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1 ( % 24 )! 3 2 &!' # - 1 )* +# # -! " #! / / 0 567:: / / 0 567:: /0 1 : Accuracy of digital panoramic in detection of interproximal caries Goodarzipour D 1, Nejat S 2, Fotouhi A 3 1- Assistant Professor, Department of Radiology, School of Dentistry, Tehran University of Medical Sciences 2- Assistant Professor, Department of Epidemiology, School of Public Health, Tehran University of Medical Sciences 3- Associate Professor, Department of Epidemiology, School of Public Health, Tehran University of Medical Sciences Background and Aims: Conventional radiological equipments in our country are going to be converted to digital system using computed radiology (CR) technology. If we know the accuracy of digital panoramic radiography for detection of small defects in tooth, it will be useful in cases with difficulty for taking the intraoral radiographs. The aim of this study was to evaluate sensitivity and specificity of digital panoramic radiography for detection of proximal caries compared with the bitewing radiography. Materials and Methods: One-hundred patients who had been ordered for taking both bitewing and panoramic radiography were included in this study. Panoramic and then bitewing radiographs were observed by a maxillofacial radiologist and interproximal caries were recorded. Sensitivity and specificity of digital panoramic radiography (CI=95%) was calculated compared with the bitewing radiography as a gold standard. Results: This study showed that the values for sensitivity and specificity were 62.7% (CI 95%=57.7%-67.5%) and 91.0% (CI 95%=89.2%-92.5%), respectively. Conclusion: Sensitivity of digital panoramic is less than bitewing radiography even with processing before printing. Therefore, bitewing radiography is superior for detection of inter proximal caries. Key Words: Panoramic radiography; Digital radiography; Dental caries Journal of Dental Medicine-Tehran University of Medical Sciences 2011;24(1): / Computed Radiology 567C / ;9 5 -A 5B;9 <-= > 567- >?> :0 12! < 5B :> : > 5. =F 3G> H-I. 3: 8:J > (CR) 4 1-1N- 89D. O:PQ R- / SB.> M. CR L 3: ;9 / 5 : C:%K 8. < B. VC B1 3: VC- 8-3:C B 0 5 > 2 34 B 567-2A > / - CC> HX %: 100 H7W R- : " [ B 567- TAU Z. VC- 8- Y!. 3: :>. H7W - 3: B / <2D 3: 1N- 89D.-1 8=F 1 <Q 3:M M 5B R: 5B1 B. =.Q %95 C:%K D N- 89D 5 R:C]%B. :C. -\K. C VC- 8- D) %91/0 (%57/7- %67/5 %95 C:%K D) %62/7 `: B <> 3: L 1N- 89D O:PQ R- : 1* /0 1 -! -% 56 / H 7% 1> 5 - : :@c9 d7c goodarz88@yahoo.com :3: :RM 36
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6 %B 5/1 L- 5B1 3: 8J. 1- Pitts NB, Stamm JW. International Consensus Workshop on Caries Clinical Trials (ICW-CCT)-final consensus statements: agreeing where the evidence leads. J Dent Res. 2004;83:C Hintze H, Wenzel A. Clinically undetected dental caries assessed by bitewing screening in children with little caries experience. Dentomaxillofac Radiol. 1994;23(1): Thylstrup A, Fejerskov O. Textbook of clinical cariology. 2 nd ed. Copenhagen: Munksgaard; White SC, Pharaoh MJ. Oral radiology: principles and interpretation. 4 th ed. St Louis: Mosby; Swell J, Drage N, Brown J. The use of panoramic radiography in a dental accident and emergency department. Dentomaxillofac Radiol. 2001;30(5): White SC, Pharaoh MJ. Oral radiology: principles and interpretation. 6 th ed. Oxford: Mosby; Akkaya N, Kansu O, Kansu H, Cagirankaya LB, Arslan U. Comparing the accuracy of panoramic and intraoral radiography in the diagnosis of proximal caries. Dentomaxillofac Radiol. 2006;35(3): Clifton TL, Tyndall DA, Ludlow JB. Extraoral radiographic imaging of primary caries. Dentomaxillofac Radiol. 1998;27: Rushton VE, Horner K, Worthington HV. Factors influencing the selection of panoramic radiology in general dental practice. J Dent. 1999;27: Lundeen RC, McDavid WD, Barnwell GM. Proximal :L2 surface caries detection with direct-exposure and rare earth screen/ film imaging. Oral Surg Oral Med Oral Pathol. 1988;66: Farman AG. There are good reasons for selecting panoramic radiography to replace the intraoral full-mouth series. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94: Ramesh A, Tyndall DA, Ludlow JB. Evaluation of a new digital panoramic system: a comparison with film. Dentomaxillofac Radiol. 2001;30(2): Akarslan ZZ, Akdevelioglu M, Gungor K, Erten H. A comparison of the diagnostic accuracy of bitewing, periapical, unfiltered and filtered digital panoramic images for approximal caries detection in posterior teeth. Dentomaxillofac Radiol. 2008;37(8): Makris N, Tsiklakis K, Alexiou KE, Vierrou AM, Stefaniotis T. The subjective image quality of conventional and digital panoramic radiography among 6 to 10 year old children. J Clin Pediatr Dent. 2006;31(2): Douglass CW, Valachovic RW, Wijesinha A, Chauncey HH, Kapur KK, McNeil BJ. Clinical efficacy of dental radiography in the detection of dental caries and periodontal diseases. Oral Surg Oral Med Oral Pathol. 1986;62(3): Ahlqwist M, Halling A, Hollender L. Rotational panoramic radiography in epidemiological studies of dental health. Comparison between panoramic radiographs and intraoral full mouth surveys. Swed Dent J. 1986;10(1-2):
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