Universität zu Köln

Kocsis, Christoph, Sohns, Jan M. Sommerlath, Graf, Isabelle, Dreiseidler, Timo, Kreppel, Matthias, Rothamel, Daniel, Zinser, Max, Sohns, Helena C. Sommerlath, Derlin, Thorsten, Braumann, Bert, Zoeller, Joachim E. and Ritter, Lutz (2019). Incidental findings on craniomaxillofacial cone beam computed tomography in orthodontic patients. Int. J. Comput. Dent., 22 (2). S. 149 - 163. HANOVER PARK: QUINTESSENCE PUBLISHING CO INC. ISSN 1463-4201

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Abstract

Purpose: Cone beam computed tomography (CBCT) in orthodontics is increasingly used for detecting impacted or ectopic teeth or for orthognathic and cleft lip and palate treatment. Incidental findings (IFs) are frequently encountered and often relevant. The aim of this study was to detect the prevalence of relevant pathologies on CBCT scans of orthodontic patients. Methods: Over a 6-year period, incidental imaging findings were analyzed in 345 CBCT scans (181 men; 164 women; age 163 +/- 8.4 years), and subdivided into dental (Group 1), skeletal (Group 2), sinunasa I (Group 3), and infrequent other pathologies (Group 4). Results: A total of 502 IFs were detected in 345 patients (1.4 IFs per patient, on average). Most IFs were found in Group 1 (358 IFs; 713%), followed by Group 2 (129 IFs; 25.7%), Group 3 (14 IFs; 2.8%), and Group 4 (1 IF; 0.2%). There were 119 (34.5%) patients with a missing wisdom tooth, 94 (27.3%) with dental aplasia, 71 (20.6%) with dislocations, 33 (9.6%) with partial opacifications, and 27 (7.8%) with signs of sinusitis. Conclusions: This study found that IFs in orthodontic CBCT scans are frequently encountered, even in younger orthodontic patients. When interpreting CBCT scans, orthodontists should be aware of potential relevant IFs that may require further investigation, change patients' treatment or affect their quality of life.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kocsis, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Sohns, Jan M. Sommerlath UNSPECIFIED UNSPECIFIED UNSPECIFIED Graf, Isabelle UNSPECIFIED UNSPECIFIED UNSPECIFIED Dreiseidler, Timo UNSPECIFIED UNSPECIFIED UNSPECIFIED Kreppel, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Rothamel, Daniel UNSPECIFIED UNSPECIFIED UNSPECIFIED Zinser, Max UNSPECIFIED UNSPECIFIED UNSPECIFIED Sohns, Helena C. Sommerlath UNSPECIFIED UNSPECIFIED UNSPECIFIED Derlin, Thorsten UNSPECIFIED UNSPECIFIED UNSPECIFIED Braumann, Bert UNSPECIFIED UNSPECIFIED UNSPECIFIED Zoeller, Joachim E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ritter, Lutz UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-146245
Journal or Publication Title:	Int. J. Comput. Dent.
Volume:	22
Number:	2
Page Range:	S. 149 - 163
Date:	2019
Publisher:	QUINTESSENCE PUBLISHING CO INC
Place of Publication:	HANOVER PARK
ISSN:	1463-4201
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MAXILLARY SINUS; HEAD TRAUMA; PREVALENCE; CT; AORTA Multiple languages Dentistry, Oral Surgery & Medicine Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14624