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Screening panoramic radiography of new adult patients: diagnostic yield when combined with bitewing radiography and identification of selection criteria.

Identifieur interne : 003238 ( PubMed/Curation ); précédent : 003237; suivant : 003239

Screening panoramic radiography of new adult patients: diagnostic yield when combined with bitewing radiography and identification of selection criteria.

Auteurs : V E Rushton ; K. Horner ; H V Worthington

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RBID : pubmed:11924954

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Abstract

To measure the radiological diagnostic yield on screening panoramic radiographs taken of new adult patients and to identify selection criteria for panoramic radiography of new adult patients.

PubMed: 11924954

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V E Rushton
<affiliation>
<nlm:affiliation>Radiology Department, University Dental Hospital of Manchester.</nlm:affiliation>
<wicri:noCountry code="subField">University Dental Hospital of Manchester</wicri:noCountry>
</affiliation>

Le document en format XML

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<title xml:lang="en">Screening panoramic radiography of new adult patients: diagnostic yield when combined with bitewing radiography and identification of selection criteria.</title>
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<name sortKey="Rushton, V E" sort="Rushton, V E" uniqKey="Rushton V" first="V E" last="Rushton">V E Rushton</name>
<affiliation>
<nlm:affiliation>Radiology Department, University Dental Hospital of Manchester.</nlm:affiliation>
<wicri:noCountry code="subField">University Dental Hospital of Manchester</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Horner, K" sort="Horner, K" uniqKey="Horner K" first="K" last="Horner">K. Horner</name>
</author>
<author>
<name sortKey="Worthington, H V" sort="Worthington, H V" uniqKey="Worthington H" first="H V" last="Worthington">H V Worthington</name>
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<title xml:lang="en">Screening panoramic radiography of new adult patients: diagnostic yield when combined with bitewing radiography and identification of selection criteria.</title>
<author>
<name sortKey="Rushton, V E" sort="Rushton, V E" uniqKey="Rushton V" first="V E" last="Rushton">V E Rushton</name>
<affiliation>
<nlm:affiliation>Radiology Department, University Dental Hospital of Manchester.</nlm:affiliation>
<wicri:noCountry code="subField">University Dental Hospital of Manchester</wicri:noCountry>
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</author>
<author>
<name sortKey="Horner, K" sort="Horner, K" uniqKey="Horner K" first="K" last="Horner">K. Horner</name>
</author>
<author>
<name sortKey="Worthington, H V" sort="Worthington, H V" uniqKey="Worthington H" first="H V" last="Worthington">H V Worthington</name>
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<series>
<title level="j">British dental journal</title>
<idno type="ISSN">0007-0610</idno>
<imprint>
<date when="2002" type="published">2002</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Crowns</term>
<term>Dental Caries (diagnostic imaging)</term>
<term>General Practice, Dental (methods)</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Patient Selection</term>
<term>Periapical Diseases (diagnostic imaging)</term>
<term>Radiography, Bitewing</term>
<term>Radiography, Panoramic (utilization)</term>
<term>Regression Analysis</term>
<term>Tooth, Unerupted (diagnostic imaging)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Analyse de régression</term>
<term>Caries dentaires (imagerie diagnostique)</term>
<term>Couronnes</term>
<term>Dent incluse (imagerie diagnostique)</term>
<term>Humains</term>
<term>Maladies périapicales (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
<term>Odontologie générale ()</term>
<term>Radiographie panoramique (utilisation)</term>
<term>Radiographie rétrocoronaire</term>
<term>Sélection de patients</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Dental Caries</term>
<term>Jaw, Edentulous, Partially</term>
<term>Periapical Diseases</term>
<term>Tooth, Unerupted</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Caries dentaires</term>
<term>Dent incluse</term>
<term>Maladies périapicales</term>
<term>Mâchoire partiellement édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>General Practice, Dental</term>
</keywords>
<keywords scheme="MESH" qualifier="utilisation" xml:lang="fr">
<term>Radiographie panoramique</term>
</keywords>
<keywords scheme="MESH" qualifier="utilization" xml:lang="en">
<term>Radiography, Panoramic</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Crowns</term>
<term>Humans</term>
<term>Patient Selection</term>
<term>Radiography, Bitewing</term>
<term>Regression Analysis</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Analyse de régression</term>
<term>Couronnes</term>
<term>Humains</term>
<term>Odontologie générale</term>
<term>Radiographie rétrocoronaire</term>
<term>Sélection de patients</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">To measure the radiological diagnostic yield on screening panoramic radiographs taken of new adult patients and to identify selection criteria for panoramic radiography of new adult patients.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">11924954</PMID>
<DateCompleted>
<Year>2002</Year>
<Month>07</Month>
<Day>03</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0007-0610</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>192</Volume>
<Issue>5</Issue>
<PubDate>
<Year>2002</Year>
<Month>Mar</Month>
<Day>09</Day>
</PubDate>
</JournalIssue>
<Title>British dental journal</Title>
<ISOAbbreviation>Br Dent J</ISOAbbreviation>
</Journal>
<ArticleTitle>Screening panoramic radiography of new adult patients: diagnostic yield when combined with bitewing radiography and identification of selection criteria.</ArticleTitle>
<Pagination>
<MedlinePgn>275-9</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To measure the radiological diagnostic yield on screening panoramic radiographs taken of new adult patients and to identify selection criteria for panoramic radiography of new adult patients.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Survey of 1,817 consecutive panoramic radiographs taken as 'routine' on new patients with statistical analysis of clinical and radiological findings.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">All radiographs were obtained from 41 general dental practitioners (GDPs). The GDPs provided the clinical information about the patient obtained by history and examination. Collection of material occurred in 1998/1999.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Two dental radiologists recorded the radiological findings on each of 1,817 panoramic radiographs by consensus. Those findings that would have been identified from bilateral posterior bitewing radiographs of each patient were then excluded to give modified figures for radiological findings.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Indices of diagnostic yield were devised and calculated for each radiograph from the data on radiological findings. Total diagnostic yield (DY) and modified diagnostic yield (MDY), after exclusion of findings identifiable on bitewing radiographs, were both calculated. Clinical indicators of a high MDY were identified using stepwise multiple regression analysis.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">MDY was 0 for 17% of the radiographs (all patients) and 23% of the radiographs when the asymptomatic group were considered. The clinical variables for which the significance was high (p < 0.001) were: increasing number of teeth with clinical suspicion of periapical pathology, presence of partially erupted teeth, increasing number of clinically evident carious lesions, partially dentate status and presence of crowns.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Taking posterior bitewing radiographs of new adult patients would reduce the diagnostic yield identified solely by panoramic radiography. Using clinical factors derived from the history and examination as radiographic selection criteria modestly improves the odds of achieving a high diagnostic yield from panoramic radiography.</AbstractText>
</Abstract>
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<LastName>Rushton</LastName>
<ForeName>V E</ForeName>
<Initials>VE</Initials>
<AffiliationInfo>
<Affiliation>Radiology Department, University Dental Hospital of Manchester.</Affiliation>
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<LastName>Horner</LastName>
<ForeName>K</ForeName>
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<ForeName>H V</ForeName>
<Initials>HV</Initials>
</Author>
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<Language>eng</Language>
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<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<Country>England</Country>
<MedlineTA>Br Dent J</MedlineTA>
<NlmUniqueID>7513219</NlmUniqueID>
<ISSNLinking>0007-0610</ISSNLinking>
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<CitationSubset>D</CitationSubset>
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<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003442" MajorTopicYN="N">Crowns</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003731" MajorTopicYN="N">Dental Caries</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005792" MajorTopicYN="N">General Practice, Dental</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D018579" MajorTopicYN="Y">Patient Selection</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010483" MajorTopicYN="N">Periapical Diseases</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016300" MajorTopicYN="N">Radiography, Bitewing</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011862" MajorTopicYN="N">Radiography, Panoramic</DescriptorName>
<QualifierName UI="Q000656" MajorTopicYN="Y">utilization</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012044" MajorTopicYN="N">Regression Analysis</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014097" MajorTopicYN="N">Tooth, Unerupted</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<Year>2002</Year>
<Month>4</Month>
<Day>2</Day>
<Hour>10</Hour>
<Minute>0</Minute>
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<Year>2002</Year>
<Month>7</Month>
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<Minute>1</Minute>
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