Treatment decision for impacted mandibular third molars: Effects of cone-beam computed tomography and level of surgeons' experience.

The aim of this study was to analyse the effect of surgeons' experience and the benefit of using cone-beam computed tomography (CBCT) images, compared to the use of panoramic radiography (PAN) images, on their decisions with regard to mandibular third molar treatment modality. Panoramic radiogr...

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Main Authors: Emine Adali, Meltem Ozden Yuce, Gözde Işik, Elif Şener, Ali Mert
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0314883&type=printable
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author Emine Adali
Meltem Ozden Yuce
Gözde Işik
Elif Şener
Ali Mert
author_facet Emine Adali
Meltem Ozden Yuce
Gözde Işik
Elif Şener
Ali Mert
author_sort Emine Adali
collection DOAJ
description The aim of this study was to analyse the effect of surgeons' experience and the benefit of using cone-beam computed tomography (CBCT) images, compared to the use of panoramic radiography (PAN) images, on their decisions with regard to mandibular third molar treatment modality. Panoramic radiographs and CBCTs from a total of 143 patients who had undergone impacted third molar surgery were randomly evaluated for treatment decision by 10 participants with differing clinical experience (5 novices and 5 experienced surgeons). The degree of agreement between the same type of participants was 'Substantial Agreement' (0.61-0.80) or 'Almost Perfect' (0.81-1.00). When the treatment modality decisions of the experienced and novice surgeons, using PAN and CBCT images, were compared, a statistically significant difference was found (p<0.01) between the variables. In 50 cases, experienced surgeons decided from CBCT images that total extraction was the best treatment method but opted for coronectomy when presented with PAN images of the same cases. In 164 cases novice surgeons decided on total extraction from CBCT images but chose coronectomy when presented with PAN images of the same cases. The results obtained from this study revealed that the degree of professional experience of the surgeon was a significant factor in determining the treatment decision. Moreover, the treatment choice of experienced surgeons was less affected by the change in imaging technique employed, when compared to novice surgeons.
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language English
publishDate 2024-01-01
publisher Public Library of Science (PLoS)
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spelling doaj-art-43b180fbb2234a60a3fc56e8d6521bd72024-12-10T05:32:17ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031488310.1371/journal.pone.0314883Treatment decision for impacted mandibular third molars: Effects of cone-beam computed tomography and level of surgeons' experience.Emine AdaliMeltem Ozden YuceGözde IşikElif ŞenerAli MertThe aim of this study was to analyse the effect of surgeons' experience and the benefit of using cone-beam computed tomography (CBCT) images, compared to the use of panoramic radiography (PAN) images, on their decisions with regard to mandibular third molar treatment modality. Panoramic radiographs and CBCTs from a total of 143 patients who had undergone impacted third molar surgery were randomly evaluated for treatment decision by 10 participants with differing clinical experience (5 novices and 5 experienced surgeons). The degree of agreement between the same type of participants was 'Substantial Agreement' (0.61-0.80) or 'Almost Perfect' (0.81-1.00). When the treatment modality decisions of the experienced and novice surgeons, using PAN and CBCT images, were compared, a statistically significant difference was found (p<0.01) between the variables. In 50 cases, experienced surgeons decided from CBCT images that total extraction was the best treatment method but opted for coronectomy when presented with PAN images of the same cases. In 164 cases novice surgeons decided on total extraction from CBCT images but chose coronectomy when presented with PAN images of the same cases. The results obtained from this study revealed that the degree of professional experience of the surgeon was a significant factor in determining the treatment decision. Moreover, the treatment choice of experienced surgeons was less affected by the change in imaging technique employed, when compared to novice surgeons.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0314883&type=printable
spellingShingle Emine Adali
Meltem Ozden Yuce
Gözde Işik
Elif Şener
Ali Mert
Treatment decision for impacted mandibular third molars: Effects of cone-beam computed tomography and level of surgeons' experience.
PLoS ONE
title Treatment decision for impacted mandibular third molars: Effects of cone-beam computed tomography and level of surgeons' experience.
title_full Treatment decision for impacted mandibular third molars: Effects of cone-beam computed tomography and level of surgeons' experience.
title_fullStr Treatment decision for impacted mandibular third molars: Effects of cone-beam computed tomography and level of surgeons' experience.
title_full_unstemmed Treatment decision for impacted mandibular third molars: Effects of cone-beam computed tomography and level of surgeons' experience.
title_short Treatment decision for impacted mandibular third molars: Effects of cone-beam computed tomography and level of surgeons' experience.
title_sort treatment decision for impacted mandibular third molars effects of cone beam computed tomography and level of surgeons experience
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0314883&type=printable
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