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锥形束计算机断层扫描和根尖片在根管治疗后牙齿评估中的准确性:一项五年回顾性研究。

Accuracy of Cone-beam Computed Tomography and Periapical Radiography in Endodontically Treated Teeth Evaluation: A Five-Year Retrospective Study.

作者信息

Saidi Anastasia, Naaman Alfred, Zogheib Carla

机构信息

Resident, Department of Endodontics, St. Joseph University, Beirut, Lebanon.

Professor and Head, Department of Endodontics, St. Joseph University, Beirut, Lebanon.

出版信息

J Int Oral Health. 2015 Mar;7(3):15-9.

Abstract

BACKGROUND

This study aimed to evaluate the accuracy of two imaging methods in detecting the apical pathology in endodontically treated teeth.

MATERIAL AND METHODS

A clinical examination from a sample of 156 teeth of patients treated by students of masters in endodontics at the Care Center of the Faculty of Dentistry at St. Joseph University, Beirut was done after 5 years of follow-up. Periradicular digital radiographs and a cone-beam computed tomography (CBCT)scans were taken and analyzed statistically using both the Exact Fisher tests and McNemar tests.

RESULTS

The prevalence of lesions was significantly higher with CBCT (34.8%), whereas for digital radiography (13.8%). The CBCT was revealed more precise to identify periapical lesions. As for the clinical success, the rate was 82.5%.

CONCLUSION

Within the limitations of the present study, CBCT was more reliable in detecting periapical lesions compared with digital periapical radiographs.

摘要

背景

本研究旨在评估两种成像方法在检测根管治疗牙齿根尖病变中的准确性。

材料与方法

对贝鲁特圣约瑟夫大学牙科学院护理中心牙髓病学硕士研究生治疗的患者的156颗牙齿样本进行了5年随访后的临床检查。拍摄了根尖周数字X线片和锥形束计算机断层扫描(CBCT),并使用精确费舍尔检验和麦克尼马尔检验进行统计分析。

结果

CBCT显示的病变患病率显著更高(34.8%),而数字X线片为(13.8%)。CBCT在识别根尖周病变方面更精确。至于临床成功率,为82.5%。

结论

在本研究的局限性范围内,与根尖周数字X线片相比,CBCT在检测根尖周病变方面更可靠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3be/4385719/0619de6ae4bc/JIOH-7-15-g001.jpg

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