Alterations and Pathologies Prevalence in Panoramic Radiographs in Patients Attending the University Dental Clinic

Trocino, Benjamín Sánchez; Hernández, Javier Reyes; Acevedo, Jacinto Armando Díaz; Pineda, Gabriela

doi:10.4067/s0718-381x2013000100008

Cited by 5 publications

(4 citation statements)

References 9 publications

(7 reference statements)

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“…Similar findings have been reported regarding maxillary sinus pathology in females (1.3%) and males (2.32%) [ 31 ]. Our study found idiopathic osteosclerosis to be more common in males compared to a previous study that reported predominance in females [ 29 ]. The relationship of IPFs with gender was not statistically significant ( p > 0.107).…”

Section: Discussioncontrasting

confidence: 53%

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Incidental Pathologic Findings from Orthodontic Pretreatment Panoramic Radiographs

Hlongwa

Moshaoa

Musemwa

et al. 2023

IJERPH

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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.

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Section: Discussioncontrasting

confidence: 53%

“…Contrary to our findings, other studies have reported higher prevalence that range from 7% to 21.22% [ 18 , 25 , 26 , 28 ]. The differences in the prevalence of thickening of the mucosal lining of sinuses may be due to differences in geographical locations, seasonal changes, and study populations [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Incidental Pathologic Findings from Orthodontic Pretreatment Panoramic Radiographs

Hlongwa

Moshaoa

Musemwa

et al. 2023

IJERPH

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“…Clark et al found a prevalence of 72% for septal deviation in the studied patients with nasal airway obstruction [ 19 ]. Trocino et al analysed the digital panoramic radiographs of 516 patients to determine the alterations and pathologies prevalence and found an incidence of 59% for nasal turbinate hypertrophy [ 21 ]. We can also highlight that septum perforation has a prevalence of around 1% [ 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

What Are the Key Anatomical Features for the Success of Nose-to-Brain Delivery? A Study of Powder Deposition in 3D-Printed Nasal Casts

Rigaut,

Deruyver,

Niesen

et al. 2023

Pharmaceutics

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Nose-to-brain delivery is a promising way to improve the treatment of central nervous system disorders, as it allows the bypassing of the blood–brain barrier. However, it is still largely unknown how the anatomy of the nose can influence the treatment outcome. In this work, we used 3D printing to produce nasal replicas based on 11 different CT scans presenting various anatomical features. Then, for each anatomy and using the Design of Experiments methodology, we characterised the amount of a powder deposited in the olfactory region of the replica as a function of multiple parameters (choice of the nostril, device, orientation angle, and the presence or not of a concomitant inspiration flow). We found that, for each anatomy, the maximum amount of powder that can be deposited in the olfactory region is directly proportional to the total area of this region. More precisely, the results show that, whatever the instillation strategy, if the total area of the olfactory region is below 1500 mm2, no more than 25% of an instilled powder can reach this region. On the other hand, if the total area of the olfactory region is above 3000 mm2, the deposition efficiency reaches 50% with the optimal choice of parameters, whatever the other anatomical characteristics of the nasal cavity. Finally, if the relative difference between the areas of the two sides of the internal nasal valve is larger than 20%, it becomes important to carefully choose the side of instillation. This work, by predicting the amount of powder reaching the olfactory region, provides a tool to evaluate the adequacy of nose-to-brain treatment for a given patient. While the conclusions should be confirmed via in vivo studies, it is a first step towards personalised treatment of neurological pathologies.

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“…Pathologic abnormalities may also be identified in profile Cephalometric radiographs, taken to study dental and skeletal relationships in orthodontic patients [4]. The expected frequency with which an orthodontist can make incidental findings of pathology or abnormality in an orthodontic patient is of special interest to the clinician because in many cases such findings may require medical or odontological management [5][6]. Numerous oral and dental anomalies are related to age and sex [7], but still few studies have separately evaluated the prevalence of pathologic findings in panoramic as well as in Cephalometric radiographs of patients seeking orthodontic treatment.…”

Section: Introductionmentioning

confidence: 99%

Radiographical Pathological Incidental Findings before Orthodontic Treatment

2023

JPTCP

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Background and objectives: Panoramic as well as Cephalometric radiographs, in combination with a clinical examination, are regularly used as an aid and both are considered as a cornerstone for orthodontic diagnosis and treatment planning. Due to increasing numbers of patients seeking orthodontic treatment, an increase in incidental findings on diagnostic X-rays is suspected. The objective of this study was to determine the diverse incidental pathological findings observed in radiographs taken before orthodontic treatment in Al Baha Region, Saudi Arabia. Methods: This was a cross-sectional study that investigated 358 panoramic and Cephalometric radiographs who were randomly selected from the Orthodontics Department of Al-Baha University, Faculty of Dentistry Clinic in the period between 2019 and 2022. Only those pathological findings with a possible influence on orthodontic treatment were included and then compared with the patient's record. Results:The most common findings were thickening of mucosal lining in sinus maxillaries, multiple impacted teeth, dental anomalies and periapical inflammatory lesions. The majority of the periapical lesions and radiopacities were found in the mandible. Both the presence and the number of findings per patient increase with age but there is no association with sex P<0.001. Conclusion:The prevalence of incidental findings in this study was low especially those outside dental arches. In most cases, the findings had no consequence for the orthodontic treatment plan and did not require urgent dental management. Careful radiographic examination in addition to use of advanced radiographic diagnostic methods are required to rule out significant pathological findings before orthodontic treatment.

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Alterations and Pathologies Prevalence in Panoramic Radiographs in Patients Attending the University Dental Clinic

Cited by 5 publications

References 9 publications

Incidental Pathologic Findings from Orthodontic Pretreatment Panoramic Radiographs

Incidental Pathologic Findings from Orthodontic Pretreatment Panoramic Radiographs

What Are the Key Anatomical Features for the Success of Nose-to-Brain Delivery? A Study of Powder Deposition in 3D-Printed Nasal Casts

Radiographical Pathological Incidental Findings before Orthodontic Treatment

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