Screening panoramic radiography of new adult patients: diagnostic yield when combined with bitewing radiography and identification of selection criteria

British Dental Journal
Vivian E RushtonHelen V Worthington

Abstract

To measure the radiological diagnostic yield on screening panoramic radiographs taken of new adult patients and to identify selection criteria for panoramic radiography of new adult patients. Survey of 1,817 consecutive panoramic radiographs taken as 'routine' on new patients with statistical analysis of clinical and radiological findings. All radiographs were obtained from 41 general dental practitioners (GDPs). The GDPs provided the clinical information about the patient obtained by history and examination. Collection of material occurred in 1998/1999. Two dental radiologists recorded the radiological findings on each of 1,817 panoramic radiographs by consensus. Those findings that would have been identified from bilateral posterior bitewing radiographs of each patient were then excluded to give modified figures for radiological findings. Indices of diagnostic yield were devised and calculated for each radiograph from the data on radiological findings. Total diagnostic yield (DY) and modified diagnostic yield (MDY), after exclusion of findings identifiable on bitewing radiographs, were both calculated. Clinical indicators of a high MDY were identified using stepwise multiple regression analysis. MDY was 0 for 17% of the radio...Continue Reading

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Citations

Jun 1, 2013·Medicina oral, patología oral y cirugía bucal·Lizett Castellanos-CosanoJuan J Segura-Egea
Jan 17, 2013·Haemophilia : the Official Journal of the World Federation of Hemophilia·L Castellanos-CosanoJ J Segura-Egea
May 1, 2011·Journal of Investigative and Clinical Dentistry·Ioannis G GisakisSpyros Kamberos
Jan 19, 2012·International Dental Journal·José López-LópezJuan J Segura-Egea
Oct 30, 2013·Gerodontology·José López-LópezJuan José Segura-Egea
Feb 12, 2015·Journal of Endodontics·Benito Sánchez-DomínguezJuan José Segura-Egea

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