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Related Experiment Videos

Panoramic radiographic screening: a risk-benefit analysis.

P S Richardson1

  • 1Defence Dental Agency, RAF Halton.

Primary Dental Care : Journal of the Faculty of General Dental Practitioners (UK)
|May 1, 1997
PubMed
Summary

Routine panoramic radiographic screening in young adults revealed numerous findings, but few were clinically significant. The study concludes that this screening method is not justified for this population due to low yield of relevant pathology.

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Area of Science:

  • Dental radiology
  • Oral pathology
  • Public health

Background:

  • Panoramic radiography is a common screening tool in dentistry.
  • The utility of routine panoramic screening in young adults requires evaluation.
  • Assessing clinically relevant pathology is crucial for justifying screening protocols.

Purpose of the Study:

  • To quantify clinically relevant pathology detected via panoramic radiographic screening in young adults.
  • To evaluate the justification for implementing routine panoramic radiographic screening in this demographic.

Main Methods:

  • Analysis of panoramic tomograph screening films from 1101 Royal Air Force (RAF) recruits (average age 19).
  • Films were reviewed for pathology, with dubious findings assessed by a consultant oral surgeon.

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  • Literature review on radiographic screening risks and intra-osseous pathology prevalence.

    • Main Results:

    • A high number of findings were noted, including radiolucent areas, probable cysts, and numerous unerupted third molars.
    • Upon clinical significance assessment, only dental-related findings were deemed important.
    • Literature suggested these dental issues could be identified through selective radiology.

    Conclusions:

    • The overall quantity of clinically relevant pathology identified did not support routine panoramic radiographic screening.
    • Selective radiological approaches may be more appropriate for detecting significant dental pathology in young adults.