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Related Experiment Videos

Selective periapical radiology compared to panoramic screening

P S Richardson1

  • 1Defence Dental Agency, RAF Halton, Aylesbury, Buckinghamshire.

Primary Dental Care : Journal of the Faculty of General Dental Practitioners (UK)
|April 4, 1998
PubMed
Summary

Selective periapical radiography, using high yield criteria, can effectively detect significant intra-osseous dental pathology in young adults. This approach appears as effective as universal panoramic screening for identifying tooth-related jaw conditions.

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Area of Science:

  • Oral and Maxillofacial Radiology
  • Dental Diagnostics

Background:

  • Universal panoramic screening is a common method for detecting intra-osseous pathology.
  • The efficacy of selective radiography in identifying significant pathology requires further assessment.

Purpose of the Study:

  • To evaluate if selected periapical radiographs, adhering to High Yield Criteria, can detect as much intra-osseous pathology as universal panoramic screening.
  • To determine the diagnostic yield of selective periapical radiography for jaw pathology in young adults.

Main Methods:

  • Analysis of clinical records and bitewing radiographs from 1101 Royal Air Force recruits (aged 16-26).
  • Application of high yield criteria to determine the need for periapical radiographs.
  • Utilizing a template to assess findings on panoramic films within simulated periapical areas.

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  • Masked examination of panoramic tomographs under magnification for additional findings.

    • Main Results:

    • Numerous findings were noted, including radiolucent areas, probable cysts, and unerupted third molars.
    • Clinical significance assessment revealed that only tooth-related lesions had substantial implications.
    • These significant dental pathologies were detectable through selective radiography.

    Conclusions:

    • The primary frequent pathology justifying radiographic screening in young adults is tooth-related.
    • Selective periapical screening using high yield criteria is likely as effective as universal panoramic screening for detecting significant dental pathology.