Rodríguez Mazón M, Garcia-Font M, Doria G, Durán-Sindreu F, Abella F. Influence of Cone-beam Computed Tomography in clinical decision-making among different specialists in External Cervical Resorption lesions: a before-after study.
J Endod 2022;
48:1121-1128. [PMID:
35690274 DOI:
10.1016/j.joen.2022.05.010]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Accepted: 05/30/2022] [Indexed: 10/18/2022]
Abstract
INTRODUCTION
Inadequate management of external cervical resorption (ECR) lesions may impact the treatment outcome. This study aimed to ascertain the influence of cone-beam computed tomography (CBCT) in clinical decision-making choices in cases of ECR among dentistry specialists (endodontics, prosthodontics, oral surgery, periodontics orthodontics, and general dentistry). A secondary objective was to evaluate the self-reported level of difficulty in choosing a treatment plan before and after viewing the CBCT images.
METHODS
Sixty examiners from different specialties were chosen to evaluate 12 cases of ECR lesions. Each case included clinical photographs, digital periapical (PA) radiographs, and a small-volume CBCT scan. In the first assessment, the examiners were given all the relevant information of each case, except the CBCT scan. Each examiner was asked to select 1 of the proposed treatment options and assess the difficulty of decision making. Four weeks later, the examiners randomly reviewed the same 12 cases with additional information from the CBCT data.
RESULTS
After the CBCT evaluation, the clinicians changed their treatment plan in 72.2% of the cases (P < .05). The self-reported level of difficulty in choosing a treatment changed in all groups after evaluating the CBCT scans (P< .05). After viewing the CBCT scan, the extraction option increased significantly in all groups (P < .05).
CONCLUSIONS
CBCT scan had a significant impact on clinical decision-making in cases of ECR evaluated by different specialists.
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