Orvosi hetilap · 2026
[Dental decisions in the shadow of complications: risk assessment and analysis of treatment strategies].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Jurásek Alexandra, Katona Krisztián, Borbásné Farkas Kornélia, Sándor Balázs Attila
Аннотация
INTRODUCTION: During tooth extractions, there is always a possibility of complications. In the case of maxillary teeth, this can be oroantral communication. Its surgical management is important to prevent long-term complications. There are factors which can predict the possibility of oroantral communication, even with the help of a preoperative panoramic radiograph.
OBJECTIVE: In our questionnaire-based study, we wanted to determine what aspects dentists take into consideration before tooth extractions, during referral to a specialist, and in complication management.
METHOD: Our Google Forms-based questionnaire was forwarded to the e-mail addresses of publicly funded clinics, as well as to private practitioners through social media platforms. The responses were evaluated using statistical methods.
RESULTS: Experienced dentists preferred specialist referrals in cases of self-predicted sinus opening. The age group under 40 years significantly more often had specialist qualification than those over 40. Panoramic radiographs are often used during decision-making. Imaging is performed more frequently in the private sector than in the social funded care. Dentists practicing in the capital and Pest County take X-ray images more often than their colleagues working in other counties. With increased professional experience, the frequency of pre-extraction X-ray imaging decreased.
DISCUSSION: Currently, there are no guidelines in Hungary for imaging procedures and complication prediction before tooth extractions. Predicting oroantral communication would be useful for both patients and dentists.
CONCLUSION: The popularity of preoperative panoramic imaging in diagnostics may justify the development of a panoramic X-ray-based recommendation. Orv Hetil. 2026; 167(4): 148-155.
OBJECTIVE: In our questionnaire-based study, we wanted to determine what aspects dentists take into consideration before tooth extractions, during referral to a specialist, and in complication management.
METHOD: Our Google Forms-based questionnaire was forwarded to the e-mail addresses of publicly funded clinics, as well as to private practitioners through social media platforms. The responses were evaluated using statistical methods.
RESULTS: Experienced dentists preferred specialist referrals in cases of self-predicted sinus opening. The age group under 40 years significantly more often had specialist qualification than those over 40. Panoramic radiographs are often used during decision-making. Imaging is performed more frequently in the private sector than in the social funded care. Dentists practicing in the capital and Pest County take X-ray images more often than their colleagues working in other counties. With increased professional experience, the frequency of pre-extraction X-ray imaging decreased.
DISCUSSION: Currently, there are no guidelines in Hungary for imaging procedures and complication prediction before tooth extractions. Predicting oroantral communication would be useful for both patients and dentists.
CONCLUSION: The popularity of preoperative panoramic imaging in diagnostics may justify the development of a panoramic X-ray-based recommendation. Orv Hetil. 2026; 167(4): 148-155.