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Can Panoramic Radiography Reliably Detect Root Resorption From Impacted Maxillary Canines?

Mustafa A Badi1, Peter Gakunga2, Hassem Geha3

  • 1Oral and Maxillofacial Radiology, Temple University, Maurice H. Kornberg School of Dentistry, Philadelphia, USA.

Cureus
|May 27, 2026
PubMed
Summary

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This summary is machine-generated.

Panoramic radiography (PR) shows limited accuracy for detecting root resorption from impacted maxillary canines. Despite this, PR remains a valuable initial screening tool for dentists and orthodontists.

Area of Science:

  • Dentistry
  • Oral and Maxillofacial Radiology
  • Orthodontics

Background:

  • Panoramic radiography (PR) is commonly used for assessing impacted maxillary canines.
  • Its accuracy in detecting associated root resorption requires further quantification.

Purpose of the Study:

  • To evaluate the diagnostic accuracy of PR for detecting root resorption linked to impacted maxillary canines.
  • To compare PR's accuracy against cone-beam CT (CBCT) as the reference standard.

Main Methods:

  • Retrospective analysis of 51 patients (71 impacted canine sites) with paired PR and CBCT images.
  • Six observers (radiology residents, orthodontic residents, general dentists) assessed PR for root resorption.
  • CBCT images were evaluated by expert radiologists to establish the reference standard.
Keywords:
cone-beam computed tomographydiagnostic accuracyimpacted toothmaxillary canineobserver performancepanoramic radiographyroot resorption

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Main Results:

  • Root resorption was identified in 39.4% of sites via CBCT.
  • PR demonstrated an area under the ROC curve (AUC) of 0.659.
  • Sensitivity was 63.1% and specificity was 59.3% for detecting resorption.

Conclusions:

  • PR exhibits limited but clinically useful diagnostic accuracy for root resorption associated with impacted maxillary canines.
  • PR remains a valuable initial screening tool in clinical practice.