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Órgano Oficial de la Asociación Dental Mexicana

2017, Number 1

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Rev ADM 2017; 74 (1)

Incidental findings on panoramic radiographs of the maxilla and mandible of young adult patients

Jiménez OJL, Herrera SJC, Jiménez OJD, Pérez LE, Murillo RJA

Language: Spanish
References: 15
Page: 25-31
PDF size: 269.06 Kb.


ABSTRACT

Background: Routine dental X-Ray assessment in dental practice is essential for proper diagnosis and treatment. Orthopantomography or panoramic radiography is a quick, simple, low-cost, and low-dose radiation technique. Objective: To describe the most common incidental findings on the panoramic radiographs of young adult patients at a university dental clinic. Material and methods: A descriptive, retrospective, cross-sectional study was carried out, in which digital panoramic radiographs were taken and interpreted blindly to examine bone disorders, and dental anomalies, and the prevalence of these according to the gender of the participants. Nonparametric statistics (Chi-square χ2, Fisher’s exact, and binomial tests) were used for data analysis. Results: 98 radiographs were taken of the same number of patients with a mean age of 19.45 years, most of whom were women (69/70.40%), single (94/95.91%), and from urban areas (77/78.57%). 387 alterations were found, 268 (69.25%) in women and 119 (30.74%) in men, with an average of 3.88 and 4.10 alterations per patient, respectively. The distribution presented a total of 122 (31.52 %) lesions in the maxillary sinus, 124 (32.04 %) in the nostrils, 16 (4.13 %) radiolucent or opaque lesions, and 125 (32.29%) anomalies associated with tooth retention. A comparison by sex revealed a difference (p ‹ 0.001) in the frequency of alterations, which was greater in women for all sites and types of lesion. Conclusions: The study showed the usefulness of panoramic radiography in clinical practice to detect anomalies of the orofacial structure from an epidemiological perspective.


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