Amina Maria Geibel, Constanze Keutel, Daniela Kildal, Margrit-Ann Geibel
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引用次数: 0
摘要
背景：为了确保准确的诊断，在家庭牙科中需要x线摄影，但由于缺乏关于单牙x线摄影质量的研究，可用的设备尚未获得批准。目的：检查使用移动x光设备（Nomad Pro 2, Envista, Brea， CA）拍摄的牙科x光片的质量，可检查性及其对移动牙科治疗计划的益处。方法：对移动手持x线系统拍摄的x线片图像质量进行评价。采用德国牙科协会的质量标准目录。结果：127张口腔x线片中，80%（101张）未发现质量缺陷。诊断相关的质量缺陷占17%（21）。61%（78）的x线片有临床相关的继发发现，对进一步的牙科治疗和牙齿预后有影响。结论：牙科护理在养老院提出了重大挑战，特别是在口腔预防医学。在没有牙科放射学的情况下，外科手术在法律上是有争议的，这引起了专业和道德上的关注。移动牙科放射学是移动牙科治疗的重要组成部分。意外的发现，如根尖骨溶解或根残余只能通过x线摄影识别和治疗。
Mobile Dental Radiology-Evaluation of Quality Requirements for Radiographs Applying Handheld Mobile Radiography.
Background: Radiography is required in domiciliary dentistry in order to ensure accurate diagnosis, but the available devices have not yet been approved due to a lack of research regarding the quality of single tooth radiography.
Aim: To examine dental radiographs taken using the mobile X-ray device (Nomad Pro 2, Envista, Brea, CA) with regard to their quality, examinability and their benefit for treatment planning in mobile dentistry.
Methods: The image quality of radiographs using a mobile handheld X-ray system was assessed. The quality criteria catalogue of the German Dental Association was applied.
Results: Of 127 dental radiographs, 80% (101) showed no quality defects. Diagnosis-relevant quality defects were found in 17% (21). 61% (78) of radiographs had clinically relevant secondary findings that had an influence on further dental treatment and on the prognosis of the teeth.
Conclusions: Dental care in nursing homes presents significant challenges, particularly regarding oral preventive medicine. Surgical procedures are legally contestable without dental radiology, and this raises professional and ethical concerns. Mobile dental radiology is an important component of treatment in mobile dentistry. Unexpected findings such as apical osteolysis or root remnants can only be identified and treated by means of radiography.
期刊介绍：
The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.
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