Incidental pathologic findings from orthodontic pretreatment panoramic radiographs

dc.contributor.authorHlongwa, Phumzile
dc.contributor.authorMoshaoa, Mpule Annah Lerato
dc.contributor.authorMusemwa, Charity
dc.contributor.authorKhammissa, Razia Abdool Gafaar
dc.contributor.emailphumzile.hlongwa@up.ac.zaen_US
dc.date.accessioned2023-02-17T09:58:05Z
dc.date.available2023-02-17T09:58:05Z
dc.date.issued2023-02
dc.descriptionDATA AVAILABILITY STATEMENT : Data available from the University of the Witwatersrand website, http://wiredspace.wits.ac.zaen_US
dc.description.abstractPanoramic radiography is frequently performed for new patients, follow-ups and treatment in progress. This enables dental clinicians to detect pathology, view important structures, and assess developing teeth. The objective of the study was to determine prevalence of incidental pathologic findings (IPFs) from orthodontic pretreatment panoramic radiographs at a university dental hospital. A retrospective cross-sectional review was conducted of pretreatment panoramic radiographs, using data collection sheets with predefined criteria. Demographic data and abnormalities (impacted teeth, widening of periodontal ligament, pulp stones, rotated teeth, missing teeth, unerupted teeth, crowding, spacing, supernumerary teeth, and retained deciduous teeth) were reviewed. SPSS 28.0 was used to analyze data with statistical tests set at a 5% significance level. Results: One hundred panoramic radiographs were analyzed with an age range of 7 to 57 years. The prevalence of IPFs was 38%. A total of 47 IPFs were detected with altered tooth morphology predominantly (n = 17). Most IPFs occurred in males (55.3%), with 44.7% in females. A total of 49.2% were in the maxilla and 50.8% in the mandible. This difference was statistically significant (p < 0.0475). Other abnormalities were detected in 76% of panoramic radiographs; 33 with IPFs and 43 without. A total of 134 other abnormalities detected showed predominantly impacted teeth (n = 49). Most of these abnormalities were in females (n = 77). Conclusions: The prevalence of IPFs was 38%, predominated by altered tooth morphology, idiopathic osteosclerosis, and periapical inflammatory lesions. Detection of IPFs from panoramic radiographs underscored the importance for clinicians to examine them for comprehensive diagnosis and treatment planning, especially in orthodontics.en_US
dc.description.departmentOrthodonticsen_US
dc.description.departmentPeriodontics and Oral Medicineen_US
dc.description.librarianhj2023en_US
dc.description.sponsorshipThe APC was funded through Author Voucher discount.en_US
dc.description.urihttp://www.mdpi.com/journal/ijerphen_US
dc.identifier.citationHlongwa, P.; Moshaoa, M.A.L.; Musemwa, C.; Khammissa, R.A.G. Incidental Pathologic Findings from Orthodontic Pretreatment Panoramic Radiographs. International Journal of Environmental Research and Public Health 2023, 20, 3479. https://doi.org/10.3390/ijerph20043479.en_US
dc.identifier.issn1660-4601 (online)
dc.identifier.other10.3390/ijerph20043479
dc.identifier.urihttps://repository.up.ac.za/handle/2263/89651
dc.language.isoenen_US
dc.publisherMDPIen_US
dc.rights© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).en_US
dc.subjectIncidental pathologic findings (IPFs)en_US
dc.subjectOrthodontic pre-treatmenten_US
dc.subjectPanoramic radiographen_US
dc.titleIncidental pathologic findings from orthodontic pretreatment panoramic radiographsen_US
dc.typeArticleen_US

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