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Visual Fixation and Scan Patterns of Dentists Viewing Dental Periapical Radiographs: An Eye Tracking Pilot Study.

Brian P Hermanson1, Grant C Burgdorf2, John F Hatton3

  • 1Private Practice, Pierre, South Dakota.

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Summary

Dentists interpreting dental periapical radiographs focus on high-contrast areas, like radiopaque or radiolucent regions. The most common visual scanning pattern observed was tooth by tooth.

Keywords:
Dentaleye trackingperceptionperiapical radiographradiographyx-ray

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Area of Science:

  • Dental radiology
  • Ophthalmology
  • Diagnostic imaging

Background:

  • Visual search patterns in dentistry are not well understood.
  • Identifying attention areas during interpretation of dental periapical radiographs is crucial.

Purpose of the Study:

  • To identify visual fixation areas and patterns used by dentists when interpreting dental periapical radiographs.

Main Methods:

  • Observational study with eye-tracking technology on 44 participants.
  • Recorded gaze patterns, first fixation areas, and revisits on dental periapical radiographs.
  • Analyzed fixation characteristics (radiopacity, location) and scanning patterns.

Main Results:

  • Initial fixations were more likely on high-contrast (radiopaque/radiolucent) areas than normal density areas.
  • More revisits occurred on radiopaque areas in the radicular region.
  • A tooth-by-tooth scanning pattern was predominant.

Conclusions:

  • Dentists prioritize high-contrast areas (radiopaque/radiolucent) for initial fixation during periapical radiograph interpretation.
  • A tooth-by-tooth scanning approach is the most common visual strategy.