Comparação da acurácia de dois tomógrafos na detecção de fraturas radiculares em dentes tratados endodonticamente
Ano de defesa: | 2024 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Estadual do Oeste do Paraná
Cascavel |
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Odontologia
|
Departamento: |
Centro de Ciências Biológicas e da Saúde
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | https://tede.unioeste.br/handle/tede/7121 |
Resumo: | One of the main reasons for the extraction of endodontically treated teeth is the occurrence of vertical root fractures (VRF), and their diagnosis is still a challenge in the dentist's routine. Periapical radiography is, in general, the complementary exam of first choice for detecting RVF, however, several factors, such as angulation and contrast, can interfere with the image. Three-dimensional techniques, such as tomography, are more reliable as they are capable of eliminating distortions and overlaps. However, they also present some limitations due to the formation of artifacts, when the RVF to be diagnosed is close to hyperdense material, in addition to requiring a minimum thickness of the fracture so that it can be noticed. Therefore, this study was proposed to compare the accuracy of two CT scanners in detecting root fractures in endodontically treated teeth. The tomographic images were acquired on the OP300® tomography machine (Instrumentarium) and the X800® tomography machine (J Morita). The sample consisted of 42 extracted teeth, single-rooted with a single canal, without cracks/fractures and accentuated curvatures. The root canals were prepared by the same operator using the Reciproc reciprocating file system, up to R40 or R50 (Reciproc - VDW®) or using manual instrumentation, depending on the caliber of the initial instrument, irrigated abundantly and filled. The tomographic images were interpreted by two endodontic specialists. Statistical analysis was performed using Jamovi software. The OP300® tomography scanner (Instrumentarium) showed better sensitivity and specificity results compared to the X800® tomography scanner (J Morita). The chi-square test indicated greater accuracy for the OP300® tomograph. There was reasonable agreement between examiners for both the OP300® tomography scanner (Instrumentarium) and the X800® tomography scanner (J Morita). The results of this study indicated a considerable occurrence of error in the detection of RVF for both tomographs used, in addition to reasonable agreement between the examiners for both tomographs. |
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Brandão, Christian GiampietroBusatto, Mauro Carlos AgnerVictorino, Fausto Rodrigohttp://lattes.cnpq.br/3192430645785122Knecht, Milena Filippini2024-04-05T12:58:32Z2024-01-18Knecht, Milena Filippini. Comparação da acurácia de dois tomógrafos na detecção de fraturas radiculares em dentes tratados endodonticamente. 2024. 20 f. Dissertação( Mestrado em Odontologia) - Universidade Estadual do Oeste do Paraná, Cascavel.https://tede.unioeste.br/handle/tede/7121One of the main reasons for the extraction of endodontically treated teeth is the occurrence of vertical root fractures (VRF), and their diagnosis is still a challenge in the dentist's routine. Periapical radiography is, in general, the complementary exam of first choice for detecting RVF, however, several factors, such as angulation and contrast, can interfere with the image. Three-dimensional techniques, such as tomography, are more reliable as they are capable of eliminating distortions and overlaps. However, they also present some limitations due to the formation of artifacts, when the RVF to be diagnosed is close to hyperdense material, in addition to requiring a minimum thickness of the fracture so that it can be noticed. Therefore, this study was proposed to compare the accuracy of two CT scanners in detecting root fractures in endodontically treated teeth. The tomographic images were acquired on the OP300® tomography machine (Instrumentarium) and the X800® tomography machine (J Morita). The sample consisted of 42 extracted teeth, single-rooted with a single canal, without cracks/fractures and accentuated curvatures. The root canals were prepared by the same operator using the Reciproc reciprocating file system, up to R40 or R50 (Reciproc - VDW®) or using manual instrumentation, depending on the caliber of the initial instrument, irrigated abundantly and filled. The tomographic images were interpreted by two endodontic specialists. Statistical analysis was performed using Jamovi software. The OP300® tomography scanner (Instrumentarium) showed better sensitivity and specificity results compared to the X800® tomography scanner (J Morita). The chi-square test indicated greater accuracy for the OP300® tomograph. There was reasonable agreement between examiners for both the OP300® tomography scanner (Instrumentarium) and the X800® tomography scanner (J Morita). The results of this study indicated a considerable occurrence of error in the detection of RVF for both tomographs used, in addition to reasonable agreement between the examiners for both tomographs.Uma das principais razões para a extração de dentes tratados endodonticamente é a ocorrência de fraturas radiculares verticais (FRV), sendo ainda o seu diagnóstico um desafio na rotina do cirurgião-dentista. A radiografia periapical é, em geral, o exame complementar de primeira escolha para a detecção de FRV, porém, vários fatores, como a angulação e o contraste, podem interferir na imagem. Já as técnicas tridimensionais, como as tomografias, são mais fidedignas por serem capazes de eliminar distorções e sobreposições. Entretanto, também apresentam algumas limitações devido formação de artefatos, quando a FRV a ser diagnosticada está próxima à material hiperdenso, além de exigir uma espessura mínima da fratura para que esta possa ser notada. Portanto, este estudo foi proposto para comparar a acurácia de dois tomógrafos na detecção de fraturas radiculares em dentes tratados endodonticamente. As imagens tomográficas foram adquiridas no tomógrafo OP300® (Instrumentarium) e no tomógrafo X800® (J Morita). A amostra foi composta por 42 dentes extraídos, unirradiculados com canal único, sem trincas/fraturas e curvaturas acentuadas. Os canais radiculares foram preparados pelo mesmo operador através do sistema de limas reciprocantes Reciproc, até a R40 ou R50 (Reciproc - VDW®) ou através de instrumentação manual, dependendo do calibre do instrumento inicial, irrigados abundantemente e obturados. As imagens tomográficas foram interpretadas por dois especialistas em endodontia. Já a análise estatística foi realizada pelo software Jamovi. O tomógrafo OP300® (Instrumentarium) apresentou melhores resultados de sensibilidade e especificidade comparado ao tomógrafo X800® (J Morita). O teste de qui-quadrado indicou maior acurácia para o tomógrafo OP300®. Houve concordância razoável entre os examinadores tanto para o tomógrafo OP300® (Instrumentarium) quanto para o tomógrafo X800® (J Morita). Os resultados deste estudo indicaram considerável ocorrência de erro na detecção de FRV para ambos os tomógrafos utilizados além de razoável concordância entre os examinadores para ambos os tomógrafos.Submitted by Edineia Teixeira (edineia.teixeira@unioeste.br) on 2024-04-05T12:58:32Z No. of bitstreams: 1 MILENA FILIPPINI KNECHT.pdf: 307196 bytes, checksum: 8bc0948e63480256782eb185aa4ee301 (MD5)Made available in DSpace on 2024-04-05T12:58:32Z (GMT). No. of bitstreams: 1 MILENA FILIPPINI KNECHT.pdf: 307196 bytes, checksum: 8bc0948e63480256782eb185aa4ee301 (MD5) Previous issue date: 2024-01-18application/pdfpor6588633818200016417500Universidade Estadual do Oeste do ParanáCascavelPrograma de Pós-Graduação em OdontologiaUNIOESTEBrasilCentro de Ciências Biológicas e da Saúdehttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessTratamento do canal radicularTomografia computadorizadaEndodontiaRoot canal treatmentEompute tomographyEndodonticsODONTOLOGIAComparação da acurácia de dois tomógrafos na detecção de fraturas radiculares em dentes tratados endodonticamenteComparison of the accuracy of two CT scanners in detecting root fractures in endodontically treated teethinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-80965548187336651646006001458059979463924370reponame:Biblioteca Digital de Teses e Dissertações do UNIOESTEinstname:Universidade Estadual do Oeste do Paraná (UNIOESTE)instacron:UNIOESTEORIGINALMILENA FILIPPINI KNECHT.pdfMILENA FILIPPINI KNECHT.pdfapplication/pdf307196http://tede.unioeste.br:8080/tede/bitstream/tede/7121/2/MILENA+FILIPPINI+KNECHT.pdf8bc0948e63480256782eb185aa4ee301MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://tede.unioeste.br:8080/tede/bitstream/tede/7121/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/71212024-04-05 09:58:32.799oai:tede.unioeste.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede.unioeste.br/PUBhttp://tede.unioeste.br/oai/requestbiblioteca.repositorio@unioeste.bropendoar:2024-04-05T12:58:32Biblioteca Digital de Teses e Dissertações do UNIOESTE - Universidade Estadual do Oeste do Paraná (UNIOESTE)false |
dc.title.por.fl_str_mv |
Comparação da acurácia de dois tomógrafos na detecção de fraturas radiculares em dentes tratados endodonticamente |
dc.title.alternative.eng.fl_str_mv |
Comparison of the accuracy of two CT scanners in detecting root fractures in endodontically treated teeth |
title |
Comparação da acurácia de dois tomógrafos na detecção de fraturas radiculares em dentes tratados endodonticamente |
spellingShingle |
Comparação da acurácia de dois tomógrafos na detecção de fraturas radiculares em dentes tratados endodonticamente Knecht, Milena Filippini Tratamento do canal radicular Tomografia computadorizada Endodontia Root canal treatment Eompute tomography Endodontics ODONTOLOGIA |
title_short |
Comparação da acurácia de dois tomógrafos na detecção de fraturas radiculares em dentes tratados endodonticamente |
title_full |
Comparação da acurácia de dois tomógrafos na detecção de fraturas radiculares em dentes tratados endodonticamente |
title_fullStr |
Comparação da acurácia de dois tomógrafos na detecção de fraturas radiculares em dentes tratados endodonticamente |
title_full_unstemmed |
Comparação da acurácia de dois tomógrafos na detecção de fraturas radiculares em dentes tratados endodonticamente |
title_sort |
Comparação da acurácia de dois tomógrafos na detecção de fraturas radiculares em dentes tratados endodonticamente |
author |
Knecht, Milena Filippini |
author_facet |
Knecht, Milena Filippini |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Brandão, Christian Giampietro |
dc.contributor.referee1.fl_str_mv |
Busatto, Mauro Carlos Agner |
dc.contributor.referee2.fl_str_mv |
Victorino, Fausto Rodrigo |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3192430645785122 |
dc.contributor.author.fl_str_mv |
Knecht, Milena Filippini |
contributor_str_mv |
Brandão, Christian Giampietro Busatto, Mauro Carlos Agner Victorino, Fausto Rodrigo |
dc.subject.por.fl_str_mv |
Tratamento do canal radicular Tomografia computadorizada Endodontia |
topic |
Tratamento do canal radicular Tomografia computadorizada Endodontia Root canal treatment Eompute tomography Endodontics ODONTOLOGIA |
dc.subject.eng.fl_str_mv |
Root canal treatment Eompute tomography Endodontics |
dc.subject.cnpq.fl_str_mv |
ODONTOLOGIA |
description |
One of the main reasons for the extraction of endodontically treated teeth is the occurrence of vertical root fractures (VRF), and their diagnosis is still a challenge in the dentist's routine. Periapical radiography is, in general, the complementary exam of first choice for detecting RVF, however, several factors, such as angulation and contrast, can interfere with the image. Three-dimensional techniques, such as tomography, are more reliable as they are capable of eliminating distortions and overlaps. However, they also present some limitations due to the formation of artifacts, when the RVF to be diagnosed is close to hyperdense material, in addition to requiring a minimum thickness of the fracture so that it can be noticed. Therefore, this study was proposed to compare the accuracy of two CT scanners in detecting root fractures in endodontically treated teeth. The tomographic images were acquired on the OP300® tomography machine (Instrumentarium) and the X800® tomography machine (J Morita). The sample consisted of 42 extracted teeth, single-rooted with a single canal, without cracks/fractures and accentuated curvatures. The root canals were prepared by the same operator using the Reciproc reciprocating file system, up to R40 or R50 (Reciproc - VDW®) or using manual instrumentation, depending on the caliber of the initial instrument, irrigated abundantly and filled. The tomographic images were interpreted by two endodontic specialists. Statistical analysis was performed using Jamovi software. The OP300® tomography scanner (Instrumentarium) showed better sensitivity and specificity results compared to the X800® tomography scanner (J Morita). The chi-square test indicated greater accuracy for the OP300® tomograph. There was reasonable agreement between examiners for both the OP300® tomography scanner (Instrumentarium) and the X800® tomography scanner (J Morita). The results of this study indicated a considerable occurrence of error in the detection of RVF for both tomographs used, in addition to reasonable agreement between the examiners for both tomographs. |
publishDate |
2024 |
dc.date.accessioned.fl_str_mv |
2024-04-05T12:58:32Z |
dc.date.issued.fl_str_mv |
2024-01-18 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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dc.identifier.citation.fl_str_mv |
Knecht, Milena Filippini. Comparação da acurácia de dois tomógrafos na detecção de fraturas radiculares em dentes tratados endodonticamente. 2024. 20 f. Dissertação( Mestrado em Odontologia) - Universidade Estadual do Oeste do Paraná, Cascavel. |
dc.identifier.uri.fl_str_mv |
https://tede.unioeste.br/handle/tede/7121 |
identifier_str_mv |
Knecht, Milena Filippini. Comparação da acurácia de dois tomógrafos na detecção de fraturas radiculares em dentes tratados endodonticamente. 2024. 20 f. Dissertação( Mestrado em Odontologia) - Universidade Estadual do Oeste do Paraná, Cascavel. |
url |
https://tede.unioeste.br/handle/tede/7121 |
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Universidade Estadual do Oeste do Paraná Cascavel |
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