Relación del examen radiográfico con la eficacia diagnóstica y la decisión de efectuar o no tratamiento
Keywords:Full mouth series, Bitewings, Panoramics, Receiver operating characteristics
Objective: This project is in tended to assess the inDuence of diflerent initial radiological exams in terms 01 diagnostic and treatment decision eHicacy generated for patient case simulations. Material and Methods: A group 01four cases were developed for use as simulations. Two modelities, PAN plus 4 posterior BW's examination and the FMX (14 periapical and 4 posterior bitewings) were compared. A separate silver standard consensus panel was used as the basis Ior comparing the presence or absence 01 caries, periapical pathology and periodontal disease and another panel Ior the consensus in the decision to treat or not treat. A group of observers examined the cases giving opinions and thresholds on presence or absence 01 disease and another group in the decision to treat (yes-no). A confidence scale (1-5) of disease present and treatment was used. Receiver operating characteristic and treetment decision curves were generated with calculated areas (A) analyzed with Kappa statistics Ior inter-observer reliebility. Fisber's exact test was used Ior association between the observers.
Results: Diflerences in agreement among observers Ior each diagnostic data set; treatment modality and radiographic modality was Iound. No significant difference between the observer's response and consensus panel was found Ior each diagnostic data set, modality and treetment decision. Complete agreement Ior periodontal treatment decisions between observers and consensus panel was lound. Conclusion: Under the conditions 01 this study a combined radiographic technique such as (PAN+BW) in combination with a clinical examination inlormation is as elfective as the full mouth series (FMX) for diagnostic and treetment planning decisions in patient case simulations. Further research is needed to explore the relationship with clinical practice.
How to Cite
Copyright comprises moral and patrimonial rights.
1. Moral rights: are born at the moment of the creation of the work, without the need to register it. They belong to the author in a personal and unrelinquishable manner; also, they are imprescriptible, unalienable and non negotiable. Moral rights are the right to paternity of the work, the right to integrity of the work, the right to maintain the work unedited or to publish it under a pseudonym or anonymously, the right to modify the work, the right to repent and, the right to be mentioned, in accordance with the definitions established in article 40 of Intellectual property bylaws of the Universidad (RECTORAL RESOLUTION 21231 of 2005).
2. Patrimonial rights: they consist of the capacity of financially dispose and benefit from the work trough any mean. Also, the patrimonial rights are relinquishable, attachable, prescriptive, temporary and transmissible, and they are caused with the publication or divulgation of the work. To the effect of publication of articles in the journal Revista de la Facultad de Odontología, it is understood that Universidad de Antioquia is the owner of the patrimonial rights of the contents of the publication.
The content of the publications is the exclusive responsibility of the authors. Neither the printing press, nor the editors, nor the Editorial Board will be responsible for the use of the information contained in the articles.
I, we, the author(s), and through me (us), the Entity for which I, am (are) working, hereby transfer in a total and definitive manner and without any limitation, to the Revista Facultad de Odontología Universidad de Antioquia, the patrimonial rights corresponding to the article presented for physical and digital publication. I also declare that neither this article, nor part of it has been published in another journal.
Open Access Policy
The articles published in our Journal are fully open access, as we consider that providing the public with free access to research contributes to a greater global exchange of knowledge.
Creative Commons License
The Journal offers its content to third parties without any kind of economic compensation or embargo on the articles. Articles are published under the terms of a Creative Commons license, known as Attribution – NonCommercial – Share Alike (BY-NC-SA), which permits use, distribution and reproduction in any medium, provided that the original work is properly cited and that the new productions are licensed under the same conditions.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.