Imaging exams performed at the Dental Clinic of a Public University in Northeastern Brazil: survey of the main indications

Authors

DOI:

https://doi.org/10.33448/rsd-v10i10.18778

Keywords:

Radiology; Epidemiology; Radiography, Panoramic; Cone-beam computed tomography.

Abstract

Imaging exams combined with clinical aspects are of paramount importance for the correct diagnosis and treatment of the problem case experienced by patients who seek health services. Among the exams we can mention the Panoramic Radiography (PR) and the Cone Beam Computed Tomography (CBCT), which have several indications in the dental field. The objective of this work was to analyze the main indications for carrying out these tests. The requests were kindly granted by the Federal University of Ceará - Campus Sobral, totaling 252 PRs and 186 CBCTs carried out from August to October 2019. The indications were organized into nine groups: ATM, Surgery, Endodontics, Stomatology, Implantology, Pediatric Dentistry, Periodontics, Other Indications and No Indications. According to the results, we noticed that the greatest number of indications for PRs was in Surgery, highlighting the evaluation of impacted third molars, while the main indication of CBCTs was for implant dentistry, highlighting the preoperative planning for implant placement. It is also worth mentioning the high prevalence of exam requests without a described indication. Therefore, it is concluded that there is a need for education at the university level to correctly fill out the application forms, in addition to establishing a clinical protocol to standardize such indications in order to improve the documentation of cases. In addition, whatever the imaging exam chosen for the problem case in question, its need must always be taken into account, in order not to expose the patient to unnecessary radiation dose. 

References

Almeida, L. H. S. de, Azevedo, M. S., Pappen, F. G., & Romano, A. R. (2015). Hematomas de erupção: relato de três casos clínicos em bebês. Revista Da Faculdade de Odontologia - UPF, 20(2), 222–226. https://doi.org/10.5335/rfo.v20i2.4354

Alves, F. (2002). Avaliação da Qualidade Técnica e Interpretativa da Radiografia Panorâmica. 04.

Barros, M. C. S., Cral, W. G., Rubira-Bullen, I. R. F., & Capelozza, A. L. A. (2015). Utilização e Vantagens da Tomografia Computadorizada por Feixe Cônico em Universidade Pública. APCD - Associação Paulista de Cirurgiões-Dentistas, 69(1168), 336–339.

Borges, C. L., & Lobo, C. M. (2016). O PAPEL DOS EXAMES BIDIMENSIONAIS E DA TOMOGRAFIA RELAÇÃO ENTRE TERCEIROS MOLARES INFERIORES E CANAL. Campinas, Universidade Estadual D E Piracicaba, Faculdade D E Odontologia D E.

Borsatto, M. C., & Nelson-filho, P. (2007). Principais tumores odontogênicos que podem acometer a cavidade bucal de crianças. 19(2), 181–187.

Carraro, G., & Santos, F. C. (2014). A Importância da Tomografia Computadorizada para Avaliação de Áreas Edêntulas no Planejamento de Implantes. Journal of Oral Investigations, 3(2), 31–36. https://doi.org/10.18256/2238-510x/j.oralinvestigations.v3n2p31-36

da Silveira, K. G., Costa, F. W. G., Bezerra, M. F., Pimenta, A. V. de M., Carvalho, F. S. R., & Soares, E. C. S. (2016). Sinais radiográficos preditivos de proximidade entre terceiro molar e canal mandibular através de tomografia computorizada. Revista Portuguesa de Estomatologia, Medicina Dentaria e Cirurgia Maxilofacial, 57(1), 30–37. https://doi.org/10.1016/j.rpemd.2015.11.006

Dalla, F., Mattiello, L., Lima, E. M. De, Maria, S., & Rizzatto, D. (2016). Impacção De Incisivos Centrais Superiores : Etiologia e Tratamento Maxillary Central Incisor Impaction : Etiology and Treatment. Artigo de Revisao de Literatura, XXI(May 2018).

Estrela, C (2018). Metodologia científica: ciência, Ensino, pesquisa. 3 ed. Porto Alegre-RS: Artes Médicas, v. 1. 707p.

Freitas, A.; Rosa, J. E.; Souza, I. F. (2000). Radiologia Odontológica. 5 ed. São Paulo: Artes Médicas.

Francisco, F. C., Maymone, W., Carlos, A., Carvalho, P., Frida, V., Francisco, M., & Francisco, M. C. (2005). Radiologia: 110 anos de história. Medicina, 27(4), 281–286.

Garib, D. G., Raymundo Jr., R., Raymundo, M. V., Raymundo, D. V., & Ferreira, S. N. (2007). Tomografia computadorizada de feixe cônico (Cone beam): entendendo este novo método de diagnóstico por imagem com promissora aplicabilidade na Ortodontia. Revista Dental Press de Ortodontia e Ortopedia Facial, 12(2), 139–156. https://doi.org/10.1590/s1415-54192007000200018

Gartner, C. F., & Goldenberg, F. C. (2009). A Importância da Radiografia Panorâmica no Diagnóstico e no Plano de Tratamento Ortodôntico na Fase da Dentadura Mista. Odonto, 17(33), 102–109. https://doi.org/10.15603/2176-1000/odonto.v17n33p102-109

Ghaeminia, H., Meijer, G. J., Soehardi, A., Borstlap, W. A., Mulder, J., & Bergé, S. J. (2009). Position of the impacted third molar in relation to the mandibular canal. Diagnostic accuracy of cone beam computed tomography compared with panoramic radiography. International Journal of Oral and Maxillofacial Surgery, 38(9), 964–971. https://doi.org/10.1016/j.ijom.2009.06.007

Ghaeminia, H., Meijer, G. J., Soehardi, A., Borstlap, W. A., Mulder, J., Vlijmen, O. J. C., Bergé, S. J., & Maal, T. J. J. (2011). The use of cone beam CT for the removal of wisdom teeth changes the surgical approach compared with panoramic radiography: A pilot study. International Journal of Oral and Maxillofacial Surgery, 40(8), 834–839. https://doi.org/10.1016/j.ijom.2011.02.032

Guilherme, I., Santos, P., Camyla, L., & Gomes, P. (2016). Artigo Original Topografia do Canal Mandibular e Relação com Terceiros Molares em Tomografias por Feixe Cônico. 5458, 12–17.

Gustavo, M., Rodrigues, S., Martín, O., Alarcón, V., Carraro, E., Rocha, J. F., Lúcia, A., & Capelozza, Á. (2010). Tomografia computadorizada por feixe cônico : formação da imagem , indicações e critérios para prescrição Cone-beam computed tomography : Formation of the image , indications and selection criteria. Odontol Clín Cient, 9(2), 115–118.

Haas, Letícia Fernanda. (2013). Reconstrução Panorâmica X Radiografia Panorâmica: Revisão de Literatura. 2013. 10f. Monografia – Curso de Especialização e Radiologia Odontológica e Imaginologia pela Faculdade de Odontologia da Universidade Federal do Rio Grande do Sul, Porto Alegre.

Jelodar, S., Ghadirian, H., Ketabchi, M., Ahmadi Karvigh, S., & Alimohamadi, M. (2018). Bilateral Ischemic Stroke Due to Carotid Artery Compression by Abnormally Elongated Styloid Process at Both Sides: A Case Report. Journal of Stroke and Cerebrovascular Diseases, 27(6), e89–e91. https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.12.018

Kato, R. B., Bueno, R. B. L., Neto, P. J. de O., Ribeiro, M. C., & Azenha, M. R. (2016). Acidentes e Complicações Associadas à Cirurgi dos Terceiros Molares Realizada por Alunos de Odontologia. Dentomaxillofacial Radiology, 10(1), 45–54. https://doi.org/10.1016/j.jcms.2016.07.025

Mozzo, P., Procacci, C., Tacconi, A., Martini, P. T., & Andreis, I. A. (1998). A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. European radiology, 8(9), 1558–1564. https://doi.org/10.1007/s003300050586

Nonato, M. D. M. (2006). Aspectos Relacionados ao Emprego da Radiografia Panorâmica em Pacientes Infantis Aspects Related To the Use of Panoramic Radiography in Children. 15–19.

Nunes, C. E. N., Mourão, A. C. C. M., Sampieri, M. B. da S., Oliveira, D. H. I. P. de, & Chaves, F. N. (n.d.). Using digital panoramic radiographs to examine temporal styloid process elongation.

Pippi, R., Santoro, M., & D’Ambrosio, F. (2016). Accuracy of cone-beam computed tomography in defining spatial relationships between third molar roots and inferior alveolar nerve. European Journal of Dentistry, 10(4), 454–458. https://doi.org/10.4103/1305-7456.195168

Pozzer, L., Jaimes, M., Chaves Netto, H. D. de M., Olate, S., & Barbosa, J. R. de A. (2009). Cistos odontogênicos em crianças: análise da descompressão cirúrgica em dois casos TT - The odontogenic cyst in children: analysis of the surgical decompression in 2 cases. Rev. Cir. Traumatol. Buco-Maxilo-Fac, 9(2), 17–22. http://www.revistacirurgiabmf.com/2009/v9n2/02.pdf

Ribeiro, Sonia.(2016). Princípio Alara. Centro de Estudos Energéticos e Radiofísicos. https://www.ceer.es/pt-pt/principio-alara/

Silva, N. R. de A., & Passos, A. G. (2014). Radiografia Panorâmica Para Extração Dos Terceiros Molares.

Suomalainen, A., Ventä, I., Mattila, M., Turtola, L., Vehmas, T., & Peltola, J. S. (2010). Reliability of CBCT and other radiographic methods in preoperative evaluation of lower third molars. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, 109(2), 276–284. https://doi.org/10.1016/j.tripleo.2009.10.021

Tavano, O.; Alvarez, L. C. (2002). Curso de Radiologia em Odontologia. 4ª ed. São Paulo: Liv. Santos.

Whaites, E. (2009). Princípios de radiologia odontológica.. 4ª ed. Rio de Janeiro: Elsevier.

White, S. C., & Pharoah, M. J. (2004). Radiologia Oral. 5ª ed. St. Louis: Mosby.

Downloads

Published

10/08/2021

How to Cite

MOURÃO, A. C. C. M. .; SOUZA, A. O.; CHAVES, F. N. .; OLIVEIRA, D. H. I. P. de .; SAMPIERI, M. B. da S. . Imaging exams performed at the Dental Clinic of a Public University in Northeastern Brazil: survey of the main indications. Research, Society and Development, [S. l.], v. 10, n. 10, p. e291101018778, 2021. DOI: 10.33448/rsd-v10i10.18778. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18778. Acesso em: 18 apr. 2024.

Issue

Vol. 10 No. 10

Section

Health Sciences

License

Copyright (c) 2021 Ana Cecília Carenina Machado Mourão; Antônio Odacy Souza; Filipe Nobre Chaves; Denise Helen Imaculada Pereira de Oliveira; Marcelo Bonifácio da Silva Sampieri

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.