Could a digital panoramic X-ray not detect a displaced fracture of the mandible?

Albassal, Ahmad; Al‐Khanati, Nuraldeen Maher; Harfouch, Munir

doi:10.21037/qims-20-1053

Cited by 7 publications

(3 citation statements)

References 3 publications

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“…Although panoramic x-ray has many known limitations [ 37 ], routine dental panoramic imaging may pose an important role in incidentally detecting these silent lesions before they become giant and symptomatic causing jaw expansion and facial asymmetry. Early detection may facilitate early surgical removal of these odontomas with minimal morbidity and complications that include loss of permanent teeth as unluckily happened in this case.…”

Section: Discussionmentioning

confidence: 99%

Rare giant complex composite odontoma of mandible in mixed dentition: Case report with 3-year follow-up and literature review

Soliman

Al‐Khanati

Al-Khen

2022

Annals of Medicine &Amp; Surgery

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Section: Discussionmentioning

confidence: 99%

Rare giant complex composite odontoma of mandible in mixed dentition: Case report with 3-year follow-up and literature review

Soliman

Al‐Khanati

Al-Khen

2022

Annals of Medicine &Amp; Surgery

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“…Watanabe et al also found that it was highly difficult to diagnose root contact with orthodontic mini-implants using 2D radiography [4]. Although digital panoramic dental radiographs are known to be better than conventional panoramic radiography as diagnostic images, they may cause a misdiagnosis in some cases [5]. The extent of distortion in these images is influenced by the target object size and position in the focal trough [6].…”

Section: Reliability Of Panoramic Radiography In Assessing Position Of Fixation Screwsmentioning

confidence: 99%

Is Dental Panoramic Radiography Reliable to Assess Position of Bicortical Fixation Screws in Mandibular Fractures? Case Report

Albassal¹,

Al‐Khanati²,

Harfouch³

2021

TODENTJ

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Background: Panoramic radiography is widely used as a diagnostic tool before oral surgeries and can be considered the foremost follow-up image after. It provides a broad observation of the maxillomandibular complex at a lower cost and radiation dose. But cone-beam computed tomography (CBCT) examination, after panoramic radiograph evaluation, can produce a change in the diagnostic thinking of maxillofacial surgeons leading to alterations in treatment plans. Objective: We aim to report a case with incidentally discovered radiographic findings where diagnostic changes were caused by switching from panoramic to CBCT imaging. Conclusion: Radiographic assessment of the position and angulation of screws by panoramic x-ray should be approached with extreme caution. The image of choice is CBCT if nerve injury is suspected.

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“…Panoramic radiograph has different applications in dentistry such as periodontal evaluation, orthodontic treatment planning, oral surgery, and implant treatment planning [ 7 ]. As a 2D image, a panoramic radiograph has several shortcomings like magnification, distortion, superimposition, and misrepresentation of structures and can miss displaced mandibular fractures as well [ 8 ]. In contrast, CBCT is a 3D imaging system.…”

Section: Introductionmentioning

confidence: 99%

Mental Nerve Anterior Loop Detection in Panoramic and Cone Beam Computed Tomography Radiograph for Safe Dental Implant Placement

Othman¹,

Zahid²

2022

Cureus

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Background and aim Different imaging modalities have been used as preoperative assessment tools since the emergence of dental implants. This study aimed to compare the detection and presence of mental nerve anterior loop in cone beam computed tomography (CBCT) radiograph and panoramic radiograph. Material and methods A descriptive, retrospective study was done. The optimal sample size was calculated using Epi Info software. According to the study population (795), the sample size was 259 cases which gave 95% power of the study. A previously taken CBCT and digital panoramic radiographs from the database of Taibah University Dental School and Hospital were observed by two trained and calibrated examiners to determine the presence of a mental nerve anterior loop and compare the two modalities. The mean length of the mental nerve anterior loop was also assessed. Results Mental nerve anterior loops were detected bilaterally in 57.1% and 17.4% using CBCT and panoramic radiographs, respectively. In CBCT, the right side (20.8%) had a higher prevalence of mental nerve anterior loop than the left side (12%). The mental nerve anterior loop was not visible in 49.4% of the cases using a panoramic radiograph, while CBCT gave 10% of cases as not visible. The mental nerve anterior loop average length was 1.8 ± 0.35 mm and the width was 1.7 ± 0.28 mm. The average distance from the mental foramen to the inferior border of the mandible was 12.1 ± 0.87 mm and the average distance from the mental frogmen to the mandibular midline was 25.1 ± 0.68 mm. Conclusion As differences between CBCT and panoramic radiographs were statistically significant, CBCT is more accurate and reliable. CBCT is recommended to be used as a preoperative assessment tool to minimize nerve injury-related surgical complications during implant placement at the mandibular premolar area.

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Could a digital panoramic X-ray not detect a displaced fracture of the mandible?

Cited by 7 publications

References 3 publications

Rare giant complex composite odontoma of mandible in mixed dentition: Case report with 3-year follow-up and literature review

Rare giant complex composite odontoma of mandible in mixed dentition: Case report with 3-year follow-up and literature review

Is Dental Panoramic Radiography Reliable to Assess Position of Bicortical Fixation Screws in Mandibular Fractures? Case Report

Mental Nerve Anterior Loop Detection in Panoramic and Cone Beam Computed Tomography Radiograph for Safe Dental Implant Placement

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