Loading...
Publication
Comparação avaliação periodontal radiográfica por bitewings e ortopantomografia com a examinação clínica em pacientes pediátricos : estudo da validade e fiabilidade
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.51 MB | Adobe PDF |
Authors
Advisor(s)
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 2021. 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: A amostra final foi composta por 20 crianças (9 raparigas e 11 rapazes) com uma idade entre os 6 e 12 anos. Os resultados evidenciaram uma dificuldade na identificação da junção amelo-cementária nos dentes decíduos nas ortopantomografias analisadas. Por outro lado, obtivemos resultados elevados de especificidade e níveis muito baixos de sensibilidade das medições feitas a partir de bitewings quando
comparadas com a avaliação periodontal clínica.
Conclusão: A ortopantomografia não apresentou validade para ser utilizada na avaliação periodontal radiográfica. As bitewings apresentaram níveis insuficientes de sensibilidade pelo que não são suficientes para validar a avaliação periodontal radiográfica em crianças.
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 2021. 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 final sample consisted of 20 children (9 girls and 11 boys) aged between 6 and 12 years. Regarding the panoramic radiographs, a difficulty in identifying the cementoenamel junction in primary teeth was observed. On the other hand, high specificity and very low levels of sensitivity were obtained from bitewings when compared to the clinical periodontal evaluation. Conclusion: Panoramic radiograph was not valid for use in radiographic periodontal evaluation. Bitewings showed insufficient levels of sensitivity, thus their validation towards radiographic periodontal assessment in children was not deemed possible.
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 2021. 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 final sample consisted of 20 children (9 girls and 11 boys) aged between 6 and 12 years. Regarding the panoramic radiographs, a difficulty in identifying the cementoenamel junction in primary teeth was observed. On the other hand, high specificity and very low levels of sensitivity were obtained from bitewings when compared to the clinical periodontal evaluation. Conclusion: Panoramic radiograph was not valid for use in radiographic periodontal evaluation. Bitewings showed insufficient levels of sensitivity, thus their validation towards radiographic periodontal assessment in children was not deemed possible.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Doenças periodontais Crianças Bitewings Ortopantomografia