Radiography and radiology for the dental practitioner. 8. Radiography in children's dentistry, periodontal treatment and minor oral surgery.
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We report the results of a comparative study of digital and conventional chest radiographs to detect normal anatomical structures of the thorax. A digital Toshiba unit (TCR 201) was used to examine 100 selected patients who were diagnosed with no chest pathologic conditions. The images in both modes were submitted for interpretation to five radiologists. The depiction of nine normal anatomical structures was more accurate on digital than on conventional radiographs. The mean confidence levels achieved in viewing digital images were higher than those obtained with conventional radiographs. This difference was statistically significant (p = 0.002).
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The aim was to study the diagnostic yield of periradicular lesions using different combinations of periapical radiographs. One hundred patients were first examined clinically and then periapical radiographs were taken of teeth with clinical signs and symptoms. As a second step of the radiological examination, periapical radiographs were taken of teeth that were endodontically treated or had extensive cavities demonstrated by bitewing radiographs. Finally, these radiographs were supplemented to make up a full-mouth examination. Out of 226 periradicular lesions. 34% were indicated by the clinical symptoms, another 43% by the fact that the tooth was endodontically treated and an additional 13% by having an extensive cavity. The remaining 10% of the periradicular lesions were found only with the aid of the full-mouth examination. It is suggested that information from clinical examination and from bitewing radiographs of the whole dentition might be employed to select radiographs in order to detect periapical lesions.
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