Da prescrição radiográfica: uma análise em medicina bucal
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Data
1996-06-14
Autores
Scaf, Gulnara [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
A redução da dose de radiação ao paciente é aceita em Radiologia Odontológica, com a finalidade de diminuir os riscos associados ao exame radiográfico. Para atingir este objetivo, além do avanço tecnológico ocorrido nas últimas décadas, devemos considerar a importância do Critério de Seleção para o paciente e da prescrição radiográfica na indicação correta do tipo de radiografia necessária para cada um deles. O objetivo deste trabalho foi avaliar a prescrição radiográfica de pacientes atendidos pelo Serviço de Medicina Bucal da Faculdade de Odontologia de Araraquara - UNESP durante o período de 1989 a 1993. Selecionamos 396 prontuários que constituiu a totalidade dos que continham exames radiográficos. Para a análise da prescrição radiográfica, consideramos as informações obtidas da ficha clínica e da interpretação das radiografias, utilizando os Critérios de Seleção e a análise de decisão clínica. Os resultados demonstraram um alto índice de pacientes com prescrição incorreta (44,0%); tendo em 24,7% dos pacientes ocorrido mais de uma radiografia prescrita incorretamente. Com relação ao tipo de técnica com prescrição incorreta, em 31,6% dos pacientes foi realizada a radiografia panorâmica, vindo a seguir a oclusal (28,7%), outro (17,2%) e a associação da panorâmica e oclusal (12,6%). Pacientes portadores de doenças e alterações de tecido mole tiveram a mais alta freqüência de prescrições incorretas, seguidos pelos portadores de doenças das glândulas salivares (13,5%) (incluindo os tumores); outros (10,1%); distúrbios da A.T.M. (9,0%); inflamação e infecção dos maxilares (6,8%); tumores benignos (5,6%) e tumores malignos (5,6%). Em 62,9% dos pacientes, o exame radiográfico contribuiu para o diagnóstico e tratamento. A alta porcentagem de prescrição incorreta encontrada evidencia a necessidade de... (Resumo completo, clicar acesso eletrônico abaixo).
The reduction in the exposure rate to the patient is very known in Oral Radiology for reducing the patient risk from radiographic examination.Besides the thecnological advances in last decades, development of Selection Criteria for radiographic examination has also been instrumental in patient dose's reduction. A correct radiographic prescription means the correct radiographic view for each individual patient is used. The purpose of this study was to analyse the radiographic prescription of patients in the Oral Medicine Clinic, at Araraquara Dental School - UNESP, during the period between 1989 and 1993. The sample of this study was all of the files that had any type of radiographic examination (396). For the radiographic prescription we have considered the informations from the files and the radiographic interpretation based on Selection Criteria and clinical decision analysis methods.The results showed a high percentage of patients with incorrect prescription ( 44.0%); 24.7% had at least more than one incorrect prescription.From the radiographic views, the panoramic radiographic was prescribed incorrectly in 31.6% of the patients, following by an occlusal view (28.7%) , others (17.2%) and the association of panoramic and occlusal views (12.6%). The patients with soft tissues diseases have had the highest percentage of incorrect prescription (35.0%), following by salivary gland diseases, including the tumors (13.5%); others (10.1%); TMJ disorders (9.0%); jaw's inflamation and infections (6.8%); benign tumors (5.6%) and malignant tumors (5.6%). The radiographic examination contributed for diagnosis and treatment in 62.9% of the patients.The high percentage of incorrect radiographic prescription shows the importance to develop the guidelines in Oral Medicine.
The reduction in the exposure rate to the patient is very known in Oral Radiology for reducing the patient risk from radiographic examination.Besides the thecnological advances in last decades, development of Selection Criteria for radiographic examination has also been instrumental in patient dose's reduction. A correct radiographic prescription means the correct radiographic view for each individual patient is used. The purpose of this study was to analyse the radiographic prescription of patients in the Oral Medicine Clinic, at Araraquara Dental School - UNESP, during the period between 1989 and 1993. The sample of this study was all of the files that had any type of radiographic examination (396). For the radiographic prescription we have considered the informations from the files and the radiographic interpretation based on Selection Criteria and clinical decision analysis methods.The results showed a high percentage of patients with incorrect prescription ( 44.0%); 24.7% had at least more than one incorrect prescription.From the radiographic views, the panoramic radiographic was prescribed incorrectly in 31.6% of the patients, following by an occlusal view (28.7%) , others (17.2%) and the association of panoramic and occlusal views (12.6%). The patients with soft tissues diseases have had the highest percentage of incorrect prescription (35.0%), following by salivary gland diseases, including the tumors (13.5%); others (10.1%); TMJ disorders (9.0%); jaw's inflamation and infections (6.8%); benign tumors (5.6%) and malignant tumors (5.6%). The radiographic examination contributed for diagnosis and treatment in 62.9% of the patients.The high percentage of incorrect radiographic prescription shows the importance to develop the guidelines in Oral Medicine.
Descrição
Palavras-chave
Dentes - Radiografia, Radiographic prescription, Diagnosis, oral, Decision making
Como citar
SCAF, Gulnara. Da prescrição radiográfica: uma análise em medicina bucal. 1996. 67 f. Tese (livre-docência) - Universidade Estadual Paulista, Faculdade de Odontologia de Araraquara, 1996.