Influencia de la tomograf?a computarizada de haz c?nico en la toma de decisiones diagn?sticas en el tratamiento endod?ntico

Abstract

[Espa?ol] Introducci?n: Un plan de tratamiento preciso y confiable es esencial en la pr?ctica endod?ntica. Desde que se introdujo la tomograf?a computarizada de haz c?nico (TCHC), se ha utilizado como auxiliar al momento de realizar diagn?sticos y planes de tratamiento junto con las radiograf?as periapicales. El objetivo de esta investigaci?n es determinar la influencia de la tomograf?a computarizada de haz c?nico (TCHC), en la toma de decisiones diagn?sticas en el tratamiento endod?ntico. Metodolog?a: Se envi? la encuesta a los miembros de la Sociedad Dominicana de Endodoncia, con preguntas demogr?ficas y 10 casos cl?nicos con im?genes diagn?sticas tanto en formato de RP como TCHC, para luego realizar una comparaci?n entre ellas. Estaba dividida en tres etapas: preguntas sociodemogr?ficas casos cl?nicos examinados por radiograf?as periapicales y por ?ltimo los casos cl?nicos examinados por tomograf?a. Se compararon los resultados para determinar si exist?an cambios en el diagn?stico una vez visualizada la TCHC. Resultados: Se pudo apreciar que, en todos los casos cl?nicos evaluados, hubo un cambio promedio en los planes de tratamiento de aproximadamente un 15.5%, al diagnosticar con RP y luego ver la TCHC. Se obtuvo una variaci?n m?xima de aproximadamente un 57% y una variaci?n m?nima de 1% en el plan de tratamiento. Conclusi?n: Bajo las condiciones de esta investigaci?n se concluy? que la imagen de TCHC tiene un impacto sustancial en la toma de decisiones diagn?sticas en Endodoncia, particularmente en casos de alta dificultad.

[English] Introduction: An accurate and reliable treatment plan is essential in endodontic practice. Since cone beam computed tomography (CBCT) was introduced, it has been used as an adjunct in making diagnoses and treatment plans in conjunction with periapical radiographs. The aim of this study is to determine the influence of cone beam computed tomography (CBCT) in making diagnostic decisions in endodontic treatment. Methodology: The survey was sent to members of the Dominican Endodontic Society, with demographic questions and 10 clinical cases with diagnostic images in both RP and TCHC format, and then a comparison between them. It was divided into three stages: socio-demographic questions, clinical cases examined by periapical x-rays and finally clinical cases examined by tomography. The results were compared to determine if there were changes in diagnosis after the TCHC was displayed. Results: In all the clinical cases evaluated, there was an average change in the treatment plans of approximately 15.5%, when diagnosing with RP and then viewing the TCHC. A maximum variation of approximately 57% and a minimum variation of 1% was obtained. Conclusion: Under the conditions of this study, it was concluded that the CBCT image has a substantial impact on diagnostic decision-making in Endodontics, particularly in cases of high difficulty.