Flint D J, Paunovich E, Moore W S, Wofford D T, Hermesch C B
General Dentistry, Lackland AFB Texas, San Antonio, USA.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Jun;85(6):731-5. doi: 10.1016/s1079-2104(98)90043-9.
This study compared panoramic and intraoral radiographic surveys in the evaluation of specific dental pathoses in Air Force personnel.
The radiographs of 30 subjects were read singly and in various combinations: panoramic survey only; periapicals plus bitewings; panoramic survey plus bitewings; and panoramic survey plus periapicals plus bitewings. Three independent, blinded examiners using standardized viewing conditions assessed the radiographs in random order for the presence of caries, periapical pathoses, bone loss, furcation involvement, impacted/unerupted teeth, internal/external root resorption, and retained roots. The consensus radiographic standard of true pathosis was the simultaneous interpretation by the three examiners of all radiographs for each subject.
The panoramic survey by itself was shown to have the lowest correlation with the consensus radiographic standard when basic military trainees with generalized dental pathoses were evaluated. The combination of panoramic survey plus bitewing radiographs exhibited a diagnostic yield for specific pathoses that was comparable to that of panoramic survey plus bitewings plus periapicals.
本研究比较全景X线片和口内X线片检查在评估空军人员特定牙病方面的效果。
对30名受试者的X线片进行单独及多种组合方式的阅片：仅全景X线片检查；根尖片加咬合翼片；全景X线片加咬合翼片；全景X线片加根尖片加咬合翼片。三名独立的、不知情的检查者在标准化的观片条件下，以随机顺序评估X线片，检查是否存在龋齿、根尖周病变、骨质丧失、根分叉病变、阻生/未萌出牙齿、牙根内/外吸收以及保留牙根。真正病变的X线片共识标准是三名检查者对每个受试者的所有X线片进行同步解读。
在评估患有广泛性牙病的基础军事训练人员时，单独的全景X线片检查与X线片共识标准的相关性最低。全景X线片加咬合翼片组合对特定病变的诊断率与全景X线片加咬合翼片加根尖片组合相当。
