{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T12:01:42Z","timestamp":1790510502575,"version":"4.1.0"},"reference-count":19,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T00:00:00Z","timestamp":1733356800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>The aim of this study was to analyse the effect of surgeons\u2019 experience and the benefit of using cone-beam computed tomography (CBCT) images, compared to the use of panoramic radiography (PAN) images, on their decisions with regard to mandibular third molar treatment modality. Panoramic radiographs and CBCTs from a total of 143 patients who had undergone impacted third molar surgery were randomly evaluated for treatment decision by 10 participants with differing clinical experience (5 novices and 5 experienced surgeons). The degree of agreement between the same type of participants was \u2019Substantial Agreement\u2019 (0.61\u20130.80) or \u2019Almost Perfect\u2019 (0.81\u20131.00). When the treatment modality decisions of the experienced and novice surgeons, using PAN and CBCT images, were compared, a statistically significant difference was found (p&lt;0.01) between the variables. In 50 cases, experienced surgeons decided from CBCT images that total extraction was the best treatment method but opted for coronectomy when presented with PAN images of the same cases. In 164 cases novice surgeons decided on total extraction from CBCT images but chose coronectomy when presented with PAN images of the same cases. The results obtained from this study revealed that the degree of professional experience of the surgeon was a significant factor in determining the treatment decision. Moreover, the treatment choice of experienced surgeons was less affected by the change in imaging technique employed, when compared to novice surgeons.<\/jats:p>","DOI":"10.1371\/journal.pone.0314883","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T19:09:05Z","timestamp":1733425745000},"page":"e0314883","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":4,"title":["Treatment decision for impacted mandibular third molars: Effects of cone-beam computed tomography and level of surgeons\u2019 experience"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0623-5746","authenticated-orcid":true,"given":"Emine","family":"ADALI","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meltem","family":"OZDEN YUCE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6zde","family":"I\u015eIK","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elif","family":"\u015eENER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"MERT","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,12,5]]},"reference":[{"key":"pone.0314883.ref001","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.jormas.2019.06.010","article-title":"Determining the risk relationship associated with inferior alveolar nerve injury following removal of mandibular third molar teeth: A systematic review","volume":"121","author":"F Kang","year":"2020","journal-title":"J Stomatol Oral Maxillofac Surg"},{"key":"pone.0314883.ref002","doi-asserted-by":"crossref","first-page":"20160233","DOI":"10.1259\/dmfr.20160233","article-title":"Are different imaging methods affecting the treatment decision of extraction of mandibular third molars?","volume":"46","author":"Y Manor","year":"2017","journal-title":"Dentomaxillofac Radiol"},{"key":"pone.0314883.ref003","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.bjoms.2013.01.011","article-title":"Anatomic relationship between impacted third mandibular molar and the mandibular canal as the risk factor of inferior alveolar nerve injury","volume":"51","author":"GZ Xu","year":"2013","journal-title":"Br J Oral Maxillofac Surg"},{"key":"pone.0314883.ref004","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1111\/idj.12165","article-title":"Decision making in third molar surgery: a survey of Brazilian oral and maxillofacial surgeons","volume":"65","author":"IB Camargo","year":"2015","journal-title":"Int Dent J"},{"key":"pone.0314883.ref005","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1034\/j.1600-0501.1992.030207.x","article-title":"Visualization of the mandibular canal by different radiographic techniques","volume":"3","author":"C Lindh","year":"1992","journal-title":"Clin Oral Implants Res"},{"key":"pone.0314883.ref006","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/0266-4356(90)90005-6","article-title":"The radiological prediction of inferior alveolar nerve injury during third molar surgery","volume":"28","author":"JP Rood","year":"1990","journal-title":"Br J Oral Maxillofac Surg"},{"key":"pone.0314883.ref007","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/j.tripleo.2009.10.021","article-title":"Reliability of CBCT and other radiographic methods in preoperative evaluation of lower third molars","volume":"109","author":"A Suomalainen","year":"2010","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"pone.0314883.ref008","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1034\/j.1600-0528.2001.290411.x","article-title":"Dentists\u2019 decisions on prophylactic removal of mandibular third molars: a 10-year follow-up study","volume":"29","author":"K Knutsson","year":"2001","journal-title":"Community Dent Oral Epidemiol"},{"key":"pone.0314883.ref009","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.coms.2006.11.006","article-title":"Partial odontectomy","volume":"19","author":"MA Pogrel","year":"2007","journal-title":"Oral Maxillofac Surg Clin North Am"},{"key":"pone.0314883.ref010","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.tripleo.2006.01.016","article-title":"Permanent sensory nerve impairment following third molar surgery: a prospective study","volume":"102","author":"W Jerjes","year":"2006","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"pone.0314883.ref011","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1016\/j.ijom.2007.03.012","article-title":"Clinical characteristics of trigeminal nerve injury referrals to a university centre","volume":"36","author":"ABG Tay","year":"2007","journal-title":"Int J Oral Maxillofac Surg"},{"key":"pone.0314883.ref012","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.oooo.2012.03.017","article-title":"The relative risk of neurosensory deficit following removal of mandibular third molar teeth: the influence of radiography and surgical technique","volume":"115","author":"WP Smith","year":"2013","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol"},{"key":"pone.0314883.ref013","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1016\/0278-2391(86)90221-1","article-title":"Complications following removal of impacted third molars: the role of the experience of the surgeon","volume":"44","author":"AL Sisk","year":"1986","journal-title":"J Oral Maxillofac Surg"},{"key":"pone.0314883.ref014","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/j.bjoms.2012.08.006","article-title":"Elimination of permanent injuries to the inferior alveolar nerve following surgical intervention of the \u201chigh risk\u201d third molar","volume":"51","author":"G Umar","year":"2013","journal-title":"Br J Oral Maxillofac Surg"},{"key":"pone.0314883.ref015","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1111\/j.1834-7819.2006.tb00403.x","article-title":"Methods of determining the relationship of the mandibular canal and third molars: a survey of Australian oral and maxillofacial surgeons","volume":"51","author":"B Koong","year":"2006","journal-title":"Aust Dent J"},{"key":"pone.0314883.ref016","doi-asserted-by":"crossref","first-page":"20190039","DOI":"10.1259\/dmfr.20190039","article-title":"Cone beam CT imaging of the mandibular third molar: a position paper prepared by the European Academy of DentoMaxilloFacial Radiology (EADMFR)","volume":"48","author":"LH Matzen","year":"2019","journal-title":"Dentomaxillofac Radiol"},{"key":"pone.0314883.ref017","article-title":"Evaluation of outcome following coronectomy for the management of mandibular third molars in close proximity to inferior alveolar nerve","volume":"10","author":"S Mukherjee","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"pone.0314883.ref018","first-page":"15","article-title":"Post-operative status after partial removal of the mandibular third molar","volume":"13","author":"K Knutsson","year":"1989","journal-title":"Swed Dent J"},{"key":"pone.0314883.ref019","doi-asserted-by":"crossref","first-page":"98870341","DOI":"10.1259\/dmfr\/98870341","article-title":"Influence of cone beam CT on treatment plan before surgical intervention of mandibular third molars and impact of radiographic factors on deciding on coronectomy vs surgical removal","volume":"42","author":"LH Matzen","year":"2013","journal-title":"Dentomaxillofac Radiol"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0314883","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T19:09:13Z","timestamp":1733425753000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0314883"}},"subtitle":[],"editor":[{"given":"Sameh","family":"Attia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,12,5]]},"references-count":19,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12,5]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0314883","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,5]]}}}