Incidental findings detected with panoramic radiography: prevalence calculated on a sample of 2017 cases treated at a ma

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ORIGINAL ARTICLE

Incidental findings detected with panoramic radiography: prevalence calculated on a sample of 2017 cases treated at a major Italian trauma and cancer centre Sogol Ghassemzadeh1 · Luca Sbricoli1 · Anna Chiara Frigo2 · Christian Bacci1  Received: 22 May 2020 / Accepted: 21 October 2020 © The Author(s) 2020

Abstract Objectives  This study aimed to assess the prevalence of incidental findings, not strictly related to dentistry, viewed with panoramic radiography. Methods  Panoramic radiographs performed between December 2013 and June 2016 were retrospectively collected. These images were analyzed, searching for incidental findings. All the information collected was statistically analysed Results  A total of 2307 Panoramic Radiograph were analyzed and 2017 of them were included in the study. 529 incidental findings were seen: 255 (48.2%) were ESP (Elongation of Styloid Process), 167 were CAC (Carotid Artery Calcification) (31.57%), 36 were maxillary sinus pathologies (6.8%) and 71 were other incidental findings (13.42%). The total prevalence of IF was 26, 23%., CAC was 8.28% in the total population, and it was higher in women (9.82%) than men (6.54%). 48.5% of CAC were bilateral. When unilateral, the right side showed a higher right side prevalence. The prevalence of ESP was 12.64% in total population (men: 13.82%; women: 11.60%). 84.71% of ESP were bilateral and, when present unilaterally, no side difference was seen. 13.33% of the ESP appeared segmented. The prevalence of maxillary sinus pathologies was 1.78% (men: 2.32%; women: 1.31%). Only 8.33% of these pathologies were bilateral, and, when unilateral, they were mostly present on the right side. Between the 71 other IF (prevalence: 3.52%), sialoliths and tonsilloliths were assessed most frequently. Conclusion  Due to the high prevalence of incidental findings detected with panoramic radiography, dental practitioners should be aware of the various pathologic conditions seen on the panoramic radiographs. Keywords  Panoramic radiography · Incidental findings · Atherosclerosis · Carotid artery calcification · Elongation of styloid process · Maxillary sinus

Aim The present study aimed to estimate the prevalence of incidental findings, detected using Panoramic Radiograph (PR) examinations, with the exception of caries, periodontal and periapical diseases.

* Christian Bacci [email protected] 1



Unit of Oral Medicine, Pathology and Surgery, Section of Clinical Dentistry, Department of Neurosciences, University of Padova, Via Giustiniani, 1, 35128 Padova, Italy



Department of Public Health, University of Padova, Padova, Italy

2

Evaluation of PRs, in assessing carotid artery calcification, elongated stylohyoid process, maxillary sinus pathologies, and any other incidental findings, was made.

Materials and methods A consecutive case series of panoramic radiographs performed in the University Hospital of Padova between December 2013 and June 2016 were retrospectively collected. The study was performed in full accordance with the World Medica