• Title/Summary/Keyword: 치과 파노라마 촬영

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A Literature Review and Analysis of Dosimetry in Panoramic Radiography (파노라마 촬영의 피폭선량에 관한 문헌분석 연구)

  • Kweon, Dae-Cheol;Dong, Kyung-Rae;Jung, Jae-Eun;Lee, Kyeong-Hee;Kim, Soo-Kyung;Kim, Wook-Tae;Lee, Cheong-Jae;Song, Woon-Heung;Ma, Sang-Chull
    • Journal of radiological science and technology
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    • v.33 no.1
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    • pp.1-10
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    • 2010
  • Dental panoramic radiography is an imaging technique which shows the information of teeth, jaws and superficial structures on a single image. In this study, we propose the clinical dose reference for dental panoramic radiography. Dental panoramic radiography is an application which can increase the radiation does of oral cavity. It is very important to study the real condition of management for these panoramic X-ray equipments. Since there was no researches on dental panoramic equipments in domestic and foreign study groups, we measured and analyzed the dose such as effective dose, DAP and DWP of panoramic radiography.

EFFECTIVE DOSE FROM CONE BEAM CT FOR IMAGING OF MESIODENS (상악 정중과잉치 진단을 위한 cone beam CT의 유효선량)

  • Han, Won-Jeong;Kim, Jong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.3
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    • pp.273-279
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    • 2012
  • Purpose : This study was aimed to calculate effective dose from cone beam CT and compare effective dose from periapical and panoramic radiography for mesiodens. Materials and Methods : Upper anteiror periapical, panoramic radiography and cone-beam CT were taken for diagnosis of mesiodens. The effective dose were calculated by using an anthropomorphic phantom loaded with thermoluminescent dosimeters at the 23 sites related to sensitive organs. Results : The highest absorbed doses were received by the mandibular body, parotid gland and cheek from periapical, panoramic and cone-beam CT, respectively. The effective doses for periapical, panoramic radiography and cone-beam CT measured 2, 18 and 48 ${\mu}Sv$. Conclusion : Cone-beam CT, although providing additional diagnostic benefits, exposes patients to higher levels of radiation than conventional periapical and panoramic radiography.

Evaluation of mesiodistal tooth axis using a CBCT-generated panoramic view (CBCT-재구성 파노라마영상의 근원심 치축에 관한 연구)

  • Song, In-Tae;Cho, Jin-Hyoung;Chae, Jong-Moon;Chang, Na-Young
    • The korean journal of orthodontics
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    • v.41 no.4
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    • pp.255-267
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    • 2011
  • Objective: The purpose of this study was to confirm the reliability of a cone beam computed tomography (CBCT)-generated panoramic view based on a CBCT 3D image and to find the most helpful 2D panoramic image compared with CBCT 3D image when examining the mesiodistal tooth axis. Methods: A test model was constructed according to cephalometric norms. The test model was repeatedly repositioned for CBCT and panoramic radiographic imaging. Panoramic radiographs were acquired at each of the following 3 occlusal plane positions: $-5^{\circ}$, $0^{\circ}$, and $+5^{\circ}$. Measurements of mesiodistal tooth axis in CBCT 3D image, CBCT-generated panoramic view, and panoramic radiographs were compared. Results: Compared with the CBCT-generated panoramic view, CBCT 3D image showed significant difference in the mesiodistal tooth axis in the premolars and no significant difference in the mesiodistal tooth axis in the incisors and canines. Mesiodistal tooth axis on the CBCT-generated panoramic view was significantly different from that on panoramic radiographs. Conclusions: CBCT-generated panoramic view can be a useful tool for evaluating mesiodistal tooth axis.

Comparison of bony changes between panoramic radiograph and cone beam computed tomographic images in patients with temporomandibular joint disorders (측두 하악 관절 장애 환자의 파노라마 영상과 cone beam형 전산화 단층 영상의 비교)

  • Lee, Dong-Yul;Kim, Yun-Jung;Song, Yun-Heon;Lee, Nam-Ho;Lim, Yong-Kyu;Kang, Sung-Taek;Ahn, Sug-Joon
    • The korean journal of orthodontics
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    • v.40 no.6
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    • pp.364-372
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    • 2010
  • Objective: This study was designed to assess the diagnostic validity of digital panoramic radiographs compared to cone beam computed tomography (CBCT) in patients with temporomandibular joint disorders. Methods: Panoramic radiograph and CBCT were taken from a total of 212 joints from 106 subjects. The joints were examined by two dentists and divided into the following six groups: normal, flattening, osteophyte formation, erosion, sclerosis, and unclassified. The sensitivity and specificity of each observer and inter-observer reliability were statistically analyzed. Results: The results showed relatively high intra-observer reliability in the diagnosis of both panoramic and CBCT images and the weighted Kappa indices of panoramic and CBCT images were 0.714 and 0.727, respectively. The sensitivities of panoramic images of observer A and B to CBCT images was 82.35% and 84.30%, respectively, while the specificity of observer A and B was 58.06% and 61.54%, respectively. However, guided diagnosis from panoramic and CBCT images were statistically different (p < 0.05). Conclusions: The present study suggests that the panoramic radiograph could be used as a primary diagnostic device to detect bony changes of temporomandibular joints in clinical orthodontics, because panoramic images showed relatively high sensitivity compared to CBCT images. However, CBCT images may be one of the best choices when a more accurate diagnosis is necessary.