Relación entre el diagnóstico histopatológico de sacos foliculares de terceros molares y la medida radiográfica estandarizada en radiografía panorámica digital
Relationship between histopathologic diagnosis of third molar follicular sacs and standardized radiographic measurement on digital panoramic radiography
DOI:
https://doi.org/10.15446/aoc.v13n1.103616Keywords:
quiste, quiste dentígero, saco dental, tercer molar, radiografía panorámica, radiografía dental digital (es)Cyst, Dentigerous cyst, Dental sac, Third molar, Panoramic radiography, Dental digital radiography (en)
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Objetivo: establecer la relación entre el diagnóstico histopatológico de sacos foliculares de terceros molares y la medida radiográfica estandarizada en radiografía panorámica digital. Métodos: se llevó a cabo un estudio descriptivo en el que se incluyeron 28 sacos foliculares de terceros molares. Dos observadores midieron la radiolucidez pericoronal en radiografías panorámicas digitales usando un método estandarizado y se calculó el índice de correlación intraclase. Se estableció un diagnóstico radiográfico según la medida del saco, con <2.5 mm como el límite para sacos foliculares normales. Dicho diagnóstico fue comparado con el respectivo diagnóstico histopatológico. Se calculó sensibilidad y especificidad; se aplicó la prueba de chi-cuadrado, exacta de Fisher y, finalmente, el índice Kappa. Resultados: se obtuvo un alto grado de acuerdo entre los observadores. La prueba radiográfica tuvo una baja sensibilidad (0.27) y especificidad (0.6) y no se encontró diferencia estadísticamente significativa entre estos. Conclusiones: la ausencia de hallazgos radiográficos no implica ausencia de enfermedad. Además, no se puede establecer relación entre la presencia de quistes dentígeros y radiolucidez ≥ 2.5 mm en radiografía panorámica digital.
Objective: To establish the relationship between the histopathological diagnosis of follicular sacs of third molars and the standardized radiographic measurement in digital panoramic radiography. Methods: This was a descriptive study in which 28 follicular sacs of third molars were included. In digital panoramic radiographs two observers measured the pericoronal radiolucency using a standardized method and the intraclass correlation index was calculated. A radiographic diagnosis was established according to the size of the sac, with <2.5mm being the limit for normal follicular sacs. This diagnosis was compared with the respective histopathological diagnosis. Sensitivity and specificity were calculated; the chi-square test, Fisher's exact test and finally the Kappa index were applied. Results: A high degree of agreement was obtained among the observers. The radiographic test had a low sensitivity (0.27) and specificity (0.6) and no statistically significant difference was found between these. Conclusions: The absence of radiographic findings does not imply absence of disease, furthermore, no relationship can be established between the presence of dentigerous cysts and radiolucency ≥ 2.5 mm in digital panoramic radiography.
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