{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T03:44:16Z","timestamp":1790912656823,"version":"4.1.0"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentomaxillofacial Radiology"],"published-print":{"date-parts":[[2021,5,1]]},"abstract":"<jats:sec><jats:title>Objectives:<\/jats:title><jats:p> This study observed whether changes in diagnosis caused by analysis of three-dimensional images can lead to alterations in the treatment plans of impacted lower third molars (ILTMs). <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> Sets of panoramic (PAN) \u2013 cone beam computed tomography (CBCT) of 218 patients were assessed for ILTM classification, contact with mandibular canal, contact and resorption of the lower second molar (LSM), intraoperative planning and post-operative expectations. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Percentage agreement and McNemar test compared PAN vs CBCT assessments. Logistic regression analyzed the dependency of change in surgical planning considering the changes in diagnostic features; descriptive statistics was used to observe the expectation of post-operative complications and paresthesia. Differences were found between PAN vs CBCT for classification of impaction and positioning, LSM relationship, choice for crown and root sectioning and expectation of post-operative complications (all with p &lt; 0.001). Logistic regression indicated that the change in diagnosis caused by CBCT examination did not change the clinical decision to extract ILTM but altered the planning of intraoperative steps such as osteotomy, crown sectioning and relaxing incision. The expectation of post-operative complications decreased when professionals planned the ILTM removal using tri-dimensional images. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> We concluded that changes in the diagnosis after CBCT examination can lead to alterations in the treatment plan of impacted lower third molar. <\/jats:p><\/jats:sec>","DOI":"10.1259\/dmfr.20200412","type":"journal-article","created":{"date-parts":[[2020,11,16]],"date-time":"2020-11-16T21:50:52Z","timestamp":1605563452000},"page":"20200412","source":"Crossref","is-referenced-by-count":26,"title":["Can diagnostic changes caused by cone beam computed tomography alter the clinical decision in impacted lower third molar treatment plan?"],"prefix":"10.1093","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9134-5164","authenticated-orcid":false,"given":"Lucas Moreira","family":"Mendon\u00e7a","sequence":"first","affiliation":[{"name":"Integrated Dental Clinic, Department of Dental Materials and Prosthodontics, School of Dentistry of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Ga\u00eata-Araujo","sequence":"additional","affiliation":[{"name":"Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas, Campinas, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro Bastos","family":"Cruvinel","sequence":"additional","affiliation":[{"name":"Integrated Dental Clinic, Department of Dental Materials and Prosthodontics, School of Dentistry of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid Wenzel","family":"Tosin","sequence":"additional","affiliation":[{"name":"Integrated Dental Clinic, Department of Dental Materials and Prosthodontics, School of Dentistry of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo Rodrigues","family":"Azenha","sequence":"additional","affiliation":[{"name":"Department of Stomatology, Public Health and Forensic Dentistry, School of Dentistry of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuela Prado","family":"Ferraz","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, Prosthesis and Traumatology School of Dentistry, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiano","family":"Oliveira-Santos","sequence":"additional","affiliation":[{"name":"Department of Stomatology, Public Health and Forensic Dentistry, School of Dentistry of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camila","family":"Tirapelli","sequence":"additional","affiliation":[{"name":"Integrated Dental Clinic, Department of Dental Materials and Prosthodontics, School of Dentistry of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","reference":[{"key":"b1","volume-title":"Radiation protection No 172. Cone beam CT for dental and maxillofacial radiology. Evidence based guidelines","author":"Sedentexct P","year":"2012"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2013.06.002"},{"key":"b3","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2012.03.005"},{"key":"b4","unstructured":"American Association of Endodontists.Endodontic competency: executive summary. Chicago: IL; 2019. pp. 1\u20136. https:\/\/www.aae.org\/specialty\/wp-content\/uploads\/sites\/2\/2019\/11\/TreatmentStandards_2019.pdf."},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.1111\/iej.12267"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2014.03.023"},{"key":"b7","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr.20160330"},{"key":"b8","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2019.03.041"},{"key":"b9","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2003.10.018"},{"key":"b10","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2003.12.009"},{"key":"b11","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-006-0089-5"},{"key":"b12","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2016.12.013"},{"key":"b13","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2007.03.023"},{"key":"b14","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2016.06.005"},{"key":"b15","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X9101100203"},{"key":"b16","first-page":"330","volume":"39","author":"Pell GJ","year":"1933","journal-title":"Dent Digest"},{"key":"b17","unstructured":"Winter GB. Impacted mandibular third molar. St Louis: American Medical Book; 1926. pp. 127\u201331."},{"key":"b18","doi-asserted-by":"publisher","DOI":"10.1111\/jicd.12323"},{"key":"b19","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr.20190250"},{"key":"b20","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2009.06.007"},{"key":"b21","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-016-1888-y"},{"key":"b22","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2018.08.023"},{"key":"b23","doi-asserted-by":"publisher","DOI":"10.3390\/medicina55060305"},{"key":"b24","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr.20190209"}],"container-title":["Dentomaxillofacial Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.birpublications.org\/doi\/pdf\/10.1259\/dmfr.20200412","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T15:55:31Z","timestamp":1705074931000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/dmfr\/article\/7242206"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,1]]},"references-count":24,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,5,1]]}},"alternative-id":["10.1259\/dmfr.20200412"],"URL":"https:\/\/doi.org\/10.1259\/dmfr.20200412","relation":{},"ISSN":["0250-832X","1476-542X"],"issn-type":[{"value":"0250-832X","type":"print"},{"value":"1476-542X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,1]]}}}