The accuracy of dental panoramic tomographs in determining the root morphology of mandibular third molar teeth before surgery
Objective. The objective of this study was to assess the accuracy of dental panoramic tomograph (DPT) in the presurgical assessment of mandibular third molar teeth by correlating the radiologic interpretation with surgical findings. Study design. DPTs of 300 mandibular third molar teeth were assesse...
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| Veröffentlicht in: | Oral surgery, oral medicine, oral pathology, oral radiology and endodontics oral medicine, oral pathology, oral radiology and endodontics, 2003-01, Vol.95 (1), p.119-125 |
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| container_title | Oral surgery, oral medicine, oral pathology, oral radiology and endodontics |
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| creator | Bell, Garmon W. Rodgers, Jennifer M. Grime, Rebecca J. Edwards, Kelly L. Hahn, Michael R. Dorman, Matthew L. Keen, Wendy D. Stewart, Duncan J.C. Hampton, Nicholas |
| description | Objective. The objective of this study was to assess the accuracy of dental panoramic tomograph (DPT) in the presurgical assessment of mandibular third molar teeth by correlating the radiologic interpretation with surgical findings. Study design. DPTs of 300 mandibular third molar teeth were assessed by 9 staff oral surgeons for root morphology and proximity to the inferior alveolar neurovascular bundle. Detailed records were made at surgery. Results. The sensitivity and specificity for observation of root curvatures (±15%) were 29% and 94%, respectively. The sensitivity and specificity of determining an intimate relationship between the root and the neurovascular bundle were 66% and 74%, respectively. Kappa analysis demonstrated poor levels of agreement between radiologic interpretation and surgical findings when the number of roots was determined (0.191) and also when the roots were fused or separate (0.466). Conclusion. Using DPTs to assess mandibular third molar teeth before surgery gives poor diagnostic accuracy of anatomic form and structures. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;95:119-25) |
| doi_str_mv | 10.1067/moe.2003.16 |
| format | Article |
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The objective of this study was to assess the accuracy of dental panoramic tomograph (DPT) in the presurgical assessment of mandibular third molar teeth by correlating the radiologic interpretation with surgical findings. Study design. DPTs of 300 mandibular third molar teeth were assessed by 9 staff oral surgeons for root morphology and proximity to the inferior alveolar neurovascular bundle. Detailed records were made at surgery. Results. The sensitivity and specificity for observation of root curvatures (±15%) were 29% and 94%, respectively. The sensitivity and specificity of determining an intimate relationship between the root and the neurovascular bundle were 66% and 74%, respectively. Kappa analysis demonstrated poor levels of agreement between radiologic interpretation and surgical findings when the number of roots was determined (0.191) and also when the roots were fused or separate (0.466). Conclusion. Using DPTs to assess mandibular third molar teeth before surgery gives poor diagnostic accuracy of anatomic form and structures. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;95:119-25)</description><identifier>ISSN: 1079-2104</identifier><identifier>EISSN: 1528-395X</identifier><identifier>DOI: 10.1067/moe.2003.16</identifier><identifier>PMID: 12539037</identifier><language>eng</language><publisher>St. Louis, MO: Mosby, Inc</publisher><subject>Analysis of Variance ; Biological and medical sciences ; Dentistry ; Facial bones, jaws, teeth, parodontium: diseases, semeiology ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Medical sciences ; Molar, Third - diagnostic imaging ; Non tumoral diseases ; Observer Variation ; Otorhinolaryngology. Stomatology ; Otorhinolaryngology. Stomatology. Orbit ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Radiography, Panoramic - methods ; Sensitivity and Specificity ; Tomography - methods ; Tooth Root - diagnostic imaging</subject><ispartof>Oral surgery, oral medicine, oral pathology, oral radiology and endodontics, 2003-01, Vol.95 (1), p.119-125</ispartof><rights>2003</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-4b337b63a3344b8a9983cd6dc4d58d9a6b2ba0379df0b182ac419b36605fb0c3</citedby><cites>FETCH-LOGICAL-c427t-4b337b63a3344b8a9983cd6dc4d58d9a6b2ba0379df0b182ac419b36605fb0c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1067/moe.2003.16$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14576954$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12539037$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bell, Garmon W.</creatorcontrib><creatorcontrib>Rodgers, Jennifer M.</creatorcontrib><creatorcontrib>Grime, Rebecca J.</creatorcontrib><creatorcontrib>Edwards, Kelly L.</creatorcontrib><creatorcontrib>Hahn, Michael R.</creatorcontrib><creatorcontrib>Dorman, Matthew L.</creatorcontrib><creatorcontrib>Keen, Wendy D.</creatorcontrib><creatorcontrib>Stewart, Duncan J.C.</creatorcontrib><creatorcontrib>Hampton, Nicholas</creatorcontrib><title>The accuracy of dental panoramic tomographs in determining the root morphology of mandibular third molar teeth before surgery</title><title>Oral surgery, oral medicine, oral pathology, oral radiology and endodontics</title><addtitle>Oral Surg Oral Med Oral Pathol Oral Radiol Endod</addtitle><description>Objective. The objective of this study was to assess the accuracy of dental panoramic tomograph (DPT) in the presurgical assessment of mandibular third molar teeth by correlating the radiologic interpretation with surgical findings. Study design. DPTs of 300 mandibular third molar teeth were assessed by 9 staff oral surgeons for root morphology and proximity to the inferior alveolar neurovascular bundle. Detailed records were made at surgery. Results. The sensitivity and specificity for observation of root curvatures (±15%) were 29% and 94%, respectively. The sensitivity and specificity of determining an intimate relationship between the root and the neurovascular bundle were 66% and 74%, respectively. Kappa analysis demonstrated poor levels of agreement between radiologic interpretation and surgical findings when the number of roots was determined (0.191) and also when the roots were fused or separate (0.466). Conclusion. Using DPTs to assess mandibular third molar teeth before surgery gives poor diagnostic accuracy of anatomic form and structures. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;95:119-25)</description><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Dentistry</subject><subject>Facial bones, jaws, teeth, parodontium: diseases, semeiology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical sciences</subject><subject>Molar, Third - diagnostic imaging</subject><subject>Non tumoral diseases</subject><subject>Observer Variation</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Otorhinolaryngology. Stomatology. Orbit</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Radiography, Panoramic - methods</subject><subject>Sensitivity and Specificity</subject><subject>Tomography - methods</subject><subject>Tooth Root - diagnostic imaging</subject><issn>1079-2104</issn><issn>1528-395X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0D2P1DAQBuAIgbjjoKJHbqBBWew4ceISnfiSTqLZgs4a25NdozgO4wRpi_vv-G5XuobKI83jV_ZbVW8F3wmu-k8x4a7hXO6EelZdi64Zaqm7X8_LzHtdN4K3V9WrnH9zzpXU-mV1JZpOai776-p-f0QGzm0E7sTSyDzOK0xsgTkRxODYmmI6ECzHzMJc1itSDHOYD2wtVymllcVEyzFN6fCYEGH2wW4TUBGBfFk_zojrkVkcEyHLGx2QTq-rFyNMGd9czptq__XL_vZ7fffz24_bz3e1a5t-rVsrZW-VBCnb1g6g9SCdV961vhu8BmUbC-U72o_ciqEB1wptpVK8Gy138qb6cI5dKP3ZMK8mhuxwmmDGtGXTN7oXfScL_HiGjlLOhKNZKESgkxHcPJRtStnmoWwjVNHvLrGbjeif7KXdAt5fAGQH00gwu5CfXNv1Sndtcd3ZYengb0Ay2QWcHfpA6FbjU_jvA_4B_oWcZg</recordid><startdate>200301</startdate><enddate>200301</enddate><creator>Bell, Garmon W.</creator><creator>Rodgers, Jennifer M.</creator><creator>Grime, Rebecca J.</creator><creator>Edwards, Kelly L.</creator><creator>Hahn, Michael R.</creator><creator>Dorman, Matthew L.</creator><creator>Keen, Wendy D.</creator><creator>Stewart, Duncan J.C.</creator><creator>Hampton, Nicholas</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200301</creationdate><title>The accuracy of dental panoramic tomographs in determining the root morphology of mandibular third molar teeth before surgery</title><author>Bell, Garmon W. ; Rodgers, Jennifer M. ; Grime, Rebecca J. ; Edwards, Kelly L. ; Hahn, Michael R. ; Dorman, Matthew L. ; Keen, Wendy D. ; Stewart, Duncan J.C. ; Hampton, Nicholas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-4b337b63a3344b8a9983cd6dc4d58d9a6b2ba0379df0b182ac419b36605fb0c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Dentistry</topic><topic>Facial bones, jaws, teeth, parodontium: diseases, semeiology</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Medical sciences</topic><topic>Molar, Third - diagnostic imaging</topic><topic>Non tumoral diseases</topic><topic>Observer Variation</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Otorhinolaryngology. Stomatology. Orbit</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Radiography, Panoramic - methods</topic><topic>Sensitivity and Specificity</topic><topic>Tomography - methods</topic><topic>Tooth Root - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bell, Garmon W.</creatorcontrib><creatorcontrib>Rodgers, Jennifer M.</creatorcontrib><creatorcontrib>Grime, Rebecca J.</creatorcontrib><creatorcontrib>Edwards, Kelly L.</creatorcontrib><creatorcontrib>Hahn, Michael R.</creatorcontrib><creatorcontrib>Dorman, Matthew L.</creatorcontrib><creatorcontrib>Keen, Wendy D.</creatorcontrib><creatorcontrib>Stewart, Duncan J.C.</creatorcontrib><creatorcontrib>Hampton, Nicholas</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Oral surgery, oral medicine, oral pathology, oral radiology and endodontics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bell, Garmon W.</au><au>Rodgers, Jennifer M.</au><au>Grime, Rebecca J.</au><au>Edwards, Kelly L.</au><au>Hahn, Michael R.</au><au>Dorman, Matthew L.</au><au>Keen, Wendy D.</au><au>Stewart, Duncan J.C.</au><au>Hampton, Nicholas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The accuracy of dental panoramic tomographs in determining the root morphology of mandibular third molar teeth before surgery</atitle><jtitle>Oral surgery, oral medicine, oral pathology, oral radiology and endodontics</jtitle><addtitle>Oral Surg Oral Med Oral Pathol Oral Radiol Endod</addtitle><date>2003-01</date><risdate>2003</risdate><volume>95</volume><issue>1</issue><spage>119</spage><epage>125</epage><pages>119-125</pages><issn>1079-2104</issn><eissn>1528-395X</eissn><abstract>Objective. The objective of this study was to assess the accuracy of dental panoramic tomograph (DPT) in the presurgical assessment of mandibular third molar teeth by correlating the radiologic interpretation with surgical findings. Study design. DPTs of 300 mandibular third molar teeth were assessed by 9 staff oral surgeons for root morphology and proximity to the inferior alveolar neurovascular bundle. Detailed records were made at surgery. Results. The sensitivity and specificity for observation of root curvatures (±15%) were 29% and 94%, respectively. The sensitivity and specificity of determining an intimate relationship between the root and the neurovascular bundle were 66% and 74%, respectively. Kappa analysis demonstrated poor levels of agreement between radiologic interpretation and surgical findings when the number of roots was determined (0.191) and also when the roots were fused or separate (0.466). Conclusion. Using DPTs to assess mandibular third molar teeth before surgery gives poor diagnostic accuracy of anatomic form and structures. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;95:119-25)</abstract><cop>St. Louis, MO</cop><pub>Mosby, Inc</pub><pmid>12539037</pmid><doi>10.1067/moe.2003.16</doi><tpages>7</tpages></addata></record> |
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| ispartof | Oral surgery, oral medicine, oral pathology, oral radiology and endodontics, 2003-01, Vol.95 (1), p.119-125 |
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| subjects | Analysis of Variance Biological and medical sciences Dentistry Facial bones, jaws, teeth, parodontium: diseases, semeiology Humans Investigative techniques, diagnostic techniques (general aspects) Medical sciences Molar, Third - diagnostic imaging Non tumoral diseases Observer Variation Otorhinolaryngology. Stomatology Otorhinolaryngology. Stomatology. Orbit Radiodiagnosis. Nmr imagery. Nmr spectrometry Radiography, Panoramic - methods Sensitivity and Specificity Tomography - methods Tooth Root - diagnostic imaging |
| title | The accuracy of dental panoramic tomographs in determining the root morphology of mandibular third molar teeth before surgery |
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