Limitations of Dental Panoramic Tomography in the anterior mandible

Cameron Walker, Donald Thomson, Gerald McKenna

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

Dental Panoramic Tomography (DPT) is a widely used and valuable examination in dentistry. One area prone to artefacts and therefore misinterpretation is the anterior region of the mandible. This case study discusses a periapical radiolucency related to lower anterior teeth that is discovered to be a radiographic artefact. Possible causes of the artefact include a pronounced depression in the mental region of the mandible or superimposition of intervertebral spaces. Additional limitations of the DPT image include superimposition of radio-opaque structures, reduced image detail compared to intra-oral views and uneven magnification. These problems often make the DPT inappropriate for imaging the anterior mandible.

CLINICAL RELEVANCE: Panoramic radiography is often unsuitable for radiographic examination of the anterior mandible.

Original languageEnglish
Pages (from-to)620-3
Number of pages4
JournalDental Update
Volume36
Issue number10
Publication statusPublished - Dec 2009

Keywords

  • Alveolar Bone Loss
  • Artifacts
  • Chronic Periodontitis
  • Diagnosis, Differential
  • Humans
  • Incisor
  • Male
  • Mandible
  • Middle Aged
  • Periapical Diseases
  • Radiography, Bitewing
  • Radiography, Panoramic
  • Root Resorption
  • Tomography, X-Ray

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