Incidental findings in patients evaluated with cone beam computed tomography for orthodontic treatment

Abstract

ObjectiveThe aim of this retrospective study was to determine and quantify incidental findings in CBCT scans taken exclusively for orthodontic purposes. Methods A total of 202 scans were evaluated by two examiners and classified into five different groups. Results A total of 227 incidental findings were found in a sample of patients aged 5-58 years old. The highest number of findings was of dental origin (n = 157), followed by airway (N = 46), skull (N = 16) and ATM (n = 8). Scans with no incidental finding accounted for 20% of the examinations. Subjects having lower mean age were found in the group of airway findings. The prevalence of incidental findings in the current study was consistent with the literature, thus corroborating their high frequency. Orthodontists who make use of CBCT are responsible for assessment of all data. ConclusionThe precise evaluation of incidental findings may help in the early diagnosis, treatment and patient monitoring. Further studies should be conducted to assess the influence of these findings on the orthodontic treatment.

Evaluation of Incidental Findings on Cone Beam Computed Tomography

“…This difference in prevalence may be explained by the clinical features of the disease. Pseudocysts usually regress spontaneously, may not show significant changes in size over the long term [19], and rarely lead to symptoms. Owing to these characteristics, conservative monitoring is suggested in the absence of complications associated with pseudocysts [7].…”

Aplicação Da Tomografia Computadorizada De Feixe Cônico No Diagnóstico Odontológico – Revisão De Literatura

“…O uso da TCFC como exame inicial para o diagnóstico de pacientes ortodônticos é uma tendência na ortodontia e tornou-se uma ferramenta necessária no diagnóstico e no planejamento do tratamento. Com sua qualidade de imagem e precisão atraindo cada vez mais adeptos, a TCFC tem sido utilizada para o diagnóstico auxiliar de distúrbios craniofaciais e mal oclusões, localização exata dos caninos impactados, cirurgia ortognática, disfunção temporomandibular e colocação de mini-parafusos de ancoragem (FLAIBAN et al, 2017).…”

Prevalence of Incidental Findings in Maxillary Sinus Using Cone Beam Computed Tomography – A Retrospective

“…Maxillary sinus pathologies are frequently encountered by dentists during the radiographic assessment of patients with teethrelated complaints. Also, maxillary sinus pathologies are observed as incidental radiographic findings in asymptomatic patients who are evaluated for implant assessment, endodontic therapy, impacted/ supernumerary teeth and orthodontic correction [1]. A variety of imaging modalities including plain films as well as advanced radiographs provide visualization of maxillary sinus.…”