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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dc.contributor.author Jeppsson, Malin sv
dc.contributor.author Lindh-Ingildsen, Lina sv
dc.contributor.author Rangne, Klara sv
dc.contributor.author Bondemark, Lars en_US
dc.date.accessioned 2007-02-20T14:49:57Z
dc.date.available 2007-02-20T14:49:57Z
dc.date.issued 2006
dc.identifier.issn 0003-3219
dc.identifier.uri http://hdl.handle.net/2043/3686
dc.description.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. en
dc.format.extent 5
dc.language.iso eng en
dc.subject.classification Medicine en
dc.title Incidental findings of pathology and abnormality in pretreatment orthodontic panoramic radiographs en
dc.type Article, peer reviewed scientific en
dc.identifier.paperprint 0 en
dc.contributor.department Malmö University. Faculty of Odontology en
dc.subject.srsc Research Subject Categories::ODONTOLOGY::Radiological research
dc.relation.ispartofpublication Angle orthodontist;1
dc.relation.ispartofpublicationvolume 76 en
dc.format.ePage 102
dc.format.sPage 98
mahlocal.rights.oaType gold
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