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Electronic processing of digital panoramic radiography for the detection of apical periodontitis.

数字全景摄影检测根尖周炎的电子处理。

  • 影响因子:1.82
  • DOI:10.1007/s11547-019-01102-z
  • 作者列表:"Nardi C","Calistri L","Pietragalla M","Vignoli C","Lorini C","Berti V","Mungai F","Colagrande S
  • 发表时间:2020-02-01
Abstract

INTRODUCTION:This study aimed to evaluate the accuracy of both digital complete and small portion of panoramic radiography (PAN) in the detection of clinically/surgically confirmed asymptomatic apical periodontitis (AP) lesions with and without endodontic treatment. METHODS:A total of 480 patients/teeth including 120 AP with and without endodontic treatment, and 120 healthy periapex with and without endodontic treatment were detected via CBCT using the periapical index system. Each diseased and healthy patient underwent PAN first and a CBCT scan within 40 days. All 480 cases were assessed by four different methods, as follows: complete PAN with clinical examination of each tooth available and not available, respectively, and small portion of PAN in which a root with crown and root without crown were displayed, respectively. Periapical index system was also used to assess AP by PAN. Accuracy for both complete and small portion of PAN with respect to CBCT was analyzed. RESULTS:The overall accuracy of the four methods for teeth with endodontic treatment (73.4) was higher than teeth without endodontic treatment (66.6). Accuracy of complete PAN and portion of PAN was 71.3 and 68.7, respectively. As regards teeth without endodontic treatment, accuracy was higher for complete PAN in the upper/lower incisive area and for small portion of PAN in the upper molar area. No difference was found in teeth with endodontic treatment. CONCLUSION:Complete and small portion of PAN showed greater accuracy in the upper/lower incisive area and upper molar area of untreated teeth, respectively, whereas no difference was found in treated teeth.

摘要

简介: 本研究旨在评估数字化全景摄影 (PAN) 和小部分全景摄影 (PAN) 检测临床/手术证实的无症状根尖周炎 (AP) 的准确性病变伴和不伴牙髓治疗。 方法: 采用CBCT对 480 例患者/患牙,包括 120 例接受牙髓治疗和未接受牙髓治疗的AP,以及 120 例接受牙髓治疗和未接受牙髓治疗的健康根尖周进行根尖周指数检测。每例患病和健康患者均在 40 天内先行PAN和CBCT扫描。所有 480 例均采用四种不同的方法进行评估,分别为: 完整的PAN,每颗牙齿的临床检查可用和不可用,和小部分PAN的root皇冠和root没有全冠分别显示.还采用根尖周指数系统通过PAN评估AP。分析了完整和小部分PAN相对于CBCT的准确性。 结果: 四种方法对有牙髓治疗的牙齿的总体准确性 (73.4) 高于无牙髓治疗的牙齿 (66.6)。完全PAN和部分PAN的准确度分别为 71.3 和 68.7。对于未进行牙髓治疗的牙齿,上/下切牙区的完全PAN和上磨牙区的小部分PAN的准确性较高。牙体牙髓治疗未见差异。 结论: 完全和小部分PAN分别在未治疗牙的上/下切牙区和上磨牙区显示出更高的准确性,而在治疗牙中没有发现差异。

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METHODS:OBJECTIVE:Methadone is a vital treatment for women with opioid use disorder in pregnancy. Previous reports suggested an association between methadone exposure and Pierre Robin sequence (PRS), a rare craniofacial anomaly. We assessed the association between gestational methadone exposure and PRS. DESIGN/SETTING:This case-malformed control study used European Surveillance of Congenital Anomalies population-based registries in Ireland, the Netherlands, Italy, Switzerland, Croatia, Malta, Portugal, Germany, Wales, Norway and Spain, 1995-2011. PATIENTS:Cases included PRS based on International Classification of Disease (ICD), Ninth Edition-British Paediatric Association (BPA) code 75 603 or ICD, Tenth Edition-BPA code Q8708. Malformed controls were all non-PRS anomalies, excluding genetic conditions, among live births, fetal deaths from 20 weeks' gestation and terminations of pregnancy for fetal anomalies. An exploratory analysis assessed the association between methadone exposure and other congenital anomalies (CAs) excluding PRS. Methadone exposure was ascertained from medical records and maternal interview. RESULTS:Among 87 979 CA registrations, there were 127 methadone-exposed pregnancies and 336 PRS cases. There was an association between methadone exposure and PRS (OR adjusted for registry 12.3, 95% CI 5.7 to 26.8). In absolute terms, this association reflects a risk increase from approximately 1-12 cases per 10 000 births. A raised OR was found for cleft palate (adjusted OR 5.0, 95% CI 2.7 to 9.2). CONCLUSIONS:These findings suggest that gestational methadone exposure is associated with PRS. The association may be explained by unmeasured confounding factors. The small increased risk of PRS in itself does not alter the risk-benefit balance for gestational methadone use. The association with cleft palate, a more common CA, should be assessed with independent data.

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影响因子:0.73
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DOI:10.1097/SCS.0000000000005693
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颌部疾病方向

颌部的疾病,包括颌畸形、颌骨囊肿、颌骨肿瘤等疾病。

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