Evaluation of dental panoramic radiographic findings in edentulous jaws: A retrospective study of 743 patients "Radiographic features in edentulous jaws"

Abstract

PURPOSEThe aim of this study was to determine the frequency of significant panoramic radiographic findings and eventual treatment requirements before conventional or implant supported prosthetic treatment in asymptomatic edentulous patients.MATERIALS AND METHODSA total of 743 asymptomatic edentulous patients were retrospectively evaluated using a digital panoramic system. We analyzed the radiographic findings, including impacted teeth, retained root fragments, foreign bodies, severe atrophy of the posterior maxillary alveolar bone, mucous retention cysts, soft tissue calcifications and radiopaque-radiolucent conditions.RESULTSFour-hundred-eighty-seven (65.6%) patients had no radiographic finding. A total of 331 radiographic findings were detected in 256 (34%) patients. In 52.9% (n=175) of these conditions, surgical treatment was required before application of implant-supported fixed prosthesis. However, before application of conventional removable prosthesis surgical treatment was required for 6% (n=20) of these conditions.CONCLUSIONThe edentulous patients who will have implant placement for implant-supported fixed prosthesis can frequently require additional surgical procedures to eliminate pathological conditions.

Pathological Findings on Dental Panoramic Tomograms of Edentulous Patients Seen at a University Hospital

“…Like most earlier studies, this study failed to establish any factors other than gender that may be predictive for the occurrence of pathological indings on OPGs of otherwise healthy ridges. Most OPG indings necessitated surgical intervention before construction of conventional complete dentures, similar to a recent study [7]. However, most of the interventions were extractions of retained roots.…”

Evaluation of positive radioopaque radiological findings in patients using complete prosthesis

“…5 Kose reported 10 (4.8%) impacted teeth in 743 edentulous patients. 10 Stathopoulos retrospectively examined 7782 impacted third molars in 6182 patients and stated that pathologic outcomes from the impacted teeth were 2.77%. 11 According to Vigneswaran, they examined 2778 patients with impacted third molar, 43 (1.79%) cases were reported incidence of cyst and tumor.…”

The Clinical Profile of Edentulous Patients: A Study on 274 Patients

“…Dişsiz hastaların radyolojik değerlendirilmesinde gömülü (rezidüel) diş kökü Miloğlu ve ark 24 , Cabbar ve ark 25 , Peker ve ark 26 , Jindal ve ark 27 , Kocabalkan ve Dönmez 28 tarafından ilk sıradaki pozitif bulgu olarak belirtilmiştir. Kretle ilişkili maksiller sinüs tabanı ise Köse ve ark'nın 29 çalışmasında ilk; Peker ve ark 26 ile Miloğlu ve ark'nın 24 çalışmalarında ikinci sıradaki bulgu olarak yer almıştır. Çalışmalarda belirtilen gömülü diş, radyolüsent ve radyopak oluşumlar, kretle ilişkili mental foramen gibi bulgular ile bu araştırmada belirtilen pozitif bulgular nedeniyle radyografik değerlendirmenin özellikle dental kaydı olmayan hastalarda yapılması gerekliliği 30 düşüncesini desteklemekteyiz.…”

“…Çalışmalarda belirtilen gömülü diş, radyolüsent ve radyopak oluşumlar, kretle ilişkili mental foramen gibi bulgular ile bu araştırmada belirtilen pozitif bulgular nedeniyle radyografik değerlendirmenin özellikle dental kaydı olmayan hastalarda yapılması gerekliliği 30 düşüncesini desteklemekteyiz. Ayrıca panoramik radyografinin -ilave radyasyon olmaksızın-sağladığı verilerden birisi olan karotid arter kalsifikasyonu 29 gibi hastanın sistemik durumu açısından önemli olabilecek veriler nedeniyle kapsamlı değerlendirilmesi gerekliğinin unutulmaması önemlidir.…”