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远程放射学在一般牙科实践中的临床实用性。

Clinical usefulness of teleradiology in general dental practice.

作者信息

Choi Jin-Woo

机构信息

Department of Oral and Maxillofacial Radiology, Dankook University College of Dentistry, Cheonan, Korea.

出版信息

Imaging Sci Dent. 2013 Jun;43(2):99-104. doi: 10.5624/isd.2013.43.2.99. Epub 2013 Jun 14.

Abstract

PURPOSE

This study was performed to investigate the clinical usefulness of teleradiology in general dental practice.

MATERIALS AND METHODS

Two hundred and seventy five cases were submitted for inquiry to the case presentation board of the website of The Korean Academy of Oral and Maxillofacial Radiology for a 5 year periods. The diagnosis results of those cases were analyzed according to the disease classification, the correlation with the patient's chief complaint, the necessity of additional examinations or treatments, the image modalities, and the number of dentists inquiring.

RESULTS

Differential diagnoses of normal anatomic structures were the most frequently submitted cases, covering 15.6% of all cases. Among 275 cases, 164 cases required no additional treatments or examinations. Panoramic radiographs were the most frequently submitted images, accounting for 248 inquiries. The 275 cases were submitted by 96 dentists. Fifty-two dentists wrote one inquiry, and 44 inquired 2 or more times. The average inquiry number of the latter group was 5.0 cases.

CONCLUSION

A teleradiology system in general dental practice could be helpful in the differential diagnosis of common lesions and reduce unnecessary costs.

摘要

目的

本研究旨在探讨远程放射学在一般牙科实践中的临床实用性。

材料与方法

在5年时间里,向韩国口腔颌面放射学会网站的病例展示板块提交了275例病例以供咨询。根据疾病分类、与患者主要诉求的相关性、额外检查或治疗的必要性、影像模态以及咨询牙医的数量,对这些病例的诊断结果进行了分析。

结果

正常解剖结构的鉴别诊断是提交频率最高的病例,占所有病例的15.6%。在275例病例中,164例不需要额外的治疗或检查。全景X线片是提交频率最高的影像,有248次咨询。这275例病例由96名牙医提交。52名牙医提交了1次咨询,44名牙医咨询了2次或更多次。后一组的平均咨询病例数为5.0例。

结论

一般牙科实践中的远程放射学系统有助于常见病变的鉴别诊断并降低不必要的成本。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fceb/3691380/819a206ea796/isd-43-99-g001.jpg

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