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|Title:||A comparative diagnostic assessment of anterior tooth and bone status using panoramic and periapical radiography|
|Citation:||Australian Orthodontic Journal, 2011; 27(2):162-168|
|Publisher:||Australian Society of Orthodontists|
|Tina Le, Khash Nassery, Bill Kahler and Geoffrey Heithersay|
|Abstract:||AIMS: The aim of the present study was to compare diagnostic assessments of anterior tooth and bone status in a randomised cohort of pre-orthodontic patients using panoramic and periapical radiographs. METHOD: Four hundred and forty-four cases with matched periapical and panoramic radiographs were examined by three observers. Two were final-year postgraduate endodontic students and the other, a final-year Honours degree dental student. Multirater Kappa values were used to assess the reliability of the observers, with a value of 1 equating to complete agreement. RESULTS: With the exception of endodontic Class 1 and 2 palatal invaginations, reliability exceeded 0.95 for all three observers. An assessment of the graduate endodontic students revealed only a marginal increase in the kappa values. Statistical analysis (p < 0.05) determined that developmental anomalies or tooth/bone pathoses were more reliably detected by observers using periapical radiographs compared with panoramic films. This finding has relevance given the likelihood of anterior dental trauma among young children. CONCLUSION: While there have been considerable improvements in the quality of dental panoramic radiography, the present study indicated that a reliable pre-orthodontic or post-trauma diagnostic assessment should include both panoramic and intra-oral radiographs.|
|Keywords:||Alveolar Process; Cuspid; Incisor; Dental Enamel; Tooth Root; Humans; Jaw Diseases; Periapical Diseases; Anodontia; Tooth, Supernumerary; Tooth Diseases; Dental Pulp Calcification; Tooth, Nonvital; Tooth Fractures; Root Resorption; Observer Variation; Radiography, Bitewing; Radiography, Panoramic; Cohort Studies|
|Rights:||© Australian Orthodontic Journal|
|Appears in Collections:||Dentistry publications|
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