Incidental Findings on CBCT

Yang, Jie; Scarfe, William C.; Angelopoulos, Christos

doi:10.1007/978-3-319-62061-9_16

Cited by 3 publications

(12 citation statements)

References 41 publications

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“…When reading CBCT volumes, untrained observers might miss important pathology or misidentify normal variants and minor anomalies, causing unwarranted distress for patients and additional costly tests 22 . Knowledge of the anatomy is critical, and referral of the CBCT volume to a radiologist is needed.…”

Section: Discussionmentioning

confidence: 99%

“…Knowledge of the anatomy is critical, and referral of the CBCT volume to a radiologist is needed. Radiologists receive formal training on the recognition, handling, incidence, location, and presentation of incidental findings 22 …”

Section: Discussionmentioning

confidence: 99%

“…Mucosal thickening, mucous retention cysts/pseudocysts are of low significance compared to complete opacification of the sinus, blockage of drainage, and mucoceles. Patients can be either symptomatic or asymptomatic 22 . Inflammatory tissue can progress to invade the paranasal sinuses of ethmoid and frontal sinuses leading to serious consequences if ignored 22 …”

Section: Sinusitis and Airwaymentioning

confidence: 99%

“…Patients can be either symptomatic or asymptomatic 22 . Inflammatory tissue can progress to invade the paranasal sinuses of ethmoid and frontal sinuses leading to serious consequences if ignored 22 …”

Section: Sinusitis and Airwaymentioning

confidence: 99%

“…The American Academy of Oral and Maxillofacial Radiology (AAOMR) holds the position that CBCT volumes, regardless of clinical application, should be systematically evaluated for signs of abnormalities 21 . The prevalence of incidental findings in radiographic imaging is high and differs within studies based on sample size and population demographics 22,23 . In the jaws, CBCT can identify findings such as osteosclerosis, periapical pathology, odontogenic and nonodontogenic cysts, and malignant tumors.…”

mentioning

confidence: 99%

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Incidental Findings in Cone Beam Computed Tomography for Dental Implants in 1002 Patients

Kachlan

Yang

Balshi

et al. 2021

Journal of Prosthodontics

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Purpose The purpose of this study is to analyze the frequency and elevate the awareness of the prevalence of nondental pathology in cone beam computed tomography (CBCT) scans taken for implant placement treatment planning and postplacement evaluation. The data from the CBCT should be read by an oral and maxillofacial radiologist for proper diagnosis of dental and nondental pathology and referred to the medical specialist for proper management when necessary. Materials and methods This retrospective study analyzed 1002 consecutive CBCT scans taken at a single private practice noting the prevalence of nondental pathology in CBCT images for all dental implant procedures. All scans were taken from November 2007 to March 2020. One board certified oral and maxillofacial radiologist systemically read all scans and reported all findings in the maxilla and mandible, condyles and TMJ, paranasal sinuses, nasal fossa, pharyngeal airway, skull base and temporal bone, neck soft tissues, and cervical spine. The incidental findings, variation of normal anatomy, or pathology reported in these structures were categorized based on anatomic location and significance and the incidence was investigated. Results Pathologies ranged from innocuous sinusitis, to more serious atherosclerotic calcification of the carotid arteries, narrowed airways, and neoplastic lesions. Fifty‐one different findings were noted, of which 36 were pathologies that required referral or follow‐up. Conclusions Incidental findings can be detected in CBCT scans for dental implants. The clinician must be familiar with the radiographic diagnosis of head and neck pathology, and/or must refer these images to an appropriate specialist for the radiographic interpretation of the full volume.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%