ABSTRACT
The aim of this study was to determine the optimum dimensions of a radiographic plate to allow correct visualization of dental tissues and correct fit in the oral cavity of children with deciduous dentition. A quasi-experimental clinical study was carried out in children of both sexes aged between 3 and 5 years. The study variables were the complete visualization of the dental structures, the surveillance of ischemia on soft tissues, stimulation of the gag reflex, and acceptance of the radiographic plate by the pediatric patient through a validated visual analogue scale that measures anxiety. The data obtained were subjected to a descriptive and comparative statistical analysis carried out for both study phases. A total of 80 children participated in the study. The optimal dimensions obtained for the radiographic plate were 19.5 mm in height and 27.3 mm in width. Visualization of the dental tissues during both phases was not statistically significant (p = 0.412). However, there were statistically significant differences regarding the presence of ischemia, gag reflex, and child rejection (p < 0.001). A smaller radiographic plate allows correct visualization of the coronal dental tissues without causing rejection, ischemia, or gag reflex in patients in the deciduous dentition.
Subject(s)
Mouth , Tooth, Deciduous , Male , Female , Humans , Child , Child, Preschool , Anxiety Disorders , FamilyABSTRACT
La técnica radiográfica de aleta de mordida es el "talón de Aquiles" para el diagnóstico de caries interproximales en pacientes infantiles. En ocasiones las placas radiográficas disponibles están sobredimensionadas dificultando con ello el desarrollo de esta técnica. Se establece como objetivo determinar las dimensiones óseas y dentarias en niños con dentición temporal completa para obtener el tamaño ideal de una placa que permita una adecuada técnica interproximal. Se realizó un estudio transversal, observacional y descriptivo con un tamaño muestral de 65 pacientes de 3 a 5 años que precisen un diagnóstico clínico y radiográfico. Tras realizar las mediciones oportunas se determinó un tamaño radiográfico óptimo para posteriormente comprobar su fiabilidad. La dimensión de la placa definitiva fue de 15x25 mm. No se observó isquemia a nivel de la mucosa, tampoco reflejos nauseosos, sin embargo 4 pacientes expulsaron en un primer intento la placa recortada. En la literatura no se han encontrado estudios con relación al tamaño ideal de placas radiográficas en función de la edad del paciente. El uso de una placa de menores dimensiones es más confortable y fácil de utilizar a edades precoces
The radiographic technique of bite wing is the "Achilles heel" for the diagnosis of interproximal caries in children. Sometimes the available radiographic plates are oversized, making the development of this technique difficult. The objective is to determine the bone and dental dimensions in children with full temporal dentition to obtain the ideal size of a plate that allows an adequate interproximal technique. A cross-sectional, observational and descriptive study was carried out with a sample size of 65 patients from 3 to 5 years of age whore quired a clinical and radiographic diagnosis. After making the appropriate measurements, an optimal radiographic size was determined to subsequently verify its reliability. The size of the final plate was 15 x 25 mm. No ischemia was observed at the mucosa level, neither nauseous reflexes, however 4 patients expelled the cut-off plate in a first attempt. In the literature, no studies have been found in relation to the ideal size of radiographic plates according to the age of the patient. The use of a smaller plate is more comfortable and easier to use at an early age
