A comparative diagnostic assessment of anterior tooth and bone status using panoramic and periapical radiography

Simple item page
dc.contributor.authorLe, T.
dc.contributor.authorNassery, K.
dc.contributor.authorKahler, W.
dc.contributor.authorHeithersay, G.
dc.date.issued2011
dc.description.abstractAIMS: 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.
dc.description.statementofresponsibilityTina Le, Khash Nassery, Bill Kahler and Geoffrey Heithersay
dc.description.urihttp://www.aso.org.au/aoj/AOJ_docs/AOJ.htm
dc.identifier.citationAustralian Orthodontic Journal, 2011; 27(2):162-168
dc.identifier.issn0587-3908
dc.identifier.urihttp://hdl.handle.net/2440/71693
dc.language.isoen
dc.publisherAustralian Society of Orthodontists
dc.rights© Australian Orthodontic Journal
dc.subjectAlveolar Process
dc.subjectCuspid
dc.subjectIncisor
dc.subjectDental Enamel
dc.subjectTooth Root
dc.subjectHumans
dc.subjectJaw Diseases
dc.subjectPeriapical Diseases
dc.subjectAnodontia
dc.subjectTooth, Supernumerary
dc.subjectTooth Diseases
dc.subjectDental Pulp Calcification
dc.subjectTooth, Nonvital
dc.subjectTooth Fractures
dc.subjectRoot Resorption
dc.subjectObserver Variation
dc.subjectRadiography, Bitewing
dc.subjectRadiography, Panoramic
dc.subjectCohort Studies
dc.titleA comparative diagnostic assessment of anterior tooth and bone status using panoramic and periapical radiography
dc.typeJournal article
pubs.publication-statusPublished

Files

Collections

Dentistry publications