Indicação de radiografias interproximais em adolescentes: uma revisão sistemática de guias clínicas.
DOI:
https://doi.org/10.47990/zksk6y70Palavras-chave:
Cárie dentaria/diagnostico, Radiografia dental, Radiografia interproximais, AdolescentesResumo
OBJETIVO: identificar e analisar as diretrizes/diretrizes atuais sobre o uso da radiografia interproximal em adolescentes, avaliando as evidências que sustentam os parâmetros utilizados para sua indicação e para a determinação do intervalo de tempo prescrito entre disparos sucessivos para o diagnóstico de cárie. METODOLOGIA: Foi realizada uma revisão sistemática em 2022/23, em espanhol, inglês e português, identificando publicações classificáveis como “guias”, “diretivas” ou “diretrizes” para o uso de radiografias inter proximais. Dois revisores consultaram a MEDLINE via PubMed, LILACS, SCOPUS e Google scholar. Foi utilizada a Avaliação de Qualidade das Diretrizes para Pesquisa e Avaliação II (AGREE II). RESULTADOS: Foram incluídos seis guias e cinco documentos. Cinco das diretrizes serviram ao dominio 1, mas nenhuma incluiu as opiniões/preferências dos pacientes. Utilizam principalmente a opinião de especialistas e uma linguagem adequada e clara. Apenas dois membros do guia declaram não ter conflitos de interesse. Enquanto ADA 2012, AAPD 2017, EAPD 2019, ITALIA 2019 sugerem utilizar a presença de lesões de cárie/avaliação de risco como indicador radiográfico na primeira consulta, os demais não apresentam indicador nem o indicam em todos os pacientes, indicando idades-chave. A frequência varia de acordo com avaliação de risco e presença de lesão de cárie. CONCLUSÃO: Não há consenso sobre os parâmetros a serem utilizados para indicação/tempo e frequência do exame radiográfico, porém condenam seu uso indiscriminado. A frequência deve ser estabelecida em relação às condições basais e aos fatores determinantes presentes. Frequências inferiores a 12 meses carecem de justificação.
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