Impact of routine open-mouth osseous temporomandibular joint tomography on diagnosis and therapeutic options
| Autor: | Asma’a A. Al-Ekrish, Munerah S. AlSanouni, Dania Tamimi, Nasser Nooh, Maysara Dawood Al-Shawaf, Eman A. Alkofide, Rawan Dammak Daabash |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Cone beam computed tomography medicine.medical_specialty Adolescent Dentistry Patient Care Planning 030218 nuclear medicine & medical imaging Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine stomatognathic system Treatment plan medicine Humans Radiology Nuclear Medicine and imaging Dentistry (miscellaneous) Open mouth Child Radiation treatment planning business.industry 030206 dentistry Cone-Beam Computed Tomography Middle Aged Temporomandibular Joint Disorders Temporomandibular joint Radiographic Image Enhancement Radiation exposure stomatognathic diseases medicine.anatomical_structure Female Surgery Tomography Radiology Oral Surgery business |
| Zdroj: | Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 123:508-514 |
| ISSN: | 2212-4403 |
| DOI: | 10.1016/j.oooo.2017.01.001 |
| Popis: | Objectives The aim of this study was to evaluate the impact of routine open mouth osseous temporomandibular joint (TMJ) tomography on diagnosis and treatment planning of TMJ conditions. Investigating the need for such images is important to justify the additional radiation exposure imparted by such procedures. Study Design The records of patients who underwent closed- and open-mouth osseous TMJ tomography (planar film tomography up to the beginning of 2006; cone beam computed tomography from 2006 onward) were reviewed. Three examiners formulated a diagnosis and treatment plan based on the history, clinical findings, and tomography interpretation reports of closed-mouth images. Then they reviewed the interpretations of the open-mouth images and recorded whether they would change their original diagnosis and/or treatment plan on the basis of the findings. Descriptive analysis of the results was performed. Results The impact of routine open-mouth imaging on diagnosis and treatment planning was variable among the examiners. Examiners 1, 2, and 3 had a change in diagnosis in 7%, 5%, and 3% of cases, respectively, and a change in treatment plan in 1%, 1%, and 8%, respectively. Conclusions Routine open-mouth osseous TMJ tomography had a minimal impact on diagnosis and treatment planning of TMJ conditions, which varied according to the treating clinician. |
| Databáze: | OpenAIRE |
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