J. Eriksson, M. Denwood, S. S. Nielsen, F. McEvoy, C. Allberg, I. S. Thuesen, H. Kortegaard
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引用次数: 0
摘要
目的估计口腔临床检查、全口牙科 X 射线照相术和锥形束 CT 检测猫牙齿吸收的相对诊断灵敏度和特异性，并估计丹麦无主、无社会化的猫牙齿吸收的流行率：144 只成年猫的尸体接受了口腔检查、全口牙科 X 射线照相术和锥形束 CT 扫描。使用潜类法估算了三种检测方法的灵敏度和特异性，以及总体和按性别和牙齿位置分层的真实患病率：结果：我们发现锥束 CT 是更好的图像模式，灵敏度为 99.5%，特异性为 99.8%。牙科放射摄影的灵敏度为 78.9%，特异性为 100%，而口腔临床检查的灵敏度仅为 36.0%，特异性为 99.9%。我们估计，在丹麦无人饲养的非社会化猫咪中，40%的成年个体牙齿吸收，6.1%的牙齿吸收：临床意义：在处理牙齿吸收问题时，锥形束 CT 可以帮助操作员发现并治疗受影响的牙齿，否则可能无法确诊。在丹麦，无人饲养的非社会化猫科动物的牙齿吸收率似乎与其他猫科动物没有什么不同。
Accuracy of three diagnostic tests to detect tooth resorption in unowned unsocialised cats in Denmark
Objectives
To estimate the relative diagnostic sensitivity and specificity of oral clinical examination, full-mouth dental radiography, and cone-beam CT for the detection of tooth resorption in cats, and to estimate the prevalence of tooth resorption in unowned, unsocialised cats in Denmark.
Materials and Methods
Cadavers of 144 adult cats underwent an oral examination, full-mouth dental radiography, and cone-beam CT. Sensitivity and specificity of the three tests, along with the true prevalence, overall and stratified by sex and tooth location, were estimated using latent class methods.
Results
We found cone-beam CT to be the superior image modality, with a sensitivity of 99.5% and a specificity of 99.8%. Dental radiography had a sensitivity of 78.9% and a specificity of 100%, and oral clinical examination had a sensitivity of only 36.0% and specificity of 99.9%. We estimated the prevalence of tooth resorption among unowned unsocialised cats in Denmark to be 40% of adult individuals, and 6.1% of teeth.
Clinical Significance
When dealing with tooth resorption, cone-beam CT can help the operator to find and treat affected teeth that could otherwise go undiagnosed. The prevalence of tooth resorption among unowned, unsocialised cats in Denmark does not appear to differ from other populations of cats.
期刊介绍：
Journal of Small Animal Practice (JSAP) is a monthly peer-reviewed publication integrating clinical research papers and case reports from international sources, covering all aspects of medicine and surgery relating to dogs, cats and other small animals. These papers facilitate the dissemination and implementation of new ideas and techniques relating to clinical veterinary practice, with the ultimate aim of promoting best practice. JSAP publishes high quality original articles, as well as other scientific and educational information. New developments are placed in perspective, encompassing new concepts and peer commentary. The target audience is veterinarians primarily engaged in the practise of small animal medicine and surgery.
In addition to original articles, JSAP will publish invited editorials (relating to a manuscript in the same issue or a topic of current interest), review articles, which provide in-depth discussion of important clinical issues, and other scientific and educational information from around the world.
The final decision on publication of a manuscript rests with the Editorial Board and ultimately with the Editor. All papers, regardless of type, represent the opinion of the authors and not necessarily that of the Editor, the Association or the Publisher.
The Journal of Small Animal Practice is published on behalf of the British Small Animal Veterinary Association and is also the official scientific journal of the World Small Animal Veterinary Association
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