World Journal of Dentistry

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VOLUME 12 , ISSUE 6 ( November-December, 2021 ) > List of Articles

ORIGINAL RESEARCH

Incidental Findings on Cone-beam Computed Tomography in the Maxillofacial Region of Pediatric Patients: A Retrospective Study

Nisa T Ul, Mousumi Goswami, Manisha L Sharma

Keywords : Cone-beam computed tomographic, Clinical indications, Incidental findings, Pediatric patients

Citation Information : Ul NT, Goswami M, Sharma ML. Incidental Findings on Cone-beam Computed Tomography in the Maxillofacial Region of Pediatric Patients: A Retrospective Study. World J Dent 2021; 12 (6):453-457.

DOI: 10.5005/jp-journals-10015-1875

License: CC BY-NC 4.0

Published Online: 24-11-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim and objective: This study retrospectively evaluated the prevalence, type, and location of incidental findings (IFs) in the maxillofacial region of pediatric cone-beam computed tomographic (CBCT) scans with different sizes of the field of view (FOV). Methods and materials: One hundred and forty CBCT scans of 7–18 years of patients carried out from February 2016 to June 2019 were obtained from the Department of Oral and Maxillofacial Radiology and retrospectively reviewed. The relevant findings were further categorized under airway, bony findings, congenital findings, endo lesions, orthodontic findings, dental developmental, and perio lesions. These findings were tabulated and subjected to statistical analysis. Results: For all statistical tests, the value of p = 0.05 was set as a statistical significance level. Among 140 patients, 75% of CBCT scans were performed between the age-group of 13 and 18 years, and the majority (35%) were taken with a single quadrant maxilla. The total IFs reported were 72.2% among the maximum were for orthodontic findings (23.8%) and least were for congenitally missing teeth (1.4%). Conclusion: This study underscores the need to thoroughly search for clinically significant IFs within and beyond the region of interest for all CBCT volumes of data in children and assess for timely intervention. Clinical significance: This study helps us to identify clinically significant IFs in children which will allow for early interventions, thereby strengthening the rationale of preventive pediatric dentistry.


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