PREVALENCE OF INCIDENTAL FINDINGS IN PRETREATMENT DENTAL OPGs
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Keywords
Incidental findings, Mandible, Maxilla, OPGs, Prevalence, Radiographs
Abstract
Background: Radiographs play a crucial role in orthodontic practice, aiding in the diagnosis, treatment planning, and monitoring of malocclusion.
Objective: The objective of our study was to determine the prevalence of incidental findings in pretreatment dental panoramic radiographs (OPGs).
Methods: The cross-sectional study was conducted at department of dentistry Niazi Medical & Dental College, Sargodha from 8 January 2021 to 8 May 2021 and included patients aged 18 years and above who underwent pretreatment dental OPGs for various dental indications, excluding those with a history of maxillofacial trauma or previous craniofacial surgery or those with incomplete or inadequate OPGs.
Two trained radiologists independently reviewed the OPGs to identify and classify incidental findings according to predefined criteria. Statistical analysis was performed using SPSS version 22.
Results: The mean age of patients was 33.2± 5.71 years. Gender distribution was 55.69% male and 42.30% female. The prevalence of incidental findings was 60%, with 78 patients having present findings. Notably, Talon’s Cusp was the most prevalent anomaly (47.69%), followed by Dilaceration (19.23%) and Peg Laterals (11.53%). Less common anomalies included Localized Microdontia (6.92%), Taurodontism (9.38%), and Fusion (1.53%). In the Maxilla, there were 80 cases, accounting for 61.5% of the total occurrences. The Mandible exhibited 11 cases, representing 8.5%. Anomalies affecting both arches simultaneously were observed in 39 cases, comprising 30.0%.
Conclusion: Finally, the results of our work shown that 60% of the patients have experienced incidental findings in their OPGs taken before receiving treatment, while the most common structures detected were the Talon’s Cusp with a percentage of 47.69%. Besides, our results also pointed out that there was a higher frequency of dental anomalies in the maxilla as an overall prevalence (61.5%) compared to the prevalence of the mandible (8.5%); therefore, oral assessment and possible diagnosing have confirmed the need for thorough investigations to treat dental anomalies
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Mariyam Masood
Assistant Professor, Orthodontics, Faryal Dental College Sheikhupura
Sana Akram
Assistant Professor, Operative Dentistry, Azra Naheed Dental College Lahore
Muhammad Zeeshan
Assistant Professor, Science of Dental Materials, Niazi Medical & Dental College Sargodha
Haroon Giani
Assistant Professor, Operative Dentistry, Faryal Dental College, Sheikhupura
Hira Asghar
Associate Professor, Science of Dental Materials, Azra Naheed Dental College, Lahore
Mahrukh Anwar
Assistant Professor, Operative Dentistry, Rashid Latif Dental College, Lahore