Para fraturas alveolares, obtivemos melhores resultados com TCFC quando
comparados a RP. Para fraturas radiculares, os resultados não apresentaram
diferenças estatisticamente significantes para RP e os diferentes protocolos
de TCFC, com exceção da comparação entre RP e TCFC Protocolo HD 80
kV-8 mA.
Valores de sensibilidade, especificidade, acurácia, concordância inter e
intraobservador e área sob a curva (ASC) de característica de operação do
receptor (ROC) mostraram valores numericamente superiores para fraturas
radiculares quando comparadas a fraturas alveolares.
Não houve diferença estatisticamente significante entre os diferentes protocolos
de TCFC com relação a variações em valores de voltagem do tubo de raios X
(kVp), valor da corrente presente no tubo de raios X (mA) e número de
projeções nos diferentes protocolos de TCFC.
RP com duas incidências de angulação vertical distintas são o primeiro método
diagnóstico indicado para a detecção de fraturas radiculares. No entanto,
quando não for possível observar nenhuma fratura e o paciente apresentar
sintomatologia dolorosa, o próximo exame de escolha é a TCFC. O protocolo
de TCFC escolhido (com variações em valores de voltagem do tubo de raios
X - kV, valor da corrente presente no tubo de raios X – mA, e número de
projeções) dependerá da idade e características físicas do paciente.
59
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SOLANGE KOBAYASHI VELASCO
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