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Dental students' ability to detect maxillary sinus abnormalities: A comparison between panoramic radiography and cone-beam computed tomography

Imaging Science in Dentistry 2019년 49권 3호 p.191 ~ 199
 ( de Paula Lopes Rosado Lucas ) - State University of Campinas Piracicaba Dental School Department of Oral Diagnosis

 ( Barbosa Izabele Sales ) - Federal University of Juiz de Fora Governador Valadares Campus Department of Dentistry
 ( de Aquino Sibele Nascimento ) - Federal University of Juiz de Fora Governador Valadares Campus Department of Dentistry
 ( Junqueira Rafael Binato ) - Federal University of Juiz de Fora Governador Valadares Campus Department of Dentistry
 ( Verner Francielle Silvestre ) - Federal University of Juiz de Fora Governador Valadares Campus Department of Dentistry

Abstract


Purpose: To compare the diagnostic ability of undergraduate dental students to detect maxillary sinus abnormalities in panoramic radiographs (PR) and cone-beam computed tomography (CBCT).

Materials and Methods: This was a retrospective study based on the evaluation of PR and CBCT images. A pilot study was conducted to determine the number of students eligible to participate in the study. The images were evaluated by 2 students, and 280 maxillary sinuses were assessed using the following categories: normal, mucosal thickening, sinus polyp, antral pseudocyst, nonspecific opacification, periostitis, antrolith, and antrolith associated with mucosal thickening. The reference standard was established by the consensus of 2 oral radiologists based on the CBCT images. The kappa test, receiver operating characteristic curves, and 1-way analysis of variance with the Tukey-Kramer post-hoc test were employed.

Results: Intraobserver and interobserver reliability showed agreement ranging from substantial (0.809) to almost perfect (0.922). The agreement between the students' evaluations and the reference standard was reasonable (0.258) for PR and substantial (0.692) for CBCT. Comparisons of values of sensitivity, specificity, and accuracy showed that CBCT was significantly better (P<0.05).

Conclusion: CBCT was better than PR for the detection of maxillary sinus abnormalities by dental students. However, CBCT should only be requested after a careful analysis of PR by students and more experienced professionals.

키워드

Cone-Beam Computed Tomography; Students, Dental; Maxillary Sinus; Radiography, Panoramic
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