Applying the American Association of Endodontists and American Academy of Oral and Maxillofacial Radiology guidelines for cone-beam computed tomography prescription: Impact on endodontic clinical decisions.
The American Association of Endodontists (AAE) and the American Academy of Oral and Maxillofacial Radiology (AAOMR) developed guidelines for the prescription of cone-beam computed tomographic (CBCT) imaging. The impact of appropriately prescribed CBCT imaging on endodontic diagnosis and treatment (T...
| Publicado en: | Journal of the American Dental Association (JADA) Vol. 155; no. 1; pp. 48 - 59 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
American Dental Association
Jan2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174340462&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174340462 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00028177 DEN jtl: Journal of the American Dental Association (JADA) issn: 00028177 maglogo: N pubinfo: dt: Jan2024 vid: 155 iid: 1 pid: 8266 pub: American Dental Association place: Chicago, Illinois artinfo: ui: 174340462 174340462 174340462 10.1016/j.adaj.2023.09.007 174340462 ppf: 48 ppct: 11 formats: tig: atl: Applying the American Association of Endodontists and American Academy of Oral and Maxillofacial Radiology guidelines for cone-beam computed tomography prescription: Impact on endodontic clinical decisions. aug: au: Chugal, Nadia Assad, Hira Markovic, Daniela Mallya, Sanjay M. sug: subj: Tomography, X-Ray Computed Methods Tooth Diseases Diagnosis Prescribing Patterns Standards Endodontics Evaluation Decision Making, Clinical Practice Guidelines Reproducibility of Results Evaluation Human California Descriptive Statistics Diagnostic Imaging ab: The American Association of Endodontists (AAE) and the American Academy of Oral and Maxillofacial Radiology (AAOMR) developed guidelines for the prescription of cone-beam computed tomographic (CBCT) imaging. The impact of appropriately prescribed CBCT imaging on endodontic diagnosis and treatment (Tx) decisions was examined. The clinical databases at the School of Dentistry at the University of California, Los Angeles, Los Angeles, California, were queried to identify patients referred for CBCT imaging from the postgraduate endodontic clinic over a consecutive 36-month period. Primary and secondary indications for CBCT imaging were recorded. Pre-CBCT uncertainty in diagnosis, Tx of the teeth in question, and post-CBCT changes to the diagnosis and Tx plan were recorded. CBCT imaging was prescribed for 12% of patients. A total of 442 scans were prescribed to evaluate 526 teeth. Molars accounted for 51% of teeth examined. Overall, CBCT effected a change in periapical diagnosis (21%) and in the Tx plan (69%). The 5 most frequent primary indications for CBCT imaging were, in order, AAE-AAOMR recommendations 7, 9, 2, 12, and 6. The impact of these recommendations on Tx decisions varied from 48% through 93%. This study validates the use of the AAE-AAOMR guidelines for prescribing CBCT imaging for endodontic evaluations. CBCT imaging contributed predominantly to Tx decisions rather than diagnostic determinations. This study validates AAE-AAOMR case selection guidelines for CBCT imaging and shows a positive impact of prescription imaging on endodontic decision making. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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