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Comparação avaliação periodontal radiográfica por bitewings e ortopantomografia com a examinação clínica em pacientes pediátricos : estudo da validade e fiabilidade
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Abstract(s)
Objetivos: O presente estudo piloto teve como objetivo avaliar a fiabilidade da avaliação periodontal realizada por meio de bitewings e ortopantomografia no setting odontopediátrico, tendo como “gold standard” a avaliação clínica periodontal.
Materiais e Métodos: O presente estudo observacional decorreu na consulta de Odontopediatria da Clínica Dentária Egas Moniz (CDEM), entre fevereiro e julho de 2022. Pacientes com pelo menos dois molares decíduos num quadrante, que realizaram o exame clínico periodontal e a avaliação radiográfica por bitewings e ortopantomografias foram incluídos. As avaliações clínica e radiográfica foram transformadas em variáveis
dicotómicas de forma a calcular o grau de sensibilidade e especificidade.
Resultados: As radiografias panorâmicas não apresentaram fidelidade em relação ao exame clínico periodontal. Foi revelada diferença entre interquartis do grupo 74M em relação a determinados grupos dos quadrantes 1, 2, 3 e 4 (p< 0,05) e diferença entre o grupo 84M em relação aos grupos 54D e M, 64D e M, 65D e 84D (p< 0,05), quando analisada apenas ao local de sondagem. Quando analisados os quadrantes com sexo não houve diferença estatística com relação a profundidade radiográfica. Na análise de dados
comparando cada local de sondagem com o sexo observa-se diferença no grupo de sexo masculino do grupo 54D e 84M, além do grupo 74M em relação aos grupos 54D e M, 64D e M, 65D e M, 74D, 75D, 84D e 85M. Comparando-se os dados do grupo feminino em relação a cada local de sondagem observa-se diferença entre o 74M e os grupos 54D e M, 55D, 64D, 64M, 65D,74D,75M, 84D e 85D, no entanto não há diferença estatística entre local de sondagem e a variável sexo.
Conclusão: A radiografias panorâmicas não apresentaram fidelidade em comparação com a avaliação clínica periodontal em crianças. As radiografias bitewings apresentaram maior fiabilidade quando comparadas ao exame periodontal clínico. Não existem diferenças estatísticas relevantes quanto o local de sondagem clínica ou radiográfica e também não existem diferenças significativas quando comparados ao sexo das crianças
deste presente estudo.
Objectives: The present pilot study aimed to evaluate the reliability of radiographic periodontal assessment via bitewings and panoramic radiographs, in the pediatric dental setting, compared with the gold standard clinical periodontal examination. Materials and Methods: This research was carried out in the Pediatric Dentistry consultation at the Egas Moniz Dental Clinic (CDEM), between February and July 2022. Patients with at least two primary molars in a quadrant, who underwent clinical periodontal examination and radiographic evaluation through bitewings and panoramic x-rays were included. Clinical and radiographic evaluations were transformed into dichotomous variables in order to calculate sensitivity and specificity levels. Results: The panoramic radiographs did not show fidelity in relation to the clinical periodontal examination. There was an interquartile difference between the 74M group relative to certain groups in quadrants 1, 2, 3 and 4 (p < 0.05) and a difference between the 84M group relative to groups 54D and M, 64D and M, 65D and 84D (p < 0.05), when analyzed only at the probing site. When analyzed the quadrants with gender there was no statistical difference regarding radiographic depth. In the data analysis comparing each probing site with gender, a difference was observed in the 54D and 84M male group, and in the 74M group compared to 54D and M, 64D and M, 65D and M, 74D, 75D, 84D and 85M. Comparing the data of the female group in relation to each probing site, a difference was observed between the 74M group and the 54D and M, 55D, 64D, 64M, 65D,74D,75M, 84D and 85D groups, however, there is no statistical difference between the probing site and the variable gender. Conclusion: Panoramic radiographs did not show fidelity to clinical periodontal evaluation in children. The bitewings radiographs showed greater reliability when compared to the clinical periodontal examination. There are no relevant statistical differences regarding the clinical or radiographic probing site and no significant differences when compared to the gender of the children in this study.
Objectives: The present pilot study aimed to evaluate the reliability of radiographic periodontal assessment via bitewings and panoramic radiographs, in the pediatric dental setting, compared with the gold standard clinical periodontal examination. Materials and Methods: This research was carried out in the Pediatric Dentistry consultation at the Egas Moniz Dental Clinic (CDEM), between February and July 2022. Patients with at least two primary molars in a quadrant, who underwent clinical periodontal examination and radiographic evaluation through bitewings and panoramic x-rays were included. Clinical and radiographic evaluations were transformed into dichotomous variables in order to calculate sensitivity and specificity levels. Results: The panoramic radiographs did not show fidelity in relation to the clinical periodontal examination. There was an interquartile difference between the 74M group relative to certain groups in quadrants 1, 2, 3 and 4 (p < 0.05) and a difference between the 84M group relative to groups 54D and M, 64D and M, 65D and 84D (p < 0.05), when analyzed only at the probing site. When analyzed the quadrants with gender there was no statistical difference regarding radiographic depth. In the data analysis comparing each probing site with gender, a difference was observed in the 54D and 84M male group, and in the 74M group compared to 54D and M, 64D and M, 65D and M, 74D, 75D, 84D and 85M. Comparing the data of the female group in relation to each probing site, a difference was observed between the 74M group and the 54D and M, 55D, 64D, 64M, 65D,74D,75M, 84D and 85D groups, however, there is no statistical difference between the probing site and the variable gender. Conclusion: Panoramic radiographs did not show fidelity to clinical periodontal evaluation in children. The bitewings radiographs showed greater reliability when compared to the clinical periodontal examination. There are no relevant statistical differences regarding the clinical or radiographic probing site and no significant differences when compared to the gender of the children in this study.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Doenças periodontais Crianças Bitewings Ortopantomografia