Open hour: senin - sabtu 09:00:00 - 20:00:00; minggu & tanggal merah tutup

Table 3 Changes in values ...

  SBP (mmHg) DBP (mmHg) PR (bpm) RPP (bpm × mmHg) Normotensive patients (N = 410)  On arrival at the office 133.0 ± 18.4 76.4 ± 12.5 79.2 ± 13...

Table 2 Incidence of high ...

  SBP (>160 mmHg) RPP (>12,000 bpm × mmHg) Normotensive group (N = 410)  On arrival at the office 41 (10.0%) 111 (27.1%)  Prior to sedation ...

Table 1 Demographic and cl...

  Normotensive group Hypertensive group p value Number (male: female) 410 (127: 283) 106 (37: 69) 0.170 Age (year mean ± SD) ...

About this article : Efficacy of intravenous sedat...

Kimura, M., Takasugi, Y., Hanano, S. et al. Efficacy of intravenous sedation and oral nifedipine in dental implant patients with preoperative hypertension - a retrospective study of 516 cases. Int J Implant Dent 1, 6 (2015). https://doi.org/10.1186/s40729-015-0004-4 Download citation Received: 08 October 2014 Accepted: 14 January 2015 Published: 18 March 2015 DOI: https://doi.org/10.1186/s407...

Rights and permissions : Efficacy of intravenous s...

Reprints and Permissions

Additional information : Efficacy of intravenous s...

Motoshi Kimura, Yoshihiro Takasugi, Shigeyoshi Hanano, Katsuyuki Terabe and Yuko Kimura declare that they have no competing interests. YT and MK designed the study; MK, SH, and KT performed the surgeries; YT performed the intravenous sedation. YT, MK, and YK collected and analyzed the data; MK wrote the manuscript. YT revised the manuscript. All authors read and approved the final manuscript.

Author information : Efficacy of intravenous sedat...

Hanano Dental Clinic, 4-2-3 Yamanoue, Hirakata, Osaka, 573-0047, Japan Motoshi Kimura & Shigeyoshi Hanano Department of Anesthesiology, Kinki University Faculty of Medicine, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan Yoshihiro Takasugi Terabe Dental Clinic, 4-249 Sakae-cho, Tsu, Mie, 514-0004, Japan Katsuyuki Terabe First Department of Internal Medicine, Osaka Medical College...

References : Efficacy of intravenous sedation and ...

Abraham-Inpijn L, Borgmeijer-Hoelen A, Gortzak RAT. Changes in blood pressure, heart rate, and electrocardiogram during dental treatment with use of local anesthesia. J Am Dent Assoc. 1988;116:531–6. Brand HS, Gortzak RA, Palmer-Bouva CC, Abraham RE, Abraham-Inpijn L. Cardiovascular and neuroendocrine responses during acute stress induced by different types of dental treatment. Int Dent J. 1995...

References : Efficacy of intravenous sedation and ...

Little JW. The impact on dentistry of recent advances in the management of hypertension. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90:591–9. Aubertin MA. The hypertensive patient in dental practice: updated recommendations for classification, prevention, monitoring, and dental management. Gen Dent. 2004;52:544–52. Vaughan CJ, Delanty N. Hypertensive emergencies. Lancet. 2000;356...

Abbreviations : Efficacy of intravenous sedation a...

Systolic blood pressure Diastolic blood pressure Pulse rate Rate pressure product Electrocardiogram Percutaneous oxygen saturation Analysis of variance Immediate-release

Conclusions : Efficacy of intravenous sedation and...

In this study, we showed that the stable hemodynamic was obtained by performing intravenous sedation and oral administration of nifedipine for patients with hypertension. It is important not only to understand the systemic management of the patient but also to obtain stabled hemodynamic by performing intravenous sedation and oral administration of nifedipine for patients with hypertension in order...

Discussion : Efficacy of intravenous sedation and ...

Implant surgery is performed in patients with a wide age range, including elderly patients with hypertension. Dentists or oral surgeons often encounter hypertensive patients who are undiagnosed or noncompliant. Among Japanese over the age of 30, 60% of men and 44.6% of women suffer from high blood pressure, and 33.8% of men and 25.6% of women with a history of hypertension have not been managed me...

Discussion : Efficacy of intravenous sedation and ...

For patients with stage 2 hypertension before operation, it is difficult to maintain the recommended blood pressure during surgery using only intravenous sedation, and it is necessary to decrease blood pressure by antihypertensive drugs. In this study, the blood pressure of patients with sustained hypertension was reduced to stage I hypertension about 30 min after administration of oral nifedipin...

Discussion : Efficacy of intravenous sedation and ...

In 44 (8.5%) of the 516 implant surgery cases, oral nifedipine had to be administered, since preoperative SBP was higher than 160 mmHg in these patients. Within 30 min of administration of nifedipine, SBP of hypertensive patients decreased to a similar range as that of hypertensive patients who did not need administration of oral nifedipine. Intravenous sedation after nifedipine administration t...

Results : Efficacy of intravenous sedation and ora...

In patients with oral nifedipine in the hypertensive group, the PR value slightly increased prior to initiation of intravenous sedation (p = 0.224) and then significantly decreased until completion of the operation (p 160 mmHg during and at completion of operation showed maximum SBP of 180 mmHg in the normotensive group, 190 mmHg on the hypertensive group without preoperative oral nifedip...

Results : Efficacy of intravenous sedation and ora...

Patient demographics and clinical characteristics are summarized in Table 1. There were significant differences in age (p 

Methods : Efficacy of intravenous sedation and ora...

This study protocol was approved by the ethics committee of Japanese Dental Society of Anesthesiology (No. 2015–4).

Methods : Efficacy of intravenous sedation and ora...

Following confirmation of a sufficient anesthetic effect, intravenous sedation with continuous infusion of propofol 1 to 2 mg/kg/h and midazolam 20 to 40 μg/kg bolus together with inhalation of oxygen 3 L/min via nasal cannula was initiated. After confirming Verrill sign, implant surgery was initiated. During operation, the propofol dose was adjusted to maintain the optimum conscious sedative ...

Methods : Efficacy of intravenous sedation and ora...

A retrospective review of the clinical records was conducted for 336 patients who received dental implant-related surgeries combined with intravenous sedation between January 2008 and February 2012 at our outpatient dental offices. Among the patients, 125 patients received multiple surgeries during the observation period: 4 patients underwent surgery five times, 7 patients four times, 29 patients ...

Background : Efficacy of intravenous sedation and ...

Osseointegrated dental implants were introduced in Japan in 1983, and the procedures are now performed very frequently. Dental implants are placed in a wide age range of patients, including elderly patients with hypertension. Patients with very high blood pressure are at great risk for acute medical problems when undergoing stressful dental procedures, such as oral surgery, periodontal surgery, an...

Abstract : Efficacy of intravenous sedation and or...

To examine the effects of intravenous sedation and oral nifedipine on blood pressure and pulse rate in patients with perioperative high blood pressure undergoing implant surgery, the clinical records of dental implant patients managed by intravenous sedation at our outpatient dental offices were retrospectively evaluated. A total of 516 clinical charts were evaluated. The subjects were divided in...

Fig. 1. Treatment strategies for OAF closure : Sur...

Fig. 1. Treatment strategies for OAF closure Fig. 1. Treatment strategies for OAF closure

Table 1 Studies on surgical techniques for closure...

Author year No. of participants Method Autogenous soft tissue flaps  Lin et al. 1991 16 ...

About this article : Surgical options in oroantral...

Parvini, P., Obreja, K., Sader, R. et al. Surgical options in oroantral fistula management: a narrative review. Int J Implant Dent 4, 40 (2018). https://doi.org/10.1186/s40729-018-0152-4 Download citation Received: 14 August 2018 Accepted: 02 November 2018 Published: 27 December 2018 DOI: https://doi.org/10.1186/s40729-018-0152-4

Rights and permissions : Surgical options in oroan...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...

Ethics declarations : Surgical options in oroantra...

Not applicable. Not applicable. Puria Parvini, Karina Obreja, Robert Sader, Jürgen Becker, Frank Schwarz, and Loutfi Salti declare that they have no competing interests. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Author information : Surgical options in oroantral...

Correspondence to Karina Obreja.

Author information : Surgical options in oroantral...

Department of Oral Surgery and Implantology, Carolinum, Johann Wolfgang Goethe-University, Frankfurt, Germany Puria Parvini, Karina Obreja, Frank Schwarz & Loutfi Salti Department for Oral, Cranio-Maxillofacial and Facial Plastic Surgery, Medical Center of the Goethe University Frankfurt, Frankfurt am Main, Germany Robert Sader Department of Oral Surgery, Universitätsklinikum Düsseldorf,...

Acknowledgements : Surgical options in oroantral f...

Not applicable No funding to declare. All data generated or analyzed during this study are included in this published article.

References : Surgical options in oroantral fistula...

Waldrop TC, Semba SE. Closure of oroantral communication using guided tissue regeneration and an absorbable gelatin membrane. J Periodontol. 1993;64:1061–6. Götzfried HF, Kaduk B. Okklusion der Mund-Antrum-Verbindung durch eine: alkoholische Prolaminelösung; Tierexperimentelle Studie und erste klinische Erfahrungen. Dtsch Z Mund Kiefer Gesichts Chir. 1985;9:390. Grzesiak-Janas G, Janas A. Co...

References : Surgical options in oroantral fistula...

Shaker MA, Hindy AM, Mounir RM, Geaisa KM. Competent closure of chronic oroantral fistula with Zenoderm. Egypt Dent J. 1995;41:1237–42. Ogunsalu C. A new surgical management for oro-antral communication: the resorbable guided tissue regeneration membrane—bone substitute sandwich technique. West Indian Med J. 2005;54:261–3. Goldman EH, Stratigos GT, Arthur AL. Treatment of oroantral fistula...

References : Surgical options in oroantral fistula...

Joshi A, Kostakis GC. An investigation of post-operative morbidity following iliac crest graft harvesting. Br Dent J. 2004;196:167–71. Misch CM. Harvesting of ramus bone in conjunction with third molar removal for onlay grafting before placement of dental implants. J Oral Maxillofac Surg. 1999;57:1376–9. Nkenke E, Radespiel-Tröger M, Wiltfang J, Schultze-Mosgau S, Winkler G, Neukam FW. Morb...

References : Surgical options in oroantral fistula...

El-Hakim IE, El-Fakharany AM. The use of the pedicled buccal fat pad (BFP) and palatal rotating flaps in closure of oroantral communication and palatal defects. J Laryngol Otol. 1999;113:834–8. Singh J, Prasad K, Lalitha RM, Ranganath K. Buccal pad of fat and its applications in oral and maxillofacial surgery: a review of published literature (February) 2004 to (July) 2009. Oral Surg Oral Med O...

References : Surgical options in oroantral fistula...

Awang MN. Closure of oroantral fistula. Int J Oral Maxillofac Surg. 1988;17:110–5. Hynes W. Fistula in the hard palate following cleft surgery. Br J Plast Surg. 1957:377–84. Genden EM, Lee BB, Urken ML. The palatal island flap for reconstruction of palatal and retromolar trigone defects revisited. Arch Otolaryngol Head Neck Surg. 2001;127(7):837–41. Salins PC, Kishore SK. Anteriorly based...

References : Surgical options in oroantral fistula...

Yilmaz T, Suslu AE, Gursel B. Treatment of oroantral fistula: experience with 27 cases. Am J Otolaryngol. 2003;24:221–3. Borgonovo AE, Berardinelli FV, Favale M, Maiorana C. Surgical options in oroantral fistula treatment. Open Dent J. 2012;6:94–8. Güven O. A clinical study on oroantral fistulae. J Craniomaxillofac Surg. 1998;26:267–71. Amaratunga NADES. Oro-antral fistulae- a study of c...

Abbreviations : Surgical options in oroantral fist...

Buccal fat pad Bone graft transplantation Connective tissue grafts Free mucosal graft Guided tissue regeneration Oroantral fistula Platelet-rich fibrin

Summary and conclusion : Surgical options in oroan...

By reviewing the literature, we can conclude that in selecting the surgical approach to close an oroantral fistula, different parameters have to be taken into account, including location and size of fistula as well as its relationship to the adjacent teeth, height of the alveolar ridge, persistence, sinus inflammation and the general health of the patient. A small oroantral fistula of less than 5...

Materials and methods : Surgical options in oroant...

Logan and Coates described a procedure that provided closure of OAF in immunocompromised patients [74]. The oroantral fistula was de-epithelialized under local anesthesia, and the patient wore an acrylic surgical splint continuously for an 8-week period. The acrylic surgical splint covered the fistula and the edentulous area including the hard palate. The investigators reported complete healing o...

Materials and methods : Surgical options in oroant...

Use of guided tissue regeneration has been documented by Waldrop and Semba [71]. This method uses an absorbable gelatin membrane, allogenic bone graft material, and a nonresorbable expanded polytetrafluoroethylene (ePTFE) membrane. After flap reflection, an absorbable gelatin membrane is placed over the OAF with its edges on the bony margins of the perforation, which serve as a barrier for the bon...

Materials and methods : Surgical options in oroant...

The use of a bioabsorbable root analog made of β-tricalcium phosphate for closure of oroantral fistulas was proposed by Thoma et al. [68]. The root replicas were fabricated chair side, using a mold of the extracted tooth [10]. The investigators reported that the healing was uneventful. However, fragmentary roots or overly large defects prevent replica fabrication or accurate fitting of the analog...

Materials and methods : Surgical options in oroant...

Polymethylmethacrylate has been introduced as an alternative technique for closing OAFs [64]. After 24 h of immersion in a sterilizing solution, the polymethylmethacrylate plate is placed over the defect. Mucoperiosteal flaps are then replaced without attempting to cover the acrylic plate. The polymethylmethacrylate plate is removed as soon as the edges become exposed. One of the common disadvant...

Materials and methods : Surgical options in oroant...

Various synthetic materials have been used for OAF closures. Use of gold foil and gold plate for the closure of OAFs was reported for the first time by Goldman and Salman, respectively [59, 60]. It is a simplified technique for the closure of oroantral fistulas. The technique consists of elevating the mucoperiosteum to expose the bony margins of the fistula. Then, the opening is covered with an ov...

Materials and methods : Surgical options in oroant...

Multiple techniques have been described for the closure of OAFs using lyophilized fibrin glue of human origin [53]. In this technique, the fibrin glue is prepared and injected into the socket, together with the collagen sheet. Stajčić et al. stressed the importance of inserting the syringe above the floor of the antrum to protect the clot from airflow [53]. The technique is simple with few posto...

Materials and methods : Surgical options in oroant...

An autogenous bone graft and platelet-rich fibrin (PRF) membrane as a treatment strategy for closure of OAF has also been proposed [50]. PRF is a product of centrifuged blood. The biochemical components of PRF are well-known as factors acting synergistically in the healing process. This includes platelet-derived growth factor (PDGF), whose components are the reason why PRF has anti-inflammatory pr...

Materials and methods : Surgical options in oroant...

Recently, auricular cartilage graft has been used for the closure of OAFs. A full-thickness flap is raised at the defect site [47]. A semicircular incision is then made posteriorly over the conchal cartilage. The conchal cartilage with overlying perichondrium is exposed with a blunt dissection. The harvested auricular graft is then adapted on the defect site and sutured with the surrounding tissue...

Materials and methods : Surgical options in oroant...

A retromolar bone graft is a viable procedure for OAF closure. However, harvesting of a retromolar bone can occasionally be combined with removal of the third molar, which may affect acceptance of the procedure by patients [44]. When compared to chin bone grafts, the significant disadvantage of the retromolar donor area is the confined amount of bone available [45]. The incision is made medial to ...

Materials and methods : Surgical options in oroant...

The tongue is an excellent donor site for soft tissue defects of the oral cavity, due to its pliability, position, and abundant vascularity. Tongue flaps can be created from the ventral, dorsal, or lateral part of the tongue [36]. The surgical design of the flap is dictated by the location of the defect. A lateral tongue flap has been described as a suitable method for the closure of large OAF [37...

Materials and methods : Surgical options in oroant...

Free mucosal grafts (FMG) or connective tissue grafts (CTG) are suitable for the closure of small to moderate size defects in the premolar area as well as small to medium size-persistent defects. In contrast to the techniques described so far, the harvested grafts are not directly vascularized. The flap initially receives its nutrients within the first three postoperative days by diffusion alone, ...

Materials and methods : Surgical options in oroant...

The palatal straight advancement flap is of limited use due to the inelastic nature of the palatal tissue, which reduces its lateral mobility. For the same reason, it is suitable for the closure of minor palatal or alveolar defects [17]. The palatal hinged flap has been used successfully to close small fistula of the hard palate, i.e., those less than 2 cm in diameter in a one-stage operation [1...

Materials and methods : Surgical options in oroant...

Môczáir [14] described closing alveolar fistulas by the buccal sliding flap, shifting the flap one tooth distally. This technique produces only a negligible change in the depth of the buccal vestibule. A drawback of this approach is that it requires a large amount of dentogingival detachment in order to facilitate the shift, which may result in gingival recession and periodontal disease. The fi...

Materials and methods : Surgical options in oroant...

A narrative literature review of articles and case reports for oroantral fistula has been conducted in the PubMed databases of published English literature. Articles published until April 2018 were reviewed. In addition to 262 articles on the closure of oroantral, 4 articles on the closure of antrooral fistula in humans, and 5 articles in animals, citations were referenced to identify further rele...

Background : Surgical options in oroantral fistula...

Radiologically, in the computed tomography (CT) or cone beam computed tomography (CBCT), the oroantral fistula might show as sinus floor discontinuity, opacification of the sinus, or communication between the oral cavity and the sinus. In addition, focal alveolar atrophy and associated periodontal disease may be observed [6]. In chronic OAF, there is generalized mucosal thickening. Recent studies ...

Background : Surgical options in oroantral fistula...

An oroantral fistula (OAF) can be defined as an epithelialized pathological unnatural communication between the oral cavity and the maxillary sinus [1]. The term oroantral fistula is used to indicate a canal lined by epithelium that may be filled with granulation tissue or polyposis of the sinus membrane [2]. They can arise as late sequelae from perforation and last at least 48–72 h. An oroantr...

Fig. 3. Treatability refers to OPG/CBCT and to res...

Fig. 3. Treatability refers to OPG/CBCT and to residents in oral surgery and orthodontics Fig. 3. Treatability refers to OPG/CBCT and to residents in oral surgery and orthodontics

Fig. 2. Accuracy of diagnostic answers given by re...

Fig. 2. Accuracy of diagnostic answers given by residents in orthodontics (R right, F false, NS not sufficient) Fig. 2. Accuracy of diagnostic answers given by residents in orthodontics (R right, F false, NS not sufficient)

Fig. 1. Accuracy of diagnostic answers from reside...

Fig. 1. Accuracy of diagnostic answers from residents in oral surgery (R right, F false, NS not sufficient) Fig. 1. Accuracy of diagnostic answers from residents in oral surgery (R right, F false, NS not sufficient)

Table 5 Request of CBCT after OPG: influence of re...

Variable p value Odds ratio (95% CI) Specialisation: oral surgery vs orthodontics  4 year 0.045* ...

Table 4 Accuracy of the diagnostic answers given, ...

Question pertaining to OPG (%) CBCT (%) p value Odds ratio (95% CI) Contact to nerve ...

Table 3 Accuracy of the diagnostic answers given, ...

Question pertaining to OS (%) ORTH (%) p value Odds ratio (95% CI) Contact to nerve ...

Table 2 Description of the cases assessed (Of: Do ...

Case Age (years) Sex Pathology Time between OPG and CBCT 1 ...

Table 1 Characteristics of residents in oral surge...

Resident Age (years) Sex Specialisation Experience as a dentist (years) 1 ...

About this article : Do we need CBCTs for sufficie...

Radic, J., Patcas, R., Stadlinger, B. et al. Do we need CBCTs for sufficient diagnostics?-dentist-related factors. Int J Implant Dent 4, 37 (2018). https://doi.org/10.1186/s40729-018-0147-1 Download citation Received: 06 July 2018 Accepted: 08 October 2018 Published: 16 November 2018 DOI: https://doi.org/10.1186/s40729-018-0147-1

Rights and permissions : Do we need CBCTs for suff...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...

Ethics declarations : Do we need CBCTs for suffici...

The study was approved by the cantonal ethics committee of the canton of Zurich (KEK 2016-00070). Not applicable Josipa Radic, Raphael Patcas, Bernd Stadlinger, Daniel Wiedemeier, Martin Rücker and Barbara Giacomelli-Hiestand declare that they have no competing interests. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Author information : Do we need CBCTs for sufficie...

Correspondence to Barbara Giacomelli-Hiestand.

Author information : Do we need CBCTs for sufficie...

Clinic of Cranio-Maxillofacial and Oral Surgery, Centre of Dental Medicine, University of Zurich, Plattenstrasse 11, 8032, Zurich, Switzerland Josipa Radic, Bernd Stadlinger, Martin Rücker & Barbara Giacomelli-Hiestand Clinic for Orthodontics and Paediatric Dentistry, Centre of Dental Medicine, University of Zurich, Plattenstrasse 11, 8032, Zurich, Switzerland Raphael Patcas Statistical S...

References : Do we need CBCTs for sufficient diagn...

Ren H, Chen J, Deng F, Zheng L, Liu X, Dong Y. Comparison of cone-beam computed tomography and periapical radiography for detecting simulated apical root resorption. Angle Orthod. 2013;83(2):189–95. https://doi.org/10.2319/050512-372.1 published Online First: Epub Date]|. Tantanapornkul W, Okouchi K, Fujiwara Y, Yamashiro M, Maruoka Y, Ohbayashi N, et al. A comparative study of cone-beam comput...

References : Do we need CBCTs for sufficient diagn...

Hasani A, Ahmadi Moshtaghin F, Roohi P, Rakhshan V. Diagnostic value of cone beam computed tomography and panoramic radiography in predicting mandibular nerve exposure during third molar surgery. Int J Oral Maxillofac Surg. 2017;46(2):230–5. https://doi.org/10.1016/j.ijom.2016.10.003 published Online First: Epub Date]|. Alqerban A, Jacobs R, Fieuws S, Willems G. Comparison of two cone beam comp...

References : Do we need CBCTs for sufficient diagn...

Mason C, Papadakou P, Roberts GJ. The radiographic localization of impacted maxillary canines: a comparison of methods. Eur J Orthod. 2001;23(1):25–34. Maverna R, Gracco A. Different diagnostic tools for the localization of impacted maxillary canines: clinical considerations. Prog Orthod. 2007;8(1):28–44. Neves FS, Passos CP, Oliveira-Santos C, Cangussu MC, Campos PS, Nascimento RJ, et al. C...

Abbreviations : Do we need CBCTs for sufficient di...

Three-dimensional Cone beam computed tomography Digital Imaging and Communications in Medicine Orthopantomography Odds ratio Resident in orthodontics Resident in oral surgery

Conclusions : Do we need CBCTs for sufficient diag...

This study analysed (i) whether pathologies are accurately diagnosed in three different imaging modalities (OPG, CBCT, 3D model). Diagnostic accuracy was decent with OPG and was improved with CBCT. Next, the study assessed (ii) whether each case was classified as treatable on the basis of the present imaging modality. This result was influenced by the professional background, which influenced whet...

Discussion : Do we need CBCTs for sufficient diagn...

Certain limitations affect the generalizability of this study’s results. First, only nine cases were assessed with a limited range of pathologies (five retained teeth (canines and molars), two tooth resorptions, one odontoma and one supernumerary tooth). Moreover, the assessment was performed by a small amount of residents of the local university. The fact that all residents shared a similar aca...

Discussion : Do we need CBCTs for sufficient diagn...

In 81.6% of the cases, further imaging was requested after the OPG. Caution should be applied in the interpretation of this number, as the residents’ decision was theoretical and did not imply additional costs or radiation exposure. Nevertheless, it is striking that in the majority of the cases, further imaging was requested. One possible explanation might be the diagnostic difficulty of the cho...

Discussion : Do we need CBCTs for sufficient diagn...

Moreover, another valuable and novel observation is the divergence seen in the importance of printed 3D models. For residents in oral surgery, printed 3D models caused more uncertainties and led to a decrease of diagnostic accuracy (if assessed in sequential order after OPG and CBCT). In contrast, residents in orthodontics seemed to benefit of an additional assessment of printed 3D models, which r...

Discussion : Do we need CBCTs for sufficient diagn...

The aim of this study was twofold: (i) to analyse the diagnostic accuracy of pathologies in three different imaging modalities of the same case and (ii) to analyse the need for further imaging in order to enable treatment. Further, aspects like the impact of specialisation, gender and dental experience were analysed. In contrast to the plethora of scientific literature available dealing with CBCT ...

Results : Do we need CBCTs for sufficient diagnost...

Overall, the majority of the questions were answered correctly, independently to the imaging modality. The percentages of correct answers given by OS were 66.3% for OPG, 83.4% for CBCT and 76.4% for 3D model; and differed slightly to those given by ORTH with 63.7% for OPG, 78.0% for CBCT and 78.7% for 3D model (Figs. 1 and 2). Both OS and ORTH alike answered to around 20% of the questions that th...

Methods : Do we need CBCTs for sufficient diagnost...

Statistical analysis and plots were performed using the statistical software R [12]. To evaluate the differences in the proportions of correct diagnostic answers between OS and ORTH and between different imaging modalities, Fisher’s exact tests were used and odds ratios (OR) including confidence intervals (CI) were computed for every question separately. Likewise, Fisher’s exact tests were app...

Methods : Do we need CBCTs for sufficient diagnost...

Each resident was shown the region of interest to which the questions related to Allowed setup change of OPG: zoom Allowed setup change of CBCT: brightness, contrast, zoom, scroll in all three levels (coronal, axial and sagittal 3D model: no restrictions The OPGs of this study were taken either in-house (CRANEX D, Kw73, 10 mA) or extramural. All CBCTs were taken at the Centre of Dental Medici...

Methods : Do we need CBCTs for sufficient diagnost...

Fourteen residents were recruited for this survey [7 residents in oral surgery (OS) and 7 residents in orthodontics (ORTH), respectively; m = 6, f = 8]. Their characteristics are listed in Table 1. Every resident assessed individually nine separate patient cases, each containing a distinct dentoalveolar pathology, as defined in the study planning process (Table 2). For each patient case...

Background : Do we need CBCTs for sufficient diagn...

Finally, the request for a CBCT should always be guided by the pursuit of improved diagnostic accuracy and the prospect of an enhanced treatment plan. Preferably, the indications for a CBCT should be based entirely on case-related factors. Yet, dentist-related factors might influence the request for a CBCT as well. The aim of this study was therefore (i) to assess whether pathologies are accurate...

Background : Do we need CBCTs for sufficient diagn...

Along with the clinical examination, radiological imaging is essential for a complete diagnosis in dental medicine [1, 2]. Orthopantomography (OPG), a two-dimensional panoramic radiograph, is widely used across all dental disciplines including oral surgery and orthodontics [3,4,5] to address basic diagnostic queries. An OPG contains an abundance of information on the teeth, mandible, maxilla, incl...

Abstract : Do we need CBCTs for sufficient diagnos...

The aim of this study was to assess the diagnostic accuracy of various dentoalveolar pathologies based on panoramic radiography (OPG), cone beam computed tomography (CBCT) and printed 3D models in consecutive order; and to evaluate the impact of specialisation of residents in oral surgery (OS) versus residents in orthodontics (ORTH). Fourteen residents were recruited to evaluate nine selected cas...