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Estudo comparativo do exame objetivo VS exame complementar de diagnóstico em exodontia de terceiros molares inferiores inclusos e semi-inclusos
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Abstract(s)
Objetivos: Comparar o exame complementar de diagnóstico utilizado (ortopantomografia) e o exame objetivo, averiguando se existe concordância entre a informação recolhida no exame radiográfico e os dados obtidos efetivamente no exame clínico, referente a exodontias de terceiros molares inferiores inclusos e semi-inclusos.
Materiais e Métodos: Foram analisados 70 atos clínicos de exodontias de terceiros molares inferiores que se apresentassem clinicamente inclusos ou semi-inclusos e para os quais existisse uma ortopantomografia recente, no período de tempo entre fevereiro e junho de 2018. Após a recolha dos dados, estes foram tratados e analisados em Excel e SPSS.
Resultados: Dos 70 atos clínicos, registou-se uma maior prevalência de indivíduos do género feminino (71,4%) e na faixa etária compreendida entre os 20 e os 29 anos (51,4%). O dente observado com maior frequência foi o 48 (68,6%) e o estado de inclusão predominante o incluso (62,9%). Relativamente à posição do dente segundo a classificação de Pell & Gregory, à necessidade de recorrer a osteotomia, à existência de patologia associada e tempo operatório, os dados registados após a análise radiográfica confirmaram-se como sendo os mais frequentes após o exame clínico, apenas não se verificando esta concordância na necessidade de recorrer a odontosecção. Não foi possível avaliar estatisticamente de forma inferencial a correlação entre as variáveis radiográficas e clínicas para a posição segundo a classificação de Pell & Gregory, no entanto para as restantes variáveis obteve-se um valor de p < 0,001, possuindo alguma relação entre si.
Conclusões: Segundo as variáveis possíveis de avaliar estatisticamente, concluiu-se que as avaliações clínica e radiográfica foram coincidentes, contudo o previsto radiograficamente pode nem sempre corresponder à realidade no ato clínico.
Objectives: To compare the complementary diagnostic examination used (orthopantomography) and the objective examination, ascertaining whether there is agreement between the information collected in the radiographic examination and the data obtained in the clinical examination, referring to the extractions of lower third molars included and semi-included. Materials and Methods: A total of 70 clinical reports of lower third molar extractions that were clinically included or semi-included and for which an orthopantomography existed were analyzed in the period between February and June 2018. After data collection, the data were treated and analyzed in Excel and SPSS. Results: Of the 70 clinical acts, there was a higher prevalence of female subjects (71,4%) and in the age range between 20 and 29 years old (51,4%). The most frequently observed tooth was 48 (68,6%) and the predominant inclusion state was the included (62,9%). Regarding the position of the tooth according to the classification of Pell & Gregory, the need to resort to osteotomy, the existence of associated pathology and operative time, the data recorded after the radiographic analysis were confirmed as being the most frequent after the clinical examination, only not agreeing on the need to resort to odontosection. It was not possible to evaluate statistically the correlation between the radiographic and clinical variables for the position according to the Pell & Gregory classification, however for the remaining variables, a value of p < 0,001 was found, with some relation between them. Conclusions: According to the variables that can be statistically evaluated, it was concluded that the clinical and radiographic evaluation are coincident, however, the radiographic prediction may not always correspond to the reality in the clinical act.
Objectives: To compare the complementary diagnostic examination used (orthopantomography) and the objective examination, ascertaining whether there is agreement between the information collected in the radiographic examination and the data obtained in the clinical examination, referring to the extractions of lower third molars included and semi-included. Materials and Methods: A total of 70 clinical reports of lower third molar extractions that were clinically included or semi-included and for which an orthopantomography existed were analyzed in the period between February and June 2018. After data collection, the data were treated and analyzed in Excel and SPSS. Results: Of the 70 clinical acts, there was a higher prevalence of female subjects (71,4%) and in the age range between 20 and 29 years old (51,4%). The most frequently observed tooth was 48 (68,6%) and the predominant inclusion state was the included (62,9%). Regarding the position of the tooth according to the classification of Pell & Gregory, the need to resort to osteotomy, the existence of associated pathology and operative time, the data recorded after the radiographic analysis were confirmed as being the most frequent after the clinical examination, only not agreeing on the need to resort to odontosection. It was not possible to evaluate statistically the correlation between the radiographic and clinical variables for the position according to the Pell & Gregory classification, however for the remaining variables, a value of p < 0,001 was found, with some relation between them. Conclusions: According to the variables that can be statistically evaluated, it was concluded that the clinical and radiographic evaluation are coincident, however, the radiographic prediction may not always correspond to the reality in the clinical act.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Terceiro molar inferior Exame complementar de diagnóstico Exame objetivo Classificação de Pell & Gregory