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Incidental findings in the maxillofacial area with 3-dimensional cone-beam imaging

Authors
 Jung-Yul Cha  ;  James Mah  ;  Peter Sinclair 
Citation
 AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, Vol.132(1) : 7-14, 2007 
Journal Title
 AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 
ISSN
 0889-5406 
Issue Date
2007
Abstract
INTRODUCTION: The purposes of this study were to evaluate the location, nature, and occurrence of incidental findings in maxillofacial structures on 3-dimensional cone-beam volumetric scans done for dental diagnostic purposes and to look for associations between these findings and symptoms in orthodontic patients. METHODS: Images from 500 consecutive maxillofacial 3-dimensional scans were examined. The patient sample consisted of 252 orthodontic patients, 172 implant patients, 33 endodontic patients, 34 temporomandibular joint (TMJ) disorder patients, and 10 others. RESULTS: The overall rate of incidental findings was 24.6% (123 patients of 500). The highest rate of incidental findings was in the airway area (18.2%), followed by TMJ findings (3.4%), endodontic findings (1.8%), and others (1.2%). In the orthodontic group, the incidences were airway findings, 21.4%; TMJ findings, 5.6%; and endodontic lesions, 2.3%. Only 22% of the airway findings, such as mucosal thickness, polyps, and retention cysts, were correlated with clinical signs and symptoms. CONCLUSIONS: For clinical diagnosis, the data should be interpreted with a full history of clinical signs and symptoms, and with detailed communications with radiological colleagues and other specialists to comprehensively evaluate possible underlying diseases.
Full Text
http://www.sciencedirect.com/science/article/pii/S0889540607003642
DOI
10.1016/j.ajodo.2005.08.041
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Orthodontics (교정과학교실) > 1. Journal Papers
Yonsei Authors
Cha, Jung Yul(차정열)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95559
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