J Adv Prosthodont.  2015 Oct;7(5):380-385. 10.4047/jap.2015.7.5.380.

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

Affiliations
  • 1Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Istanbul University, Istanbul, Turkey.
  • 2Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Bezmialem Vakif University, Istanbul, Turkey. nhtdemirtas@gmail.com

Abstract

PURPOSE
The 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 METHODS
A 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.
RESULTS
Four-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.
CONCLUSION
The edentulous patients who will have implant placement for implant-supported fixed prosthesis can frequently require additional surgical procedures to eliminate pathological conditions.

Keyword

Edentulous patient; Panoramic radiography; Treatment planning; Diagnosis

MeSH Terms

Atrophy
Diagnosis
Foreign Bodies
Humans
Jaw, Edentulous*
Prostheses and Implants
Radiography, Panoramic
Retrospective Studies*
Tooth, Impacted

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