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A retrospective study of incidental findings occurring in a consecutive case series of lateral cephalograms of 12- to 20-year-old patients referred for routine orthodontic treatment

PURPOSE: Lateral cephalograms of orthodontic patients may contain incidental findings that could potentially lead to harm. MATERIALS AND METHODS: The lateral cephalograms of 1765 consecutive 12- to 20-year-old patients, being considered for routine orthodontic treatment, were retrospectively reviewe...

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Autores principales: MacDonald, David, Patel, Akash, Zou, Bingshuang, Yen, Edwin, Vora, Siddharth R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Oral and Maxillofacial Radiology 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9530292/
https://www.ncbi.nlm.nih.gov/pubmed/36238700
http://dx.doi.org/10.5624/isd.20220402
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author MacDonald, David
Patel, Akash
Zou, Bingshuang
Yen, Edwin
Vora, Siddharth R.
author_facet MacDonald, David
Patel, Akash
Zou, Bingshuang
Yen, Edwin
Vora, Siddharth R.
author_sort MacDonald, David
collection PubMed
description PURPOSE: Lateral cephalograms of orthodontic patients may contain incidental findings that could potentially lead to harm. MATERIALS AND METHODS: The lateral cephalograms of 1765 consecutive 12- to 20-year-old patients, being considered for routine orthodontic treatment, were retrospectively reviewed. These patients were considered normal, because no abnormalities were found either in their medical history or on their clinical examination. RESULTS: The overall prevalence of incidental findings was 18.8%, of which 10.3% were ponticulus posticus and 4.2% were bridging of the sella turcica. Although occipital spurs and ponticulus posticus were more prevalent in males, the size of the sella turcicas did not differ between sexes. Of the 1156 patients completing treatment about 2 years later, only one lateral cephalogram displayed progression of the ponticulus posticus in that time. CONCLUSION: The prevalence of incidental findings on lateral cephalograms of otherwise normal orthodontic 12- to 20-year-old patients was almost a fifth, of which ponticulus posticus, vertebral fusion, and enlarged parietal foramina were clinically significant.
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spelling pubmed-95302922022-10-12 A retrospective study of incidental findings occurring in a consecutive case series of lateral cephalograms of 12- to 20-year-old patients referred for routine orthodontic treatment MacDonald, David Patel, Akash Zou, Bingshuang Yen, Edwin Vora, Siddharth R. Imaging Sci Dent Original Article PURPOSE: Lateral cephalograms of orthodontic patients may contain incidental findings that could potentially lead to harm. MATERIALS AND METHODS: The lateral cephalograms of 1765 consecutive 12- to 20-year-old patients, being considered for routine orthodontic treatment, were retrospectively reviewed. These patients were considered normal, because no abnormalities were found either in their medical history or on their clinical examination. RESULTS: The overall prevalence of incidental findings was 18.8%, of which 10.3% were ponticulus posticus and 4.2% were bridging of the sella turcica. Although occipital spurs and ponticulus posticus were more prevalent in males, the size of the sella turcicas did not differ between sexes. Of the 1156 patients completing treatment about 2 years later, only one lateral cephalogram displayed progression of the ponticulus posticus in that time. CONCLUSION: The prevalence of incidental findings on lateral cephalograms of otherwise normal orthodontic 12- to 20-year-old patients was almost a fifth, of which ponticulus posticus, vertebral fusion, and enlarged parietal foramina were clinically significant. Korean Academy of Oral and Maxillofacial Radiology 2022-09 2022-06-02 /pmc/articles/PMC9530292/ /pubmed/36238700 http://dx.doi.org/10.5624/isd.20220402 Text en Copyright © 2022 by Korean Academy of Oral and Maxillofacial Radiology https://creativecommons.org/licenses/by-nc/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0 (https://creativecommons.org/licenses/by-nc/3.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
MacDonald, David
Patel, Akash
Zou, Bingshuang
Yen, Edwin
Vora, Siddharth R.
A retrospective study of incidental findings occurring in a consecutive case series of lateral cephalograms of 12- to 20-year-old patients referred for routine orthodontic treatment
title A retrospective study of incidental findings occurring in a consecutive case series of lateral cephalograms of 12- to 20-year-old patients referred for routine orthodontic treatment
title_full A retrospective study of incidental findings occurring in a consecutive case series of lateral cephalograms of 12- to 20-year-old patients referred for routine orthodontic treatment
title_fullStr A retrospective study of incidental findings occurring in a consecutive case series of lateral cephalograms of 12- to 20-year-old patients referred for routine orthodontic treatment
title_full_unstemmed A retrospective study of incidental findings occurring in a consecutive case series of lateral cephalograms of 12- to 20-year-old patients referred for routine orthodontic treatment
title_short A retrospective study of incidental findings occurring in a consecutive case series of lateral cephalograms of 12- to 20-year-old patients referred for routine orthodontic treatment
title_sort retrospective study of incidental findings occurring in a consecutive case series of lateral cephalograms of 12- to 20-year-old patients referred for routine orthodontic treatment
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9530292/
https://www.ncbi.nlm.nih.gov/pubmed/36238700
http://dx.doi.org/10.5624/isd.20220402
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