Faculdade São Leopoldo Mandic, Campinas, SP, Brazil.
Division of Oral Radiology, Faculdade São Leopoldo Mandic, Campinas, SP, Brazil.
Eur Arch Paediatr Dent. 2023 Jun;24(3):369-378. doi: 10.1007/s40368-022-00775-x. Epub 2023 Mar 16.
To evaluate the CBCT referrals in paediatric patients over a 24-month period.
A retrospective study was conducted in two radiological centers in Campinas, Brazil. Patients were divided into three age groups: G1: age under 10 years, G2: age between 10 and 12 years, and G3: age over 12 years. The following data were collected: patients' age and sex, localisation, reasons for referral and dental specialty responsible for the request of CBCT exams.
Data from 367 patients were assessed. CBCT was used more frequently in the Group 3 (58.9%). There was significant association between the region of the exam and age group (P < 0.05), with a higher percentage of exams in the maxilla for the age over 12 years (35.6%) than that of up to 10 years (50.9%) and between 10 and 12 years (51.1%). Alterations were observed in 79.3% of the exams and 47.4% showed impacted teeth with significant association with the increase in age group (P < 0.05). Of the total number of exams, (55.3%) were requested in Orthodontics followed by Oral Surgery (30.0%) and Paediatric Dentistry (9.5%).
It can be concluded that CBCT exams were indicated frequently for the age over 12 years. The presence of impacted teeth represented the main reason for referrals and Orthodontics was the dental specialty that indicated CBCT with higher frequency.
评估 24 个月内儿科患者的 CBCT 转诊情况。
本研究为巴西坎皮纳斯的两个放射学中心进行的回顾性研究。患者分为三个年龄组：G1：年龄<10 岁，G2：年龄 10-12 岁，G3：年龄>12 岁。收集以下数据：患者年龄和性别、部位、转诊原因以及负责 CBCT 检查请求的牙科专业。
共评估了 367 名患者的数据。第 3 组（58.9%）更频繁地使用 CBCT。检查部位与年龄组之间存在显著关联（P<0.05），12 岁以上患者上颌骨检查比例（35.6%）高于 10 岁以下患者（50.9%）和 10-12 岁患者（51.1%）。79.3%的检查中观察到异常，47.4%的检查显示有阻生牙，与年龄组的增加呈显著相关（P<0.05）。在总检查数量中，正畸科（55.3%）紧随其后的是口腔颌面外科（30.0%）和儿童牙科（9.5%）。
可以得出结论，CBCT 检查频繁用于 12 岁以上的患者。阻生牙的存在是转诊的主要原因，正畸科是最常指示进行 CBCT 的牙科专业。
