Indicación de radiografías interproximales en adolescentes: una revisión sistemática de guías clínicas.
DOI:
https://doi.org/10.47990/zksk6y70Palabras clave:
Caries dental/diagnóstico, Radiografía dental, Radiografía Interproximal, Adolescentes.Resumen
OBJETIVO: Identificar y analizar guías/directivas actuales sobre el uso de la radiografía interproximal en adolescentes, evaluando la evidencia que respalda los parámetros utilizados para su indicación y para la determinación del intervalo de tiempo prescrito entre tomas sucesivas para el diagnóstico de caries. METODOLOGIA: Se realizó una revisión sistemática de la literatura en 2022/23, en idioma Español, Inglés y Portugués identificando publicaciones clasificables como “guías”, “directivas” o “directrices” para el uso de radiografías bitewing. Dos revisores consultaron MEDLINE, LILACS, SCOPUS y Google Scholar. Se utilizó la Evaluación de calidad de guías para la investigación y evaluación AGREE II. RESULTADOS: Se incluyeron seis guías y cinco documentos. Cinco de las guías cumplen el dominio 1 de AGREE II, pero ninguna incluyó opiniones/preferencias de los pacientes. Mayormente utilizan la opinión de expertos, un lenguaje adecuado y claro. Solo dos miembros de la guía declaran no tener conflictos de intereses. Mientras ADA 2012, AAPD 2017, EAPD 2019, ITALIA 2019 sugieren utilizar la presencia de lesiones de caries/evaluación de riesgo como indicador de radiografía en la primera consulta, los demás no presentan indicador o la indican en todos los pacientes, señalando edades claves. La frecuencia varía según valoración de riesgo y presencia de lesión de caries. CONCLUSIÓN: No existe consenso sobre los parámetros a ser utilizados para la indicación/momento y frecuencia de examen radiográfico, sin embargo, condenan su uso indiscriminado. La frecuencia debe establecerse en relación con las condiciones basales y los factores determinantes presentes. Frecuencias menores de 12 meses requieren justificación.
Referencias
REFERENCIAS:
1. Bader, J D, Shugars, D A, & Bonito, A J A systematic review of the performance of methods for identifying carious lesions. J Public Health Dent. 2002 Fall; 62 (4): 201-13.
2. Nyvad, B. Diagnosis versus Detection of Caries. Caries Res. 2004 May-Jun; 38(3): 192-8.
3. Foster Page, L A, Boyd, D, Fuge, K, Stevenson, A, Goad, K, Sim, D, & Thomson, W M. The effect of bitewing radiography on estimates of dental caries experience among children differs according to their disease experience. BMC Oral Health. 2018 Aug 9; 18 (1): 137.
4. Carvalho, J C, Mestrinho, H, Guillet, A, & Maltz, M. Radiographic yield for clinical caries diagnosis in young adults: Indicators for radiographic examination. Caries Res. 2020; 54(2): 154-64.
5. Schwendicke, F, Tzschoppe, M, & Paris, S. Radiographic caries detection: A systematic review and meta-analysis. J Dent. 2015 Aug; 43 (8), 924-33.
6. Hopcraft, M S., & Morgan, M V. Comparison of radiographic and clinical diagnosis of approximal and occlusal dental caries in young adult population. Community Dent Oral Epidemiol. 2005 Jun; 33 (3):212-8.
7. Wenzel, A. Radiographic display of carious lesions and cavitation in approximal surfaces: advantages and drawbacks of conventional and advanced. Acta Odontol Scand. 2014 May; 72 (4): 251-64.
8. Hintze H, Lussi A, Cuisinier F & Nyvad B. Additional caries detection methods. En Fejerskov, O, Nyvad, B, & Kidd, E. Dental Caries: the disease and its Clinical Management (3 rd. Ed.). Wiley-Blackwell; 2015. 211-29.
9. Bernabé, E, & Sheiham, A. Extent of differences in dental caries in permanent teeth between childhood and adulthood in 26 countries. Int Dent J. 2014 Oct; 64(5):241-5.
10. WHO: Country/Area Project Profile Database. (September 2016). WHO Collaborating Center for Education, Trainen and Research in Oral Health. Malmo University. Retrieved from http://www.mah.se/capp; 2016 Sep.
11. Goodwin T L, Devlin H, Glenny AM, O'Malley L, Horner K. Guidelines on the timing and frequency of bitewing radiography: a systematic review. Br Dent J. 2017 Apr 7; 222(7):519-26.
12. European guidelines on radiation protection in dental radiology. The safe use of radiographs in dental practice. (2004). Retrieved from https://op.europa.eu/en/publication-detail/-/publication/ea20b522-883e-11e5-b8b7-01aa75ed71a1#
13. Oenning, A C., Jacobs, R, Pauwels, R, Stratis, A, Hedesiu, M, & Salmon, B. Cone-beam CT in paediatric dentistry: DIMITRA project position statement. Pediatr Radiol. 2018 Mar; 48(3):308-16.
14. WHO [internet] https://www.who.int/maternal_child_adolescent/topics/adolescence/dev/es/.
Citado: 4 agosto 2020.
15. Brouwers M C, Kho M E, Browman G P, Burgers J S, Cluzeau F, Feder G, Fervers B, Graham I D, Grimshaw J, Hanna S E, Littlejohns P, Makarski J, Zitzelsberger L; AGREE Next Steps Consortium.AGREE II: Advancing guideline development reporting and evaluation in healthcare. CMAJ. 2010 Dec 14; 182(18):E839-42.
16. Scottish dental clinical effectiveness programme. Oral Health Assessment and Review Dental Clinical Guidance. 2012; Retrieved from http://www.sdcep.org.uk/wp-content/uploads/2019/10/SDCEP-OHAR-Version1.0.pdf (accessed Oct 2019)
17. National child oral health services clinical guide. 2010. Retrieved from htp://oralhealth.hiirc.org.nz/page/30129/posteriorbitewingpbwguidelineforchild/?q=bitewing§ion_9005
18. Firetto M C, Abbinante A, Barbato E, Bellomi M, Biondetti P, Borghesi A, Bossu M, Cascone P, Corbella D, Di Candido V, Diotallevi P, Farronato G, Federici A, Gagliani M, Granata C, Guerra M, Magi A, Maggio MC, Mirenghi S, Nardone M, Origgi D, Paglia L, Preda L, Rampado O, Rubino L, Salerno S, Sodano A, Torresin A, Strohmenger L. National guidelines for dental diagnostic imaging in the developmental age. Radiol Med. 2019 Sep; 124(9):887-916.
19. Kühnisch J, Anttonen V, Duggal M S, Spyridonos M L, Rajasekharan S, Sobczak M, Stratigaki E, Van Acker J W G, Aps J K M, Horner K, Tsiklakis K. Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document. Eur Arch Paediatr Dent. 2020 Aug; 21(4):375-86.
20. American Dental Association. Council on Scientific Affairs. Dental Radiographic Examinations: Recommendations for Patient Selection and Limiting Radiation Exposure. US Department of Health and Human Services, Public Health Service, Food and Drug Administration, 2012. [Accessed December 2019]. Available from: http://www.ada. org/∼/media/ADA/Member%20Center/FIles/Dental_Radiographic_Examinations_2012.ashx
21. American Association of Paediatric Dentistry.
Prescribing Dental Radiographs for Infants, Children, Adolescents, and Individuals with Special Health Care Needs. Pediatr Dent. 2017 Sep 15; 39(6):205-07. PMID: 29179358.
22. Mejare, I. Bitewing examination to detect caries in children and adolescents: when and how
often? Dent Update. 2005 Dec; 32(10): 588-90, 593-4, 596-7.
23. Steiner, M., Buhlmann, S., Menghini, G., Imfeld, C., & Imfeld, T. Caries risks and appropriate
intervals between bitewing X-ray examinations in schoolchildren. Schweiz Monatsschr
Zahnmed. 2011; 121 (1):12-24.
24. Jenson, L, Budenz, A, Featherstone, J, Ramos-Gomez, FJ, Spolsky, V W, & Young, D A.
Clinical Protocols for Caries Management by Risk Assessment. J Calif Dent Assoc. 2007Oct;
35(10): 714-23.
25. Cordeiro, R L, & Braga de Abreu-e-Lima, F C. Indicaciones de radiografias en
odontopediatría. En M. L. de Andrade Massara, & P. C. Barbosa Rédua, Manual de
referencia para procedimientos clínicos en odontopediatría. Livraria Santos Editora Ltda.
2010: 69-77
26. Langlois, C D, Mahl, C R, & Fontanella, V. Diretrizes para a indicação de examenes
radiográficos en odontología. R. ABRO. 2007; 8(2): 32-8.
27. Institute of Medicine (US) Committee to Advise the Public Health Service on Clinical
Practice Guideline. Clinical Practice Guidelines: Directions for a New Program. In M. Field,
& K. Lohr (Eds.). Washington (DC). 1990.
28. Petersen, P E, & Lennon, M A. Effective use of fluorides for the prevention of dental caries
in the 21st century: the WHO approach. Community Dent Oral Epidemiol. 2004 Oct; 32 (5):
319-21.
29. Costa, A M, Bezzerra, A C, & Fuks, A B. Assessment of the accuracy of visual examination,
bitewing radiographs and DIAGNOdent on the diagnosis of occlusal caries. Eur Arch
Paediatr Dent. 2007 Jun; 8(2), 118-22.
30. Bahrololoomi, Z, Ezoddini, F, Halvani, N. Comparison of Radiography, Laser Fluorescence
and Visual Examination for Diagnosing Incipient Occlusal Caries of Permanent First Molars.
J Dent (Tehran). 2015 May; 12(5), 324-32.
31. Oliveira, RS, Zenkner, JE, Maltz, M, & Rodrigues, JA. Association between two visual
criteria in assessing non-cavitated caries lesion activity on occlusal surfaces of permanent
molars. Clin Oral Invest. 2015; 19, 565-8.
32. Gimenez, T, Piovesan, C, Braga, M M, & Raggio, D P Visual Inspection for Caries Detection:
A Systematic Review and Meta-analysis. J Dent Res. 2015 Jul; 94(7): 895-904.
33. Machiulskiene, V, Nyvad, B, & Baelum, V. Comparison of diagnostic yields of clinical and
radiographic caries examinations in children of different age. Eur J Paediatr Dent. 2004 Sep;
5(3): 157-62.
34. Chu, C, Chung, B, & Lo, E. Caries assessment by clinical examination with or without
radiographs of young Chinese adults. Int Dent J. 2008; 58, 265-68.
35. Pitts, N, Ismail, A I, Martignon, S, Ekstrand, K, Douglas, G V, & Longbottom, ICCMSTM
Guide for practitioners and educators.2014 Dec; Retrieved July 2020
36. Gomez, J, Tellez, M, Pretty, I A, Ellwood, R P, & Ismail, I. Non-cavitated carious lesions
detection methods: a systematic review. Community Dent Oral Epidemiol. 2013 Feb; 41(1), 54-66.
37. Gowda, S, Thomson, W M, Foster Page, L A, Croucher, N A. What difference does using
bitewing radiographs make to epidemiological estimates of dental caries prevalence and
severity in a young adolescent population with high caries experience? Caries Res. 2009;
43(6): 436–41.
37. Anderson, M, Stecksen-Blicks, C, Stenlund H, Ranggard, L., Tsilingaridis, G., & Mejare,
I. Detection of approximal caries in 5-year-old Swedish children. Caries Res. 2005 Mar;
Apr; 39 (2):92-9.
38. Lillehagen, M, Grinderfjord, M, & Mejare, I. Detection of approximal caries by clinical and
radiographic examination in 9-year-old Swedish children. Caries Res. 2007; 41(3): 177-85.
39. Apps, J K, Lim, L Z, Tong, H J, Kalia, B, & Chou, A M. Diagnostic efficacy of and
indications for intraoral radiographs in pediatric dentistry: a systematic review. Eur Arch
Paediatr Dent. 2020 Aug; 21(4): 429-62.
40. Alvarez L, Alves L S, Fabruccini A, Maltz M. Sociodemographic, behavioral, and clinical
indicators for added value of radiography in caries diagnosis in adolescents: A cross-sectional
study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2022 Jun; 133(6):725-32.
41. Cagetti, M G, Bontá, G, Cocco, F, Lingstrom, P, Strohmenger, L., & Campus, G. Are
standardized caries risk assessment models effective in assessing actual caries status and
future caries increment? A systematic review. BMC Oral health.2018 Jul 16; 18(1): 123-33.
42. Tellez, M. Gomez, J, Pretty, I, Ellwood, R, & Ismail, A. Evidence on existing caries risk
assessment systems: are they predictive of future caries? Community Dent Oral Epidemiol.
2013 Feb; 41(1): 67-78.
43. Mejàre I, Axelsson S, Dahlén G, Espelid I, Norlund A, Tranæus S, Twetman S. Caries risk
assessment. A systematic review. Acta Odontol Scand. 2014 Feb; 72(2):81-91.
44. Mejare, I, Kallestal, C, Stenlund, H, & Johansson, H. Caries Development from 11to 22Years
of Age: A Prospective Radiographic Study. Caries Res. 1998; 32(1): 10-6.
45. Carvalho, J C. Caries process on occlussal surfaces: evolving evidence and understanding.
Caries Res. 2014; 48 (4): 339-46.
Descargas
Publicado
Número
Sección
Licencia
Derechos de autor 2025 Revista de Odontopediatría Latinoamericana
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
Cómo citar
