73%的儿童配合良好。至于患者的感受（N = 43），74%的儿童对X线检查表示满意。对于所有评估参数，除牙槽嵴的显示情况（54%）和近端无重叠情况（86%）外，X线图像（N = 66）的诊断质量在超过90%的病例中是足够的。
结论
改良的咬合翼片夹几乎对所有参数都能产生足够的X线片，并且被学龄前儿童很好地接受。
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