scholarly journals CORRELATION OF PANORAMIC RADIOGRAPHIC FINDINGS AND CLINICAL FINDINGS OF DENTAL PATIENTS AT MOI TEACHING AND REFERRAL HOSPITAL, KENYA

2021 ◽  
Vol 7 (4) ◽  
pp. 28-44
Author(s):  
Abdullatif Badru ◽  
Elias Onditi ◽  
Kenneth Okemwa
Keyword(s):  
Clinical Examination ◽  
Panoramic Radiograph ◽  
Clinical Findings ◽  
Referral Hospital ◽  
Categorical Variables ◽  
Unique Contribution ◽  
Radiographic Findings ◽  
Panoramic Radiographs ◽  
Radiographic Features ◽  
Dental Patients

Purpose: The purpose of this study was to determine the correlation of panoramic radiographic findings and clinical findings among dental patients at Moi Teaching and Referral Hospital (MTRH), Kenya. Materials and Methods: This was a hospital based cross sectional study conducted at the Radiology and Imaging department and dental department at Moi Teaching and Referral Hospital from September, 2019 to June, 2020. A total of 93 consenting patients were enrolled using systematic random sampling. Standard chart review forms were administered, and clinical examination findings documented. Panoramic radiograph findings were then discussed with a consultant radiologists and findings recorded. Descriptive statistics were carried out. Categorical variables were summarized as frequencies and proportions, and reported in tables. Numerical variables were summarized as median and interquartile ranges. Cross tabulation was done to compare clinical examination and panoramic radiograph findings where total raw agreement was reported as proportions. Results: 93 patients whose ages ranged from 5-73 years with a mean of 29 years were included into the study. Radiographic features of dental caries were present in 54% of panoramic radiographs compared to clinical examination (50.5%) while 23.7% of radiographs revealed impacted teeth compared to clinical examination (19.4%).  Radiographic features of periodontitis were observed in 14% compared to clinical examination (16.1%). Fractures (12.9%) were observed radiographically compared to (10.7%) clinically. Periapical lesions (8.6%) were observed radiographically compared to clinical examination (6.4%). Temporo-mandibular disorder (6.5%) were observed both on radiographs and clinical examination. Radiographic features of missing teeth (3.2%) were observed compared to clinical examination (1.1%) while only 1.1% of malpositioned teeth were observed radiographically compared to clinical examination (2.2%). Notably, mandibular lesions (3.2%) and nasal congestion (14%) were only discovered radiographically. The overall raw agreement between panoramic radiograph and clinical examination was 75.3% (70/93) with a p value of less than 0.001. Unique contribution to theory, practice and policy: The study recommends that all patients presenting with dental conditions should be done panoramic radiograph to improve diagnosis. Moi Teaching and Referral Hospital and the Ministry of Health to consider routine panoramic radiographs in the guidelines for the assessment of dental patients in all the hospitals offering, dental health services

scholarly journals How many third molars remain unnoticed in a population survey without panoramic radiographs?

2019 ◽  
Vol 24 (8) ◽  
pp. 2727-2733
Author(s):  
Irja Ventä ◽  
Sisko Huumonen ◽  
Anna Liisa Suominen
Keyword(s):  
Clinical Examination ◽  
Population Survey ◽  
Adult Population ◽  
Third Molar ◽  
Panoramic Radiograph ◽  
Cluster Sampling ◽  
Third Molars ◽  
Radiographic Findings ◽  
Panoramic Radiographs ◽  
Panoramic Images

Abstract Objective The aim of the study was to compare the findings of clinical examination and panoramic radiograph regarding the occurrence of third molars in a population survey to find out how many third molars remain clinically unnoticed. Materials and methods A two-staged stratified cluster-sampling method was used to select 8028 participants representing the adult population aged 30 years and older. Clinical oral examinations and panoramic radiographs were carried out for 5989 subjects (46% men, 54% women; mean age 52.5, SD 14.6; range 30–97 years). Clinical recordings of the presence of third molars were compared with the radiographs. Statistics included chi-squared, Fisher’s, Wilcoxon’s, and Kruskal-Wallis tests. Results In the 5989 subjects, 3742 third molars were recorded in the clinical examination, and 5912 were observed in the panoramic images, a difference of 2170 teeth. Furthermore, related to 3668 (61%) of the third molars, both clinical and radiographic recordings were attributed to the same third molar, while 2244 third molars were observed only in the panoramic image, and 74 only in the clinical examination. In every age group, the mean number of third molars per subject was larger radiographically compared with the clinical recordings (means for all 0.99 vs. 0.62; P < 0.001). Conclusion Numbers of third molars, recorded in clinical examination alone, are underreported by approximately one-third compared with radiographic findings. Clinical relevance The numbers of third molars in a population survey without a panoramic radiograph do not reflect the total number of third molars in a population.

scholarly journals Complete Edentulism of Dental Patients in Northeastern Turkey: Prevalence and Radiographic Findings on Panoramic Radiographs Prevalence and Radiographic Findings on Panoramic Radiographs

2020 ◽  
Vol 27 (3) ◽  
Author(s):  
Elif Sadik ◽  
◽  
Ceren Gökmenoğlu ◽  
Cankat Kara ◽  
◽  
...  
Keyword(s):  
Statistical Significance ◽  
Radiographic Examination ◽  
Chi Square ◽  
Old Patients ◽  
Radiographic Findings ◽  
Impacted Teeth ◽  
Panoramic Radiographs ◽  
Dental Patients ◽  
Panoramic Images ◽  
Edentulous Patients

The prevalence of complete edentulism varies from country to country and from one region to another. Previous studies have reported the high prevalence of significant radiographic findings in edentulous patients. Objectives: This study aimed to determine the prevalence of complete edentulism retrospectively and to evaluate the frequency and location of significant radiographic findings on panoramic radiographs in edentulous jaws of dental patients in northeastern Turkey. Methods: The digital panoramic images of all ≥35 year-old patients admitted to our faculty from January 2014 to August 2015 were evaluated. The prevalence of complete edentulism was determined among 8314 panoramic images retrospectively. Radiographic findings identified as impacted teeth, retained roots, radiopaque, and radiolucent areas detected in panoramic radiographs of completely edentulous patients (CEP) were recorded. The obtained data were analyzed with descriptive statistics and cross-tabs. Chi-square test was employed to evaluate the statistical significance of the results at 0.05 levels. Results: A total of 8314 panoramic images were examined, and 508 (6.11%) CEP were defined. The prevalence of edentulism was higher (24.85%) among the patients older than 64 years old. A total of 206 radiographic findings were detected on panoramic images of CEP. The prevalence values of retained roots, impacted teeth, radiopacities, and radiolucencies were 18.9%, 7.09%, 2.76%, and 1.57%, respectively. Conclusions: Given the high frequency of significant radiographic findings, the radiographic examination of CEP should be performed with consideration of the cumulative effects of radiation.

scholarly journals 53 A Rare Malignant Lesion of the Jaws

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
V Patel
Keyword(s):  
Root Resorption ◽  
Histological Grade ◽  
Maxillofacial Surgery ◽  
Malignant Lesion ◽  
Clinical Findings ◽  
Oral And Maxillofacial Surgery ◽  
Selective Neck Dissection ◽  
Radiographic Findings ◽  
Radiographic Features ◽  
Intraosseous Carcinoma

Abstract Introduction Primary intraosseous carcinoma (PIOC) of the jaw is an incredibly rare lesion with approximately 200 cases reported in the literature. PIOC are mostly asymptomatic incidental radiographic findings and present as poorly-defined, non-corticated radiolucencies often with root resorption and cortical perforation. Prognosis is considered poor and best predicted by histological grade. Case report A gentleman in his 50s presented to his dentist with a draining sinus from his LR6 tooth. A radiograph revealed a non-corticated radiolucency localised to the distal root of the LR6. 7 months later, he returned with pain and mobility of the LR7. Another radiograph revealed a non-corticated radiolucency from around the distal root of the LR6 extending to the LR8. Urgent biopsy of the mandibular bone was arranged by the oral and maxillofacial surgery team. Histopathology revealed the lesion was likely a benign squamous odontogenic tumour. However, it was not possible to exclude a well-differentiated squamous cell carcinoma. Correlation of clinical findings, imaging and multidisciplinary team discussion was recommended. Following the MDT meeting, excision of the bony lesion was undertaken. Histopathology this time returned as primary intraosseous carcinoma NOS T4N0M0, thought to have arisen from a radicular cyst associated with the LR6/7. The treatment was right segmental mandibulectomy, fibular free flap, selective neck dissection (I-III) and adjuvant radiotherapy. Conclusions This case highlights how subtle radiographic features can represent malignancy in lesions appearing cystic at first. Although rare, clinicians should be aware of PIOC as a differential diagnosis when presented with radiographic features which could represent malignancy.

Follow-up of Osteomyelitis of Infants with Systemic Serum Parameters and Bone Scintigraphy

1996 ◽  
Vol 35 (04) ◽  
pp. 116-121 ◽  
Author(s):  
G. E Fueger ◽  
M. Vejda ◽  
R. M. Aigner
Keyword(s):  
Bone Scintigraphy ◽  
Antibiotic Treatment ◽  
Diagnostic Value ◽  
Clinical Findings ◽  
Laboratory Findings ◽  
Radiographic Findings ◽  
Serum Parameters ◽  
Wbc Count ◽  
Differential White Blood Cell

Summary Aim: To prevent orthopedic sequelae in acute hematogenous pyogenic osteomyelitis (AHPO) of infants early diagnosis, recognition of recurrence and effective therapy is needed. This retrospective study of 47 infants with bacteriologically confirmed AHPO concerned with an analysis of the diagnostic value of systemic serum parameters compared to bone scintigraphy (BSC). Methods: AHPO was characterized initially and during the course of disease by clinical findings, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), total and differential white blood cell (WBC) count, BSC, and plain radiography. Results: CRP was the most effective serum parameter for follow- up of disease. The first sign of BSC to signal adequate response to antibiotic treatment was the decrease or normalization of hyperperfusion. Escape from therapy or poor prognosis, even when the serum parameters were normalized, was signaled by the recurrence of focal hyperperfusion and the persistent or increasing local uptake ratios on the 3-h-image over 6 weeks during a course of antibiotic treatment. Conclusion: Antibiotic treatment masks the clinical presentation, and the radiographic findings, causes non-characteristic laboratory findings, but do not prevent the scintigraphic visualization; BSC and serum parameters used in the right completion are the most successful and efficient modalities for follow-up of AHPO. Maintenance of antibiotic therapy should be done until BSC findings have reverted to normal.

EVALUATION OF OCCURRENCE OF HYPERDONTIA IN NON-SYNDROMIC POPULATION FROM BIHAR REGION

2019 ◽  
Vol 3 (10) ◽  
Author(s):  
Dr. Minti Kumari ◽  
Dr. Madhuri Kumari ◽  
Dr Anurag Rai ◽  
Dr. Navin Kumar
Keyword(s):  
Panoramic Radiograph ◽  
Permanent Dentition ◽  
Dental Anomalies ◽  
Supernumerary Teeth ◽  
Panoramic Radiographs ◽  
Future Studies ◽  
Asian Populations ◽  
Males And Females ◽  
The Individual ◽  
Clinical Records

It is evident that hyperdontia is more common in the permanent dentition than in the primary. There is a considerable difference between males and females in the prevalence of these teeth in permanent dentition; hyperdontia is twice as common in males as in females. However, this approximation varies in terms of location, other associating syndromes that may be present, and the ethnicity of the individual. In terms of ethnicity, it can be seen that hyperdontia is in fact less common in Caucasian than in Asian populations. There is evidence to show that an individual is more likely to have hyperdontia if other members of their family also have the condition. Hence the present study was planned for evaluation of occurrence of hyperdontia in non-syndromic  population from Bihar Region. The present study was planned in Public Health Dentistry, Patna Dental College and Hospital, Patna, Bihar. Total 195 patients referred to Department of Dentistry were evaluated in the present study. Panoramic radiographs and clinical records of patients above the age of 18 years and without any syndromic features were selected for the study.  All the radiographs were examined for the presence of supernumerary teeth, their location, morphology, and number. Morphologically, teeth were classified as conical, tuberculate, supplemental, and odontoma. Early diagnosis of dental anomalies can prevent some esthetic, orthodontic, and periodontal problems, and knowledge of the prevalence and distribution of the anomalies may help clinicians to the detection of these anomalies at early stages. Our study evaluated the prevalence of selected dental anomalies; future studies should investigate the prevalence of dental anomalies of all types. Keywords: Hyperdontia, non-syndromic, panoramic radiograph, supernumerary teeth, etc.

scholarly journals Clinical and Radiographic Findings of Septic Physitis in Foals

VCOT Open ◽  
2020 ◽  
Vol 03 (02) ◽  
pp. e134-e139
Author(s):  
David G. Suarez-Fuentes ◽  
Dane M. Tatarniuk
Keyword(s):  
Medical Records ◽  
Radiographic Feature ◽  
Radiographic Findings ◽  
Radiographic Features

AbstractThe objective of this review is to detail the clinical and radiographic features of septic physitis in foals. Medical records were evaluated from 2008 to 2018 of cases that had septic physitis based on a combination of clinical and radiographic findings. Ten foals were diagnosed with septic physitis. In 8 of 10 foals, presence of a discrete, focal, irregular radiolucency centred on the physis and extending into the epiphysis and metaphysis was present. In the remaining two foals, subtle irregularity and diffuse radiolucency along the length of the physis was present. Three foals were able to later perform athletic function and two were sound but not in training (mean follow-up = 12 months). Overall, a distinguishing radiographic feature of septic physitis in foals is the presence of a focal radiolucency centred on the physis which is associated with the epiphysis and metaphysis consistent with osteolysis.

Evaluation of Biological Behavior of Keratocyst Odontogenic Tumor Based on Clinical Findings, Histology, and Radiographic Findings Through Epidemiologic Survey at São Leopoldo de Mandic C.P.O.

2014 ◽  
Vol 117 (2) ◽  
pp. e206
Author(s):  
LUCAS CORREA HOMSE ◽  
RAFAEL CLAUDINO LINS ◽  
ANAMARIA DE LIMA LARANJEIRA ◽  
MILENA BORTOLOTTO FELIPPE SILVA ◽  
SILVIA CRISTINA MAZETI TORRES ◽  
...  
Keyword(s):  
Clinical Findings ◽  
Odontogenic Tumor ◽  
Biological Behavior ◽  
Radiographic Findings ◽  
Epidemiologic Survey

Radiographic Features of Lobar Agenesis of the Liver

1996 ◽  
Vol 37 (1P1) ◽  
pp. 255-258 ◽  
Author(s):  
D. Makanjuola ◽  
S. Al-Smayer ◽  
I. Al-Orainy ◽  
M. Al-Saleh
Keyword(s):  
Chest Radiography ◽  
Splenic Flexure ◽  
Multidisciplinary Approach ◽  
Hepatic Flexure ◽  
Colonic Interposition ◽  
Radiographic Findings ◽  
Radiographic Features ◽  
Chilaiditi’S Syndrome ◽  
The Right ◽  
Chilaiditi's Syndrome

Purpose: Our aim was to describe the radiographic features of lobar agenesis of the liver. Material and Methods: Six patients with lobar agenesis of the liver, 5 right- and one left-sided, are presented. CT was used to confirm diagnosis. Chest radiography, barium meals, and urograms were also analyzed. Results: In right-sided agenesis, the following were observed: a) hammock or U-shaped deformity of the stomach; b) colonic interposition of the diaphragm (Chilaiditi's syndrome); and c) reversal of the cranial orientation of the colonic hepatic flexure compared to the splenic flexure. The right kidney was higher in position than the left in both right- and left-sided lobar agenesis. Conclusion: Our radiographic findings can provide a multidisciplinary approach in the identification of this anatomic anomaly.

scholarly journals Styloid process elongation and calcification in subjects with tmd: clinical and radiographic aspects

2012 ◽  
Vol 23 (4) ◽  
pp. 443-450 ◽  
Author(s):  
Kelly Machado de Andrade ◽  
Carolina Almeida Rodrigues ◽  
Plauto C. Aranha Watanabe ◽  
Marcelo Oliveira Mazzetto
Keyword(s):  
Orofacial Pain ◽  
Panoramic Radiograph ◽  
Styloid Process ◽  
Eagle’S Syndrome ◽  
Linear Measurements ◽  
Panoramic Radiographs ◽  
Elongated Styloid Process ◽  
Cephalometric Radiograph ◽  
Lateral Cephalometric Radiograph ◽  
Process Length

Knowledge of the Eagle's syndrome shows that its symptoms can be very easily confused with other types of craniomandibular disorders, especially temporomandibular disorders (TMD). The aim of this study was to find a possible correlation between the presence of TMD and elongation of the styloid process as well relate to presence of calcification of the stilohyoid chain. Fifty patients with TMD, confirmed from the RDC/TMD, were examined clinically and radiographically. Radiographic documentation consisted of digital panoramic radiograph and digital lateral cephalometric radiograph. Radiocef software (Radiomemory) was used for the analysis of radiographs by means of specific cephalometric tracing and linear measurements of the styloid process. Each radiograph was traced and measured three times with intervals of 1 month to spread the error. Statistical analysis was performed by Pearson's test (p=0.001) using Biostat 4.0 statistical software. Result showed an incidence of 76% elongation of the styloid process in the sample. There was a correlation between the bilateral measures taken in panoramic radiographs (?<0.001) and also for measures of styloid process length carried out in different panoramic radiographs and lateral cephalometric radiographs (?<0.001). It was concluded that there is prevalence of elongated styloid process in patients with TMD. However, no relationship was found between measurements on the stylohyoid chain and symptoms of headache, orofacial pain, tinnitus and vertigo.

Sign in / Sign up

Export Citation Format

Share Document