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oai:recercat.cat:20.500.12328/45532025-05-16T12:51:31Zcom_2072_67741col_2072_484352

2025-05-16T12:51:31Z urn:hdl:20.500.12328/4553 Influence of cone-beam computed tomography in clinical decision-making among different specialists in external cervical resorption lesions Rodríguez Mazón, Marta Garcia Font, Marc Doria, Guillermo Durán Sindreu, Fernando Abella, Francesc Exploració CBCT Presa de decisions clíniques Especialistes en odontologia Reabsorció cervical externa Planificació del tractament Tomografía computarizada de haz cónico (CBCT) Toma de decisiones clínicas Especialistas en odontología Reabsorción cervical externa Planificación del tratamiento CBCT scan Clinical decision-making Dentistry specialists External cervical resorption Treatment planning Introduction: Inadequate management of external cervical resorption (ECR) lesions may impact the treatment outcome. This study aimed to ascertain the influence of cone-beam computed tomography (CBCT) in clinical decision-making choices in cases of ECR among dentistry specialists (endodontics, prosthodontics, oral surgery, periodontics orthodontics, and general dentistry). A secondary objective was to evaluate the self-reported level of difficulty in choosing a treatment plan before and after viewing the CBCT images. Methods: Sixty examiners from different specialties were chosen to evaluate 12 cases of ECR lesions. Each case included clinical photographs, digital periapical radiographs, and a small-volume CBCT scan. In the first assessment, the examiners were given all the relevant information of each case, except the CBCT scan. Each examiner was asked to select 1 of the proposed treatment options and assess the difficulty of decision-making. Four weeks later, the examiners randomly reviewed the same 12 cases with additional information from the CBCT data. Results: After the CBCT evaluation, the clinicians changed their treatment plan in 72.2% of the cases (P < .05). The self-reported level of difficulty in choosing a treatment changed in all groups after evaluating the CBCT scans (P < .05). After viewing the CBCT scan, the extraction option increased significantly in all groups (P < .05). Conclusions: CBCT scan had a significant impact on clinical decision-making in cases of ECR evaluated by different specialists. 2025-05-16T12:51:31Z 2025-05-16T12:51:31Z 2022 info:eu-repo/semantics/article Rodríguez Mazón, Marta; Garcia Font, Marc; Doria, Guillermo [et al.]. Influence of cone-beam computed tomography in clinical decision-making among different specialists in external cervical resorption lesions. Journal of Endodontics, 2022, 48(9), p. 1121-1128. Disponible en: <https://www.sciencedirect.com/science/article/pii/S0099239922004071?via%3Dihub>. Fecha de acceso: 17 ene. 2025. DOI: 10.1016/j.joen.2022.05.010 0099-2399 http://hdl.handle.net/20.500.12328/4553 https://dx.doi.org/10.1016/j.joen.2022.05.010 eng Journal of Endodontics 48;9 info:eu-repo/semantics/openAccess © 2022 American Association of Endodontists. Elsevier