Treatment plan for maxillary third molars based on radiological findings varies among oral surgeons: a web-based "paper" clinic study.

Autor: Hermann L; Oral Radiology, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark. Electronic address: lhp@dent.au.dk., Nørholt SE; Oral and Maxillofacial Surgery and Oral Pathology, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark; Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark., Wenzel A; Oral Radiology, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark., Berkhout E; Department of Oral Radiology, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam & Vrije Universiteit Amsterdam, The Netherlands., Matzen LH; Oral Radiology, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
Jazyk: angličtina
Zdroj: Oral surgery, oral medicine, oral pathology and oral radiology [Oral Surg Oral Med Oral Pathol Oral Radiol] 2024 Nov; Vol. 138 (5), pp. e85-e94. Date of Electronic Publication: 2024 Mar 07.
DOI: 10.1016/j.oooo.2024.02.029
Abstrakt: Objectives: To evaluate variation in treatment plans and pathological findings related to maxillary second and third molars based on panoramic (PAN) images and cone beam CT (CBCT) among Danish and Dutch oral and maxillofacial surgeons.
Study Design: This web-based "paper" clinic contained 10 cases of impacted maxillary third molars comprising clinical information, PAN, and CBCT. Treatment plan and pathological findings were established based on clinical information and PAN, thereafter, based on CBCT by 28 surgeons. Options for treatment plan for third molars were no treatment, or tooth removal. Options for treatment plan for second molars were no treatment, tooth removal, or endodontic and/or filling therapy. The surgeons assessed external root resorption, marginal bone loss, and follicular space.
Results: A change in treatment plan between PAN and CBCT was registered between 0% and 43% of the surgeons among the cases. The surgeons did not agree completely on the treatment plan in any of the cases. Variation was present among the surgeons evaluating pathological findings. In several cases, severity of root resorption was rated worse in CBCT than in PAN.
Conclusions: Variation in treatment plan and pathological findings was observed among surgeons. No correlation between change in pathological findings and change in treatment plan was found.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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