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Incidental Pathologic Findings from Orthodontic Pretreatment Panoramic Radiographs
Panoramic radiography is frequently performed for new patients, follow-ups and treatment in progress. This enables dental clinicians to detect pathology, view important structures, and assess developing teeth. The objective of the study was to determine prevalence of incidental pathologic findings (...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9966392/ https://www.ncbi.nlm.nih.gov/pubmed/36834172 http://dx.doi.org/10.3390/ijerph20043479 |
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author | Hlongwa, Phumzile Moshaoa, Mpule Annah Lerato Musemwa, Charity Khammissa, Razia Abdool Gafaar |
author_facet | Hlongwa, Phumzile Moshaoa, Mpule Annah Lerato Musemwa, Charity Khammissa, Razia Abdool Gafaar |
author_sort | Hlongwa, Phumzile |
collection | PubMed |
description | Panoramic radiography is frequently performed for new patients, follow-ups and treatment in progress. This enables dental clinicians to detect pathology, view important structures, and assess developing teeth. The objective of the study was to determine prevalence of incidental pathologic findings (IPFs) from orthodontic pretreatment panoramic radiographs at a university dental hospital. A retrospective cross-sectional review was conducted of pretreatment panoramic radiographs, using data collection sheets with predefined criteria. Demographic data and abnormalities (impacted teeth, widening of periodontal ligament, pulp stones, rotated teeth, missing teeth, unerupted teeth, crowding, spacing, supernumerary teeth, and retained deciduous teeth) were reviewed. SPSS 28.0 was used to analyze data with statistical tests set at a 5% significance level. Results: One hundred panoramic radiographs were analyzed with an age range of 7 to 57 years. The prevalence of IPFs was 38%. A total of 47 IPFs were detected with altered tooth morphology predominantly (n = 17). Most IPFs occurred in males (55.3%), with 44.7% in females. A total of 49.2% were in the maxilla and 50.8% in the mandible. This difference was statistically significant (p < 0.0475). Other abnormalities were detected in 76% of panoramic radiographs; 33 with IPFs and 43 without. A total of 134 other abnormalities detected showed predominantly impacted teeth (n = 49). Most of these abnormalities were in females (n = 77). Conclusions: The prevalence of IPFs was 38%, predominated by altered tooth morphology, idiopathic osteosclerosis, and periapical inflammatory lesions. Detection of IPFs from panoramic radiographs underscored the importance for clinicians to examine them for comprehensive diagnosis and treatment planning, especially in orthodontics. |
format | Online Article Text |
id | pubmed-9966392 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99663922023-02-26 Incidental Pathologic Findings from Orthodontic Pretreatment Panoramic Radiographs Hlongwa, Phumzile Moshaoa, Mpule Annah Lerato Musemwa, Charity Khammissa, Razia Abdool Gafaar Int J Environ Res Public Health Article Panoramic radiography is frequently performed for new patients, follow-ups and treatment in progress. This enables dental clinicians to detect pathology, view important structures, and assess developing teeth. The objective of the study was to determine prevalence of incidental pathologic findings (IPFs) from orthodontic pretreatment panoramic radiographs at a university dental hospital. A retrospective cross-sectional review was conducted of pretreatment panoramic radiographs, using data collection sheets with predefined criteria. Demographic data and abnormalities (impacted teeth, widening of periodontal ligament, pulp stones, rotated teeth, missing teeth, unerupted teeth, crowding, spacing, supernumerary teeth, and retained deciduous teeth) were reviewed. SPSS 28.0 was used to analyze data with statistical tests set at a 5% significance level. Results: One hundred panoramic radiographs were analyzed with an age range of 7 to 57 years. The prevalence of IPFs was 38%. A total of 47 IPFs were detected with altered tooth morphology predominantly (n = 17). Most IPFs occurred in males (55.3%), with 44.7% in females. A total of 49.2% were in the maxilla and 50.8% in the mandible. This difference was statistically significant (p < 0.0475). Other abnormalities were detected in 76% of panoramic radiographs; 33 with IPFs and 43 without. A total of 134 other abnormalities detected showed predominantly impacted teeth (n = 49). Most of these abnormalities were in females (n = 77). Conclusions: The prevalence of IPFs was 38%, predominated by altered tooth morphology, idiopathic osteosclerosis, and periapical inflammatory lesions. Detection of IPFs from panoramic radiographs underscored the importance for clinicians to examine them for comprehensive diagnosis and treatment planning, especially in orthodontics. MDPI 2023-02-16 /pmc/articles/PMC9966392/ /pubmed/36834172 http://dx.doi.org/10.3390/ijerph20043479 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Hlongwa, Phumzile Moshaoa, Mpule Annah Lerato Musemwa, Charity Khammissa, Razia Abdool Gafaar Incidental Pathologic Findings from Orthodontic Pretreatment Panoramic Radiographs |
title | Incidental Pathologic Findings from Orthodontic Pretreatment Panoramic Radiographs |
title_full | Incidental Pathologic Findings from Orthodontic Pretreatment Panoramic Radiographs |
title_fullStr | Incidental Pathologic Findings from Orthodontic Pretreatment Panoramic Radiographs |
title_full_unstemmed | Incidental Pathologic Findings from Orthodontic Pretreatment Panoramic Radiographs |
title_short | Incidental Pathologic Findings from Orthodontic Pretreatment Panoramic Radiographs |
title_sort | incidental pathologic findings from orthodontic pretreatment panoramic radiographs |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9966392/ https://www.ncbi.nlm.nih.gov/pubmed/36834172 http://dx.doi.org/10.3390/ijerph20043479 |
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