Ethnodentistry and Dental Folklore by William Carter

Logistic regression analysis showed that the odds in favour of changes in primary diagnosis and management increased when limited mandibular function was a primary symptom, the patient was taking medication for pain, and the articular eminence could not be assessed on OPT.Īssessment of cone-beam CT led to changes in primary diagnosis and management in more than half the patients with disorders of the TMJ. The clinician's certainty about the primary diagnosis increased after the cone-beam CT had been assessed in 57 patients. Changes in diagnosis and management were clinically relevant in 9/32 and 9/61 patients, respectively. A total of 74 patients (58%) had their diagnosis and management changed after the cone-beam CT had been assessed. The primary diagnosis was changed in 32 patients (25%), additional diagnostic procedures were changed in 57 (45%), and the treatment was changed in 15 (12%) (in 4 the treatment was changed to a (minimally) invasive procedure). The degree of certainty was rated by the clinician before and after the cone-beam CT had been assessed. After assessment of the cone-beam CT, the oral and maxillofacial surgeon (specialist or resident) was allowed to revise the provisional primary diagnosis and management. Before a diagnosis was made and treatment planned, the history was taken, physical examination made, and the orthopantomogram studied. The objective of this study was to assess the value of cone-beam computed tomographic (CT) images in the primary diagnosis and management of 128 outpatients with disorders of the temporomandibular joint (TMJ).

Ethnodentistry and Dental Folklore by William Carter