Onay Emel Olga, Yuzer Derin Bugu, Cakmak Eda, Gulsahi Kamran
Professor, Department of Endodontics, Faculty of Dentistry, Baskent University, Bahcelievler-Ankara, Turkey.
Research Fellow, Department of Endodontics, Faculty of Dentistry, Baskent University, Bahcelievler-Ankara, Turkey.
J Clin Exp Dent. 2025 May 1;17(5):e515-e520. doi: 10.4317/jced.62382. eCollection 2025 May.
A precise diagnosis is essential for formulating an effective treatment plan for both internal and external resorptions. Cone-beam computed tomography (CBCT) offers a three-dimensional view of the maxillofacial area, capturing images from coronal, axial, and sagittal angles. This method overcomes the limitations of conventional intraoral radiography (IR), especially when it comes to detecting and identifying defects related to internal and external resorption. Thus, the aim of this study was to assess whether CBCT imaging affects the accuracy of diagnosing and planning treatment for internal and external resorption defects differently between endodontic residents (ERs) and specialists (ESs).
Thirty-five clinicians reviewed 3 internal and 3 external resorption cases using clinical histories and intraoral radiographs (IRs), then answered questions about their diagnosis and treatment decisions. One month later, they re-evaluated the cases with CBCT and answered similar questions. Data analyzed using Mc-Nemar chi-square test and Prevalence Adjusted Bias Adjusted Kappa statistic. The level of statistical significance was set off < 0.05 in all data.
CBCT significantly improved diagnostic accuracy in 2 out of 6 cases (< 0.001) and altered the treatment plan in 4 out of 6 cases (< 0.05). There was no significant difference between ERs and ESs regarding diagnosis and treatment planning using the same imaging technique (> 0.05).
This study suggests that CBCT provides more detailed information compared to IR, with both imaging techniques allowing ERs and ESs to achieve similar diagnostic and treatment planning accuracy. Clinical decision making, cone-beam computed tomography, dental radiography, diagnosis, root resorption.
准确诊断对于制定有效的内吸收和外吸收治疗方案至关重要。锥形束计算机断层扫描（CBCT）可提供颌面部区域的三维视图，从冠状面、轴位和矢状面角度获取图像。该方法克服了传统口腔内放射摄影（IR）的局限性，尤其是在检测和识别与内吸收和外吸收相关的缺陷方面。因此，本研究的目的是评估CBCT成像在内科住院医师（ERs）和专科医师（ESs）之间对诊断和规划内吸收和外吸收缺陷治疗的准确性是否有不同影响。
35名临床医生使用临床病史和口腔内X线片（IRs）对3例内吸收和3例外吸收病例进行评估，然后回答有关其诊断和治疗决策的问题。一个月后，他们使用CBCT重新评估这些病例并回答类似问题。数据分析采用Mc-Nemar卡方检验和患病率调整偏倚调整卡帕统计量。所有数据的统计学显著性水平设定为<0.05。
CBCT在6例中的2例中显著提高了诊断准确性（<0.001），并在6例中的4例中改变了治疗方案（<0.05）。在使用相同成像技术进行诊断和治疗规划方面，ERs和ESs之间没有显著差异（>0.05）。
本研究表明，与IR相比，CBCT提供了更详细的信息，两种成像技术都能使ERs和ESs达到相似的诊断和治疗规划准确性。临床决策、锥形束计算机断层扫描、牙科放射学、诊断、牙根吸收。
