Tomographic diagnosis of alveolar bone coverage impact in orthodontic planning: cross-sectional study.

Q2 Medicine

Dental Press Journal of Orthodontics Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI:10.1590/2177-6709.29.5.e242446.oar

Katia Montanha-Andrade, Paula Paes Ferreira, Ana Carolina Velasco Pondé DE Sena, Patricia R Cury, Ieda M Crusoé-Rebello

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引用次数: 0

Abstract

Introduction: Alveolar bone coverage can be diagnosed through cone beam computed tomography (CBCT) and this information can prevent orthodontic tooth movement beyond the biological limit.

Objective: This study evaluated the impact of the bone coverage (BC) diagnosis by CBCT in the orthodontists' planning.

Methods: One hundred fifty-nine Brazilian orthodontists suggested treatment plans for six patients at two different times, using two sequential questionnaires. The first questionnaire consisted of extra and intra-oral photographs, one panoramic radiograph; one lateral cephalometric radiograph with Steiner and Tweed analysis, and the patient chief complaint. The second questionnaire included the same presentations of cases with tomographic images and the radiologist's report. The McNemar test assessed the difference between the first and the second treatment plans.

Results: In all six cases, most participants changed the treatment plan after evaluating the CBCT images and the radiologist's report (93.7% in case 5, 78.6% in case 4, 74.2% in case 3, 69.8% in case 6, 66% in case 2 and 61% in case 1; p≤0.01).

Conclusion: The evaluation of bone coverage through CBCT images has a substantial impact on the orthodontic diagnosis and planning of the Brazilian orthodontists.

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牙槽骨覆盖影响正畸规划的断层扫描诊断：横断面研究。

导言：通过锥形束计算机断层扫描（CBCT）可以诊断牙槽骨覆盖率，这一信息可以防止正畸牙齿移动超过生物极限：通过锥形束计算机断层扫描（CBCT）可以诊断牙槽骨覆盖，这一信息可以防止正畸牙齿移动超过生物极限：本研究评估了通过锥形束计算机断层扫描（CBCT）诊断骨覆盖（BC）对正畸医生计划的影响：方法：159 名巴西正畸医生在两个不同的时间，使用两份连续的调查问卷，为六名患者提出了治疗方案建议。第一份问卷包括口外和口内照片、一张全景X光片、一张带有斯坦纳和特威德分析的头侧X光片以及患者的主诉。第二份问卷包括同样的病例介绍、断层扫描图像和放射科医生的报告。McNemar 检验评估了第一个和第二个治疗方案之间的差异：在所有六个病例中，大多数参与者在评估了 CBCT 图像和放射科医生报告后都改变了治疗方案（病例 5 为 93.7%，病例 4 为 78.6%，病例 3 为 74.2%，病例 6 为 69.8%，病例 2 为 66%，病例 1 为 61%；P≤0.01）：结论：通过 CBCT 图像评估骨覆盖率对巴西正畸医生的正畸诊断和计划有重大影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dental Press Journal of Orthodontics Dentistry-Orthodontics

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

27 weeks

期刊介绍： The Dental Press Journal of Orthodontics publishes scientific research articles, significant reviews, clinical and technical case reports, brief communications, and other materials related to Orthodontics and Facial Orthopedics.