Incidental findings of pathology and abnormality in pretreatment orthodontic panoramic radiographs

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Incidental findings of pathology and abnormality in pretreatment orthodontic panoramic radiographs

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Publication Article, peer reviewed scientific
Title Incidental findings of pathology and abnormality in pretreatment orthodontic panoramic radiographs
Author(s) Bondemark, Lars ; Jeppsson, Malin ; Lindh-Ingildsen, Lina ; Rangne, Klara
Date 2006
English abstract
Panoramic radiographs, in combination with a clinical examination, are routinely used as an aid to orthodontic diagnosis and treatment planning. The aim of this study was to evaluate the prevalence and location of incidental findings of pathology and abnormalities in pretreatment orthodontic panoramic radiographs. A total of 496 patients (232 girls and 264 boys; mean age 11.2 years, SD 2.33) were randomly selected from the Orthodontic Clinic at the Faculty of Odontology, University of Malmo, Sweden. All radiographic examinations were performed between 1999 and 2003 at the Department of Oral Radiology, Faculty of Odontology, University of Malmo, Sweden. Two independent examiners analyzed the radiographs for abnormalities and diagnoses of pathology. However, caries and findings related to the orthodontic treatment plan, such as eruption disturbances and missing or supernumerary teeth, were not recorded. All radiographs with positive findings were reexamined by a third examiner, a specialist registrar in oral radiology. A total of 56 findings in 43 patients (8.7%) were recorded, and significantly more findings were detected in girls (P = .007). The most common findings were radiopacities (idiopathic sclerosis) in alveolar bone (n = 22), thickening of mucosal lining in sinus maxillaris (n = 15), and periapical inflammatory lesions (n = 10). The majority of the periapical lesions and radiopacities were found in the mandible. In most cases, the findings had no consequence for the orthodontic treatment plan and did not require medical or odontological management. However, the clinician should be aware of the potential to detect pathology and abnormality in pretreatment orthodontic panoramic radiographs.
Host/Issue Angle orthodontist;1
Volume 76
ISSN 0003-3219
Pages 98-102
Language eng (iso)
Subject(s) Medicine
Research Subject Categories::ODONTOLOGY::Radiological research
Handle http://hdl.handle.net/2043/3686 (link to this page)

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