Evaluation of the relationship between appearances of the lingual foramen on panoramic radiography and cone-beam computed tomography.

AIM: The aim of this retrospective study is to determine the level of visibility of the lingual foramen in panoramic radiography using cone-beam computed tomography (CBCT) as a reference tool. METHOD: A total of 200 patients (111 females and 89 males) were included in the study. Cross-sectional CBCT images of the mandible in the midline were used to locate and define the orifice and diameter of each lingual canal that was detected. The appearance of the lingual foramen in the anterior mandible in panoramic radiography was assessed using a five-point ordinal scale. Descriptive statistics including tables and graphs were used. The correlation between CBCT and panoramic radiography findings were analyzed using Chi-square tests. RESULTS: The lingual foramen was found to be located most frequently in the mandibular midline, above the genial tubercle (78.5%). A narrow-diameter type was found to occur most frequently (56.5%). A prominent genial tubercle was the most commonly found type (57.5%). The lingual foramen could be definitively identified in panoramic radiographs in only 8 cases (4%), while a high degree of probability was found in 25 cases (12.5%). The lingual foramen appears wider and therefore more distinctive in panoramic radiographs when the angulation of the lingual canal is less than 20° to the ground plane. CONCLUSIONS: Radiological evaluation with panoramic radiographs alone may lead to inadequate assessments prior to surgical procedures involving the anterior mandible. Clinicians may consider using three-dimensional imaging for procedures with a risk of hemorrhagic and neurosensory complications such as dental implant placement in the anterior mandible.

Evaluation of radiographic features of embedded primary molar roots in adult Turkish population.

BACKGROUND: The roots of primary molars were found in the permanent dentition without symptoms on the clinical or radiographic examination. However, their incidence could not be achieved on the current literature. OBJECTIVE: The aim of this study is to evaluate the radiographic features of the embedded primary molar roots in adult dentulous patients in Turkey. MATERIALS AND METHODS: The data, from 5000 adult patients, including panoramic radiographs and demographic information, were evaluated retrospectively. The prevalence and location of the primary molar roots in the jaws were determined, as well as the prevalence and location of the primary molar roots in the adjacent permanent root levels. RESULTS: Among 5000 Turkish population dentulous patients, 20 retained primary molar roots (0.38%) were found in 19 ones. CONCLUSIONS: The prevalence of the primary molar roots in the present study was found to be lower than that of the previous study. This finding may result from the larger amount of patient data that was evaluated in this study, which used panoramic radiographs.

The prevalence of pulp stones in a Turkish population. A radiographic survey.

OBJECTIVES: The goal of this retrospective study was to determine the prevalence of pulp stones in a Turkish population. Any possible associations between pulp stones and gender, tooth type and dental arch were also evaluated. STUDY DESIGN: Four hundred and sixty nine patients' bitewing radiographs which were reached through the patient database of Erciyes University Dentistry School, Department of Oral Diagnosis and Radiology were examined. Of these 469 subjects whose mean age was 24( ± 10.7), 302 were females and 167 were males. A total of 6,926 teeth were examined during this study. Pulp stones were recorded as present or absent and any relations with gender, tooth type and dental arch were noted. RESULTS: Pulp stones were identified in 270 (57.6 %) of the subjects and in 1,038 (15 %) of the teeth examined. Their presence were seldom found in the premolars (9.07%) but was much higher in the molars (90.92 %). Pulp stone occurrence was significantly more common in the first molars than in the second molars, and in the first premolars than in the second premolars in each dental arch. Their occurrence was higher in the maxilla than in the mandible for each tooth type. No difference between the two genders could be identified. CONCLUSION: Pulp stones are not only incidental radiographic findings of the pulp tissue but may also be an indicator of some serious underlying disease. On the other hand, they may provide useful information to predict about the susceptibility of patients for other dystrophic soft tissue calcifications such as urinary calculi and calcified atheromas. However, further study on this issue is needed.