Evaluation of Common Errors of Panoramic Radiographs in Tabriz Faculty of Dentistry
Identifieur interne : 003117 ( Pmc/Corpus ); précédent : 003116; suivant : 003118Evaluation of Common Errors of Panoramic Radiographs in Tabriz Faculty of Dentistry
Auteurs : Farzaneh Kaviani ; Masume Johari ; Farzad EsmaeiliSource :
- Journal of Dental Research, Dental Clinics, Dental Prospects [ 2008-210X ] ; 2008.
Abstract
Knowledge of the common radiographic errors and their prevention could prevent imposing redundant radiation, time and money to patient and the dentist. The aim of this study was to assess the common radiographic errors on panoramic radiographs in a radiology department.
250 panoramic radiographs (100 male and 150 female; mean age, 24.3) taken at the Department of Oral and Maxillofacial Radiology were evaluated. Radiographs were categorized into five groups according to the type of errors (patient positioning errors, darkroom errors, failure to remove metallic accessories, equipment setup errors, and patient movement during exposure).
here were19 error-free radiographs. The number of radiographs with errors was 231, of which 26 were unacceptable and had to be retaken. Errors of patient positioning were observed in 78% of cases, film de-velopment in 69.2%, equipment setup in 3.2%, failure to remove metallic accessories in 3.2% and patient move-ment during exposure in 2.4% of cases.
The errors seen on panoramic radiographs were relatively high with errors in patient positioning being the most frequent error.
Url:
DOI: 10.5681/joddd.2008.021
PubMed: 23277854
PubMed Central: 3532732
Links to Exploration step
PMC:3532732Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Evaluation of Common Errors of Panoramic Radiographs in Tabriz Faculty of Dentistry</title><author><name sortKey="Kaviani, Farzaneh" sort="Kaviani, Farzaneh" uniqKey="Kaviani F" first="Farzaneh" last="Kaviani">Farzaneh Kaviani</name><affiliation><nlm:aff id="A01">Assistant Professor, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran</nlm:aff></affiliation></author><author><name sortKey="Johari, Masume" sort="Johari, Masume" uniqKey="Johari M" first="Masume" last="Johari">Masume Johari</name><affiliation><nlm:aff id="A01">Assistant Professor, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran</nlm:aff></affiliation></author><author><name sortKey="Esmaeili, Farzad" sort="Esmaeili, Farzad" uniqKey="Esmaeili F" first="Farzad" last="Esmaeili">Farzad Esmaeili</name><affiliation><nlm:aff id="A01">Assistant Professor, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23277854</idno><idno type="pmc">3532732</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3532732</idno><idno type="RBID">PMC:3532732</idno><idno type="doi">10.5681/joddd.2008.021</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">003117</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003117</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Evaluation of Common Errors of Panoramic Radiographs in Tabriz Faculty of Dentistry</title><author><name sortKey="Kaviani, Farzaneh" sort="Kaviani, Farzaneh" uniqKey="Kaviani F" first="Farzaneh" last="Kaviani">Farzaneh Kaviani</name><affiliation><nlm:aff id="A01">Assistant Professor, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran</nlm:aff></affiliation></author><author><name sortKey="Johari, Masume" sort="Johari, Masume" uniqKey="Johari M" first="Masume" last="Johari">Masume Johari</name><affiliation><nlm:aff id="A01">Assistant Professor, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran</nlm:aff></affiliation></author><author><name sortKey="Esmaeili, Farzad" sort="Esmaeili, Farzad" uniqKey="Esmaeili F" first="Farzad" last="Esmaeili">Farzad Esmaeili</name><affiliation><nlm:aff id="A01">Assistant Professor, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Dental Research, Dental Clinics, Dental Prospects</title><idno type="ISSN">2008-210X</idno><idno type="eISSN">2008-2118</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1" sec-type="Background and aims"><title>Background and aims</title><p>Knowledge of the common radiographic errors and their prevention could prevent imposing redundant radiation, time and money to patient and the dentist. The aim of this study was to assess the common radiographic errors on panoramic radiographs in a radiology department.
</p></sec><sec id="st2" sec-type="Materials and methods"><title>Materials and methods</title><p>250 panoramic radiographs (100 male and 150 female; mean age, 24.3) taken at the Department of Oral and Maxillofacial Radiology were evaluated. Radiographs were categorized into five groups according to the type of errors (patient positioning errors, darkroom errors, failure to remove metallic accessories, equipment setup errors, and patient movement during exposure).
</p></sec><sec id="st3" sec-type="Results"><title>Results</title><p>here were19 error-free radiographs. The number of radiographs with errors was 231, of which 26 were unacceptable and had to be retaken. Errors of patient positioning were observed in 78% of cases, film de-velopment in 69.2%, equipment setup in 3.2%, failure to remove metallic accessories in 3.2% and patient move-ment during exposure in 2.4% of cases.
</p></sec><sec id="st4" sec-type="Conclusion"><title>Conclusion</title><p>The errors seen on panoramic radiographs were relatively high with errors in patient positioning being the most frequent error. </p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="White, Sc" uniqKey="White S">SC White</name></author><author><name sortKey="Pharaoh, Mj" uniqKey="Pharaoh M">MJ Pharaoh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Langland, Oe" uniqKey="Langland O">OE Langland</name></author><author><name sortKey="Langlais, Rp" uniqKey="Langlais R">RP Langlais</name></author><author><name sortKey="Preece, Jw" uniqKey="Preece J">JW Preece</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miles, Da" uniqKey="Miles D">DA Miles</name></author><author><name sortKey="Van, Dis" uniqKey="Van D">Dis Van</name></author><author><name sortKey="Jensen, Cw" uniqKey="Jensen C">CW Jensen</name></author><author><name sortKey="Ferretti, Ab" uniqKey="Ferretti A">AB Ferretti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mckee, Iw" uniqKey="Mckee I">IW Mckee</name></author><author><name sortKey="Glover, Ke" uniqKey="Glover K">KE Glover</name></author><author><name sortKey="Williamson, Pc" uniqKey="Williamson P">PC Williamson</name></author><author><name sortKey="Lam, Ew" uniqKey="Lam E">EW Lam</name></author><author><name sortKey="Heo, G" uniqKey="Heo G">G Heo</name></author><author><name sortKey="Major, Pw" uniqKey="Major P">PW Major</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schiff, T" uniqKey="Schiff T">T Schiff</name></author><author><name sortKey="D Mbrosio, J" uniqKey="D Mbrosio J">J D’Ambrosio</name></author><author><name sortKey="Glass, Bj" uniqKey="Glass B">BJ Glass</name></author><author><name sortKey="Langlais, Rp" uniqKey="Langlais R">RP Langlais</name></author><author><name sortKey="Mcdavid, Wd" uniqKey="Mcdavid W">WD McDavid</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Glass, Bj" uniqKey="Glass B">BJ Glass</name></author><author><name sortKey="Seals, Rr Jr" uniqKey="Seals R">RR Jr Seals</name></author><author><name sortKey="Williams, Eo" uniqKey="Williams E">EO Williams</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Akarslan, Zz" uniqKey="Akarslan Z">ZZ Akarslan</name></author><author><name sortKey="Erten, H" uniqKey="Erten H">H Erten</name></author><author><name sortKey="Gungor, K" uniqKey="Gungor K">K Güngör</name></author><author><name sortKey="Celik, I" uniqKey="Celik I">I Celik</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rushton, Ve" uniqKey="Rushton V">VE Rushton</name></author><author><name sortKey="Horner, K" uniqKey="Horner K">K Horner</name></author><author><name sortKey="Worthington, Hv" uniqKey="Worthington H">HV Worthington</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Dent Res Dent Clin Dent Prospects</journal-id><journal-id journal-id-type="iso-abbrev">J Dent Res Dent Clin Dent Prospects</journal-id><journal-id journal-id-type="publisher-id">Journal of Dental Research, Dental Clinics, Dental Prospects</journal-id><journal-title-group><journal-title>Journal of Dental Research, Dental Clinics, Dental Prospects</journal-title></journal-title-group><issn pub-type="ppub">2008-210X</issn><issn pub-type="epub">2008-2118</issn><publisher><publisher-name>Tabriz University of Medical Sciences</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23277854</article-id><article-id pub-id-type="pmc">3532732</article-id><article-id pub-id-type="doi">10.5681/joddd.2008.021</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Evaluation of Common Errors of Panoramic Radiographs in Tabriz Faculty of Dentistry</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Kaviani</surname><given-names>Farzaneh</given-names></name><xref ref-type="aff" rid="A01"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Johari</surname><given-names>Masume</given-names></name><xref ref-type="aff" rid="A01"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Esmaeili</surname><given-names>Farzad</given-names></name><xref ref-type="aff" rid="A01"><sup>1</sup></xref><xref rid="COR1" ref-type="corresp">*</xref></contrib></contrib-group><aff id="A01"><sup>1</sup>Assistant Professor, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran</aff><author-notes><corresp id="COR1"><label>*</label>Corresponding Author; <email>farzad56@gmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><season>Summer</season><year>2008</year></pub-date><pub-date pub-type="epub"><day>20</day><month>12</month><year>2008</year></pub-date><volume>2</volume><issue>3</issue><fpage>99</fpage><lpage>101</lpage><history><date date-type="received"><day>23</day><month>12</month><year>2007</year></date><date date-type="accepted"><day>9</day><month>5</month><year>2008</year></date></history><permissions><copyright-year>2008</copyright-year></permissions><abstract><sec id="st1" sec-type="Background and aims"><title>Background and aims</title><p>Knowledge of the common radiographic errors and their prevention could prevent imposing redundant radiation, time and money to patient and the dentist. The aim of this study was to assess the common radiographic errors on panoramic radiographs in a radiology department.
</p></sec><sec id="st2" sec-type="Materials and methods"><title>Materials and methods</title><p>250 panoramic radiographs (100 male and 150 female; mean age, 24.3) taken at the Department of Oral and Maxillofacial Radiology were evaluated. Radiographs were categorized into five groups according to the type of errors (patient positioning errors, darkroom errors, failure to remove metallic accessories, equipment setup errors, and patient movement during exposure).
</p></sec><sec id="st3" sec-type="Results"><title>Results</title><p>here were19 error-free radiographs. The number of radiographs with errors was 231, of which 26 were unacceptable and had to be retaken. Errors of patient positioning were observed in 78% of cases, film de-velopment in 69.2%, equipment setup in 3.2%, failure to remove metallic accessories in 3.2% and patient move-ment during exposure in 2.4% of cases.
</p></sec><sec id="st4" sec-type="Conclusion"><title>Conclusion</title><p>The errors seen on panoramic radiographs were relatively high with errors in patient positioning being the most frequent error. </p></sec></abstract><kwd-group><kwd>Panoramic radiograph</kwd><kwd>quality control</kwd><kwd>radiographic error</kwd></kwd-group></article-meta></front><body><sec id="s0"><title>Introduction</title><p>Radiography is a useful tool in various disciplines of medicine and dentistry for diagnosis and treatment planning of diseases. Changes in the quality of radiographs may lead to misinterpretation, resulting in incorrect diagnosis and treatment planning.<sup><xref rid="R01" ref-type="bibr">1</xref></sup> In cases without enough diagnostic quality, radiographs have to be retaken, which results in receiving unnecessary radiation by the patients.<sup><xref rid="R01" ref-type="bibr">1</xref>,
<xref rid="R02" ref-type="bibr">2</xref></sup></p><p>The aim of this study was to evaluate the common errors on panoramic radiographs in order to prevent further occurrence of them in a radiology department.
</p></sec><sec sec-type="materials|methods" id="s1"><title>Materials and Methods</title><fig id="F01" orientation="portrait" position="float"><label>Figure 1</label><graphic xlink:href="joddd-2-99-g001"></graphic><statement><p>Frequency distribution of common errors of panoramic radiographs in the present study.</p></statement></fig><p>Panoramic radiographs of 250 patients referred to the Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Tabriz University of Medical Sciences, between April 2007 and June 2008, were evaluated. All projections were made with the same radiographic equipment (Planmeca ProMax, Helsinki, Finland), according to the manufacturer’s instructions. All films were processed manually. Radiographs were evaluated by two oral and maxillofacial radiologists and the frequency of errors was recorded. The assessed errors included: errors due to the positioning of the patient, darkroom errors, failure to remove metallic accessories, equipment setup errors and error of patient moving during exposure.<sup><xref rid="R02" ref-type="bibr">2</xref>,
<xref rid="R03" ref-type="bibr">3</xref></sup> Data were collected on special forms, and the frequency of each of error was calculated. The results were presented using descriptive statistics.
</p></sec><sec sec-type="results" id="s2"><title>Results</title><p>Panoramic radiographs of 250 patients (female: 150 and male: 100 mean age, 24.3) were evaluated. 19 radiographs (7.6%) were error free and 231 radiographs (92.4%) had errors, of which 26 (10.4%) were unacceptable and had to be retaken.
</p><p>Frequency distribution of common errors observed in the studied sample is shown in <xref rid="F01" ref-type="fig">Figure 1</xref>. Errors due to the positioning of the patient were observed in 195 cases (78%), being the most common error. The error of patient moving was the least frequent (2.4%). Among the patient positioning errors, 77 cases (39.5%) were due to patients’ head rotation to left or right; not using of bite block in 11 cases (5.6%) had the least frequency of occurrence. Failure to remove metallic accessories error was observed in eight cases (3.2%). The equipment setup error was also seen in eight cases (3.2%).
</p><p>Darkroom errors were observed in 173 cases (69.2%), of which insufficient fixing (33.6%) was the most common error. Electrostatic effect and double exposure were not seen in the studied sample.
</p></sec><sec sec-type="discussion" id="s3"><title>Discussion</title><p>In our study various errors were observed on panoramic radiographs. The most common errors were related to patient positioning (78%). This finding is in agreement with the findings of previous study, in which they demonstrated that the most common error on panoramic radiographs was “positioning of patient” error (89.3%).<sup><xref rid="R04" ref-type="bibr">4</xref></sup> In another study, the percentage of this error was reported to be 60%.<sup><xref rid="R05" ref-type="bibr">5</xref></sup> However, an evaluation of panoramic radiographs of edentulous patients showed the most common error was palatogossal air space shadow above the tongue.<sup><xref rid="R06" ref-type="bibr">6</xref></sup> The assessment of edentulous patients in the latter study could be the reason of differences between the mentioned results.
</p><p>In the present study, among patient positioning errors, rotation of head to left or right was the most common error followed by “too upper chin, too lower chin,” insufficient extension of neck, opening of lips and finally not using of bite block, respectively.
</p><p>Dark room errors were in the second place of common errors in our study, which is not in agreement with previous studies.<sup><xref rid="R04" ref-type="bibr">4</xref>-
<xref rid="R06" ref-type="bibr">6</xref></sup> Insufficient fixing was the most common dark room error. High density, low contrast and low density of films, developer and fixer spots, finger print, light leakage of film, not recording of patient’s information on the radiographs and insufficient rinsing were other frequent errors, respectively. The technique for developing and fixing of radiographs -manual or automatic- is important to the occurrence of darkroom errors.<sup><xref rid="R01" ref-type="bibr">1</xref>,
<xref rid="R02" ref-type="bibr">2</xref></sup> The manual technique was used in this study while previous studies used automatic technique,<sup><xref rid="R04" ref-type="bibr">4</xref>-
<xref rid="R06" ref-type="bibr">6</xref></sup> and this could be the reason for high frequency of errors in our study.
</p><p>The occurrence of equipment setup error in our study was only 3.2%. The panoramic projections in the present study were made by highly efficient equipment, which could be the reason for few equipment setup errors observed. This is in line with findings of previous studies.<sup><xref rid="R07" ref-type="bibr">7</xref>,
<xref rid="R08" ref-type="bibr">8</xref></sup></p><p>In conclusion, the errors seen on panoramic radiographs were relatively high in the present study. Errors in patient positioning were the most frequent followed by darkroom errors. It seems that operator skill and automatic processing of films can decrease the number of errors and help produce high quality radiographs.
</p></sec></body><back><ref-list><title>References</title><ref id="R01"><label>1</label><element-citation publication-type="book"><name><surname>White</surname><given-names>SC</given-names></name><name><surname>Pharaoh</surname><given-names>MJ</given-names></name><source>Oral Radiology: Principles and Interpretation</source><edition>5th ed</edition><year>2004</year><publisher-loc>Philadelphia</publisher-loc><publisher-name>CV Mosby</publisher-name><size units="page">200-217</size></element-citation></ref><ref id="R02"><label>2</label><element-citation publication-type="book"><name><surname>Langland</surname><given-names>OE</given-names></name><name><surname>Langlais</surname><given-names>RP</given-names></name><name><surname>Preece</surname><given-names>JW</given-names></name><source>Principles of Dental Imaging</source><edition>2nd ed</edition><year>2002</year><publisher-loc>Philadelphia</publisher-loc><publisher-name>Lippincott Williams & Wilkins</publisher-name><size units="page">219-258</size></element-citation></ref><ref id="R03"><label>3</label><element-citation publication-type="book"><name><surname>Miles</surname><given-names>DA</given-names></name><name><surname>Van</surname><given-names>Dis</given-names></name><name><surname>Jensen</surname><given-names>CW</given-names></name><name><surname>Ferretti</surname><given-names>AB</given-names></name><source>Radiographic Imaging for Dental Auxiliaries</source><edition>3rd ed</edition><year>1999</year><publisher-loc>Philadelphia</publisher-loc><publisher-name>Saunders</publisher-name><size units="page">165-178</size></element-citation></ref><ref id="R04"><label>4</label><element-citation publication-type="journal"><name><surname>Mckee</surname><given-names>IW</given-names></name><name><surname>Glover</surname><given-names>KE</given-names></name><name><surname>Williamson</surname><given-names>PC</given-names></name><name><surname>Lam</surname><given-names>EW</given-names></name><name><surname>Heo</surname><given-names>G</given-names></name><name><surname>Major</surname><given-names>PW</given-names></name><article-title>The effect of vertical and horizontal head positioning in panoramic radiography on mesiodistal tooth angulations</article-title><source>Angle Orthod</source><year>2001</year><volume>71</volume><fpage>442</fpage><lpage>51</lpage><pub-id pub-id-type="pmid">11771782</pub-id></element-citation></ref><ref id="R05"><label>5</label><element-citation publication-type="journal"><name><surname>Schiff</surname><given-names>T</given-names></name><name><surname>D’Ambrosio</surname><given-names>J</given-names></name><name><surname>Glass</surname><given-names>BJ</given-names></name><name><surname>Langlais</surname><given-names>RP</given-names></name><name><surname>McDavid</surname><given-names>WD</given-names></name><article-title>Common positioning and technical errors in panoramic radiography</article-title><source>J Am Dent Assoc</source><year>1986</year><volume>113</volume><fpage>422</fpage><lpage>6</lpage><pub-id pub-id-type="pmid">3463616</pub-id></element-citation></ref><ref id="R06"><label>6</label><element-citation publication-type="journal"><name><surname>Glass</surname><given-names>BJ</given-names></name><name><surname>Seals</surname><given-names>RR Jr</given-names></name><name><surname>Williams</surname><given-names>EO</given-names></name><article-title>Common errors in panoramic radiography of edentulous patients</article-title><source>J Prosthodont</source><year>1994</year><volume>3</volume><fpage>68</fpage><lpage>73</lpage><pub-id pub-id-type="pmid">9227100</pub-id></element-citation></ref><ref id="R07"><label>7</label><element-citation publication-type="journal"><name><surname>Akarslan</surname><given-names>ZZ</given-names></name><name><surname>Erten</surname><given-names>H</given-names></name><name><surname>Güngör</surname><given-names>K</given-names></name><name><surname>Celik</surname><given-names>I</given-names></name><article-title>Common errors on panoramic radiographs taken in a dental school</article-title><source>J Contemp Dent Pract</source><year>2003</year><volume>4</volume><fpage>24</fpage><lpage>34</lpage><pub-id pub-id-type="pmid">12761587</pub-id></element-citation></ref><ref id="R08"><label>8</label><element-citation publication-type="journal"><name><surname>Rushton</surname><given-names>VE</given-names></name><name><surname>Horner</surname><given-names>K</given-names></name><name><surname>Worthington</surname><given-names>HV</given-names></name><article-title>The quality of panoramic radiographs in a sample of general dental practices</article-title><source>Br Dent J</source><year>1999</year><volume>186</volume><fpage>630</fpage><lpage>3</lpage><pub-id pub-id-type="pmid">10425808</pub-id></element-citation></ref></ref-list></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Pmc/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003117 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd -nk 003117 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= Pmc
|étape= Corpus
|type= RBID
|clé= PMC:3532732
|texte= Evaluation of Common Errors of Panoramic Radiographs in Tabriz Faculty of Dentistry
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/RBID.i -Sk "pubmed:23277854" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |