Itens essenciais para a elaboração de laudo estruturado de tomografia computadorizada de feixe cônico com aplicação na implantodontia: um estudo Delphi

Abstract

The use of cone beam computed tomography (CBCT) has become increasingly common among dental surgeons in the field of implantology, being essential for planning dental implants, with numerous advantages over two-dimensional scans. The imaging report is the main means of communication between the radiologist and the dentist in clinical practice. The lack of standardization of reports can be an obstacle to communication between professionals, due to lengthy texts and variability of language and style. Therefore, the use of standardized reports, based on a consensus between specialists, can significantly improve clinical practice, providing more accurate diagnoses. The aim of this study is to identify the main information that should be observed and described by the radiologist in the CBCT report applied to implant dentistry. Using the e-Delphi methodology, a consensus was sought among ten dentists specializing in implant with varying levels of experience and different practice locations, ensuring a wide range of perspectives. It was possible to identify several items considered essential by the specialists consulted, such as: description and relationship of important anatomical structures and bone morphology with the area of interest; identification of pathologies, anatomical variations and bone defects; assessment of bone quality/density; continuity between the grafted region and the patient's natural bone and whether there was a gain in bone volume; measurement of bone height and thickness/width in millimeters in the areas of interest. These findings could facilitate further studies with larger samples to develop a structured report model applied to implant dentistry.