Panoramik Radyograflar İnterproksimal Çürük Tanısında Ne Kadar Kullanışlıdır? Diş Hekimliği Öğrencileri ve Diş Hekimleriyle Yapılan Bir Çalışma
Amaç: Panoramik radyografların interproksimal çürük tanısında bitewing radyograflar olmaksızın kullanılabilirliğinin araştırılması, ayrıca stajyer diş hekimleri ve diş hekimlerinin panoramik radyograflarda interproksimal çürük tanısındaki performanslarının karşılaştırılması amaçlanmıştır.
Yöntem: Çalışmaya Erciyes Üniversitesi Diş Hekimliği Fakültesinde eğitim gören 20 dönem 4, 20 dönem 5 öğrencisi ve 20 diş hekimi dahil edildi. Çalışmada 2020 yılı içerisinde endikasyon dahilinde aynı gün içerisinde hem panoramik hem de bitewing grafileri alınmış 11 bireyin görüntüleri kullanıldı. İlk olarak üç Ağız, Diş ve Çene Radyolojisi araştırma görevlisi tarafından radyograflar değerlendirildi ve bitewing radyograflarda posterior dişlerin interproksimal yüzeylerindeki çürükler ortak bir görüşle kaydedildi. İkinci
olarak da çalışmaya katılmayı kabul eden katılımcılar sadece panoramik radyografları değerlendirerek premolar ve molar dişlerin arayüzlerinde çürük olarak değerlendirdikleri lezyonları derinliklerine göre “0”, “1”, “2” ve “3” olarak hazırlanan forma kodladılar. İstatistiksel analizler SPSS v.22 yazılımı ile gerçekleştirildi.
Bulgular: Dişlerin çürüğün varlığı ya da yokluğu açısından doğru değerlendirme bakımından en başarılı olanlar pratisyen diş hekimleriydi (%80,52). Bunu dönem 5 (%67,29) ve dönem 4 (%60,12) öğrencileri takip etmekteydi. (p<0,001). Çürüklerin derinliğine göre yapılan değerlendirmede ise, tüm derinliklerde yine diş hekimlerinin başarı oranı daha yüksekti (p<0,05). Her üç grupta da çürük pulpaya yaklaştıkça tespit
edilmesindeki başarı oranı artmaktaydı. En az başarı oranları ise, her üç grup için “1” tipinde bulundu. Çürük bulunan yüzeyler içerisinde hatalı teşhis oranı en yüksek olan bölge üst premolar bölgesiyken, en başarılı bölge ise alt molar bölgeydi.
Sonuç: Panoramik radyograflar arayüz çürüklerinin değerlendirilmesinde, bitewing radyograflar kadar olmasa da yararlı olabilir. Bunda yıllar içerisinde çok sayıda radyograf değerlendirmenin etkisi yadsınamaz.
Anahtar Kelimeler:
panoramik radyografi, bitewing radyografi, interproksimal çürük
How Available are Panoramic Radiographs in the Diagnosis of Interproximal Caries? A Study with Dental Students and Dentists
Purpose: It was aimed to investigate the usability of panoramic radiographs without bitewing radiographs in the diagnosis of interproximal caries and to compare the performance of trainee dentists and dentists in the diagnosis of interproximal caries on panoramic radiographs.
Material and Method: 20 4th grade, 20 5th grade students studying at Erciyes University Faculty of Dentistry and 20 general dentists were included in the study. In the study, images of 11 individuals who had both panoramic and bitewing taken on the same day within the indication in 2020 were used. Initially, radiographs were evaluated by three Oral, Dental and Maxillofacial Radiology research assistants, and caries on the interproximal surfaces of posterior teeth were recorded with a consensus on bitewing radiographs. Second, the participants who agreed to participate in the study evaluated only the panoramic radiographs and coded the lesions at the interfaces of the premolar and molar teeth as “0”, “1”, “2”, and “3” according to their depth. Statistical analyzes were performed with SPSS v.22 software. Results: Dentists were the most successful in terms of correct evaluation of teeth in terms of the presence or absence of caries (80.52%). This was followed by class 5 (67.29%) and class 4 (60.12%) students. (p<0.001). In the evaluation made according to the depth of caries, the success rate of dentists was higher at all depths (p<0.05). In all three groups, the success rate in detection increased as the caries approached the pulp. The least success rates were found in the “1” type for all three groups. The maxillary premolar area had the highest rate of misdiagnosis among the carious surfaces, whereas the mandibular molar region had the best success rate.
Conclusion: Panoramic radiographs can be beneficial in evaluating interface caries, although not as much as bitewing radiographs. The cumulative effect of many adiological assessments throughout the years cannot be disputed.
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- Başlangıç: 2022
- Yayıncı: Ondokuz Mayıs Üniversitesi
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