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Panoramic radiographs: necessary for edentulous patients?
R R Seals1, E O Williams, J D Jones
1Department of Prosthodontics, University of Texas Health Science Center, San Antonio Dental School 78284-7912.
Journal of the American Dental Association (1939)
|November 1, 1992
Summary
Routine dental X-rays for new edentulous patients are still recommended. While this study found fewer issues than previous surveys, potentially complicating conditions were still identified, warranting radiographic examination.
Area of Science:
- Dentistry
- Oral Radiology
- Public Health
Background:
- Growing concerns regarding cumulative radiation exposure.
- Questioning the necessity of routine radiographic examinations for edentulous patients.
- Previous panoramic surveys indicated a higher incidence of positive findings.
Purpose of the Study:
- To evaluate the necessity of routine radiographic examinations for new edentulous patients.
- To determine the incidence of potentially complicating conditions in edentulous patients requiring radiographic assessment.
- To address concerns about cumulative radiation exposure in dental radiography.
Main Methods:
- Retrospective analysis of radiographic examinations performed on new edentulous patients.
- Comparison of findings with previous panoramic survey data.
- Assessment of the clinical significance of identified conditions.
Main Results:
- The study reported a lower incidence of positive findings compared to previous panoramic surveys.
- Potentially complicating conditions were identified in a subset of the examined edentulous patients.
- The findings suggest that radiographic examination remains valuable for this patient group.
Conclusions:
- Despite a lower incidence of positive findings, routine radiographic examination of new edentulous patients is still warranted.
- Radiographs can identify potentially complicating conditions that might otherwise be missed.
- The benefits of radiographic examination in detecting significant oral conditions outweigh concerns about cumulative radiation in this context.