Int J Paediatr Dent. 2023 Jun 17. doi: 10.1111/ipd.13095. Online ahead of print.
ABSTRACT
BACKGROUND: Panoramic radiographs (PRs) are used in the detection and diagnosis of developmental dental anomalies and pathologies (DDAP) in children.
AIM: The primary objective of this observational cohort study was to evaluate the age-based prevalence of DDAP on PRs while the secondary objective was to determine a threshold age for detection of DDAP to provide supportive evidence for prescription of PR in pediatric dental practice.
DESIGN: The study examined diagnostic PRs from 581 subjects from ages 6-19 years. All PRs were reviewed by experienced, calibrated, masked examiners for identification or presence of anomalies of size, shape, position, structure, and other developmental anomalies and pathologies (ODAP) of face-neck region in a standardized condition. The data was statistically analyzed for interpretation.
RESULTS: Overall, 74% (n=411) of the cohort had at least one anomaly (shape anomaly: 12%, number anomaly: 17%, positional anomaly: 28%, structural anomaly: 0%, and ODAP: 63%). The optimal Youden index cutoff for any anomaly was 9 years. Twelve and 15 years also showed predictive ability.
CONCLUSIONS: The results suggest that PRs should be prescribed at ages 9, 12, and 15 years for the diagnosis of DDAP.
PMID:37330621 | DOI:10.1111/ipd.13095
