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http://dx.doi.org/10.5624/isd.20220402

A retrospective study of incidental findings occurring in a consecutive case series of lateral cephalograms of 12- to 20-year-old patients referred for routine orthodontic treatment  

MacDonald, David (Division of Oral and Maxillofacial Radiology, Faculty of Dentistry, University of British Columbia)
Patel, Akash (Division of Orthodontics, Faculty of Dentistry, University of British Columbia)
Zou, Bingshuang (Division of Orthodontics, Faculty of Dentistry, University of British Columbia)
Yen, Edwin (Division of Orthodontics, Faculty of Dentistry, University of British Columbia)
Vora, Siddharth R. (Division of Orthodontics, Faculty of Dentistry, University of British Columbia)
Publication Information
Imaging Science in Dentistry / v.52, no.3, 2022 , pp. 295-302 More about this Journal
Abstract
Purpose: Lateral cephalograms of orthodontic patients may contain incidental findings that could potentially lead to harm. Materials and Methods: The lateral cephalograms of 1765 consecutive 12- to 20-year-old patients, being considered for routine orthodontic treatment, were retrospectively reviewed. These patients were considered normal, because no abnormalities were found either in their medical history or on their clinical examination. Results: The overall prevalence of incidental findings was 18.8%, of which 10.3% were ponticulus posticus and 4.2% were bridging of the sella turcica. Although occipital spurs and ponticulus posticus were more prevalent in males, the size of the sella turcicas did not differ between sexes. Of the 1156 patients completing treatment about 2 years later, only one lateral cephalogram displayed progression of the ponticulus posticus in that time. Conclusion: The prevalence of incidental findings on lateral cephalograms of otherwise normal orthodontic 12- to 20-year-old patients was almost a fifth, of which ponticulus posticus, vertebral fusion, and enlarged parietal foramina were clinically significant.
Keywords
Cephalometry; Incidental Findings; Orthodontics;
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Times Cited By KSCI : 5  (Citation Analysis)
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