Effect of Cone Beam Computed Tomography on Diagnostic and Therapeutic Decision Making in Endodontics
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Change in diagnosis and treatment planning
研究概览
简要总结
this study will determine the effect of CBCT examinations on diagnostic and therapeutic decision making in endodontics.
详细描述
Patients selected for Cone beam computed tomography (CBCT) examinations in accordance with European Commission guidelines ( patients with symptomatic vital teeth or with symptomatic root filled teeth; patients with suspected dental fracture; patients with suspected external or internal resorption and for aid in performing any therapeutic intervention ) will be included in the study. Only patients aged above 18 years will be included in the study.
Patients referred to the department of endodontics at Post Graduate Institute of Dental Sciences (PGIDS) Rohtak or any patient from routine opd requiring specialist endodontic consultation will be thoroughly examined .The examination will consist of a proper medical history and clinical examination, such as inspection, palpation, probing and percussion of the area of interest. When appropriate, additional tests such as sensitivity tests (cold and electric pulp tests) and conventional radiography will be performed. After the initial examination, patients judged to be in need of CBCT examination will be referred to the radiology department.
Stages of evaluation
Stage 1(before CBCT examination) Before referral, the examiner will write down the best available diagnosis and therapeutic plan using clinical examination and conventional radiography. The radiographs will be carefully viewed for periapical changes, vertical root fractures, internal or external resorption, perforation or any other radiographic finding.
Stage 2(after CBCT examination)
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •The inclusion criteria for referring patients to CBCT examination will be in accordance with current European guidelines and can be grouped as follows:
- •Patients in which disease had to be ruled out:
- •patients with symptomatic vital teeth otherwise judged healthy (no exposed dentin; normal sensitivity pulp tests; no tenderness to palpation or percussion; with radiographic apical/marginal periodontal normalcy; and no cracks/fractures)
- •patients with symptomatic root-filled teeth otherwise judged healthy (good quality of root filling that did not need to be revised or completed; no tenderness to palpation or percussion; with radiographic apical/marginal periodontal normalcy; and no cracks/fractures)
- •when conventional radiology failed to demonstrate if a finding was a pathological process or a normal anatomical structure.
- •Patients in which suspected disease had to be confirmed:
- •suspected dental fractures that could not be demonstrated
- •suspected external or internal resorptions.
- •As an aid in performing the therapeutic intervention:
- •in established external or internal resorptions to assist in the approach of complex cases
- •before apical surgery when important anatomical structures interfered with the surgical approach
- •in diagnosing foreign body structures, their location and, when needed, as a guide in the surgical removal
- •in understanding tooth anatomy of abnormal teeth in need of endodontic treatment
- •in assessing the number and location of root canals after at least one unsuccessful attempt to find them under oral microscope.
排除标准
- •Patients will not be referred for CBCT examination if they:
- •presented themselves with an accessible previous volume tomography in the region of interest. This was, however, not a strict restriction if the examiner judged that new and relevant information could be obtained by a new CBCT examination
- •had a definite diagnosis and treatment plan after a complete clinical and conventional radiographic examination and therefore did not need a CBCT examination. This group represented the vast majority of all patients
- •needed any other special imaging technique for soft tissue assessment such as CT or magnetic resonanace imaging.
结局指标
主要结局
Change in diagnosis and treatment planning
时间窗: 1 year
Comparison of diagnostic and therapeutic decision making between gold standard and radiographic findings.
次要结局
未报告次要终点