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Efficacy of Panoramic Radiography in Dental Diagnosis and Treatment Planning

School of Dentistry, CB 7450, University of North Carolina, Chapel Hill, North Carolina 27599

B.A. Slome

School of Dentistry, CB 7450, University of North Carolina, Chapel Hill, North Carolina 27599

We compared treatment decisions based on a clinical examination alone with decisions based on an examination plus a panoramic radiograph to determine whether the panoramic radiograph increased the diagnostic yield and consequently affected treatment. Provisional treatment plans, based on a screening clinical examination alone (n = 33), or on a screening clinical examination plus panoramic radiograph (n = 43), were compared with final treatment plans based on a complete diagnostic assessment (including all necessary radiographs). For this analysis, the final treatment plan was considered correct and used as the gold standard. The two groups used in the comparison were equivalent in age, gender, and final treatment plan needs. The availability of a panoramic radiograph did not improve the accuracy with which provisional treatment plans predicted the number of teeth requiring composites, amalgams, crowns, or extraction, nor did it improve the accuracy of the assessment of the periodontal status (Wilcoxon rank sum, alpha = 0.05). The proportion of patients who had an intra-oral full-mouth series as part of the complete diagnostic work-up was essentially the same for both groups (58% and 60%, respectively); the availability of the panoramic film did not reduce the need for full-mouth series radiographs for the development of the final treatment plans.

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Journal of Dental Research, Vol. 68, No. 5, 810-812 (1989)
DOI: 10.1177/00220345890680051101


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This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Kantor, M.L. Articles by Slome, B.A. Search for Related Content PubMed PubMed Citation Articles by Kantor, M.L. Articles by Slome, B.A. Pubmed/NCBI databases Medline Plus Health Information Tooth Disorders Social Bookmarking                         What's this?