Efficacy of FDA guidelines for prescribing radiographs to detect dental and intraosseous conditions

OBJECTIVES: This study compared the FDA guidelines for ordering dental radiographs to a conventional full-mouth examination for the detection of intraosseous disease and conditions affecting teeth other than caries.

STUDY DESIGN: We examined 490 patients and selected posterior bite-wing and periapical views as indicated by the patient's signs or symptoms. We compared the radiographic findings with the use of this selected set of radiographs to those from a full-mouth set of radiographs to determine the rates of missed disease when the FDA guidelines were used.

RESULTS: The most commonly missed intraosseous findings were osteosclerosis, unerupted teeth, periapical radiolucencies, and primary root tips. Periapical radiolucencies that were most probably periapical cemental dysplasia were missed in six patients. The most commonly missed dental findings were resorbed roots and pulp stones. Three instances of dens in dente were missed.

CONCLUSIONS: When we used the FDA guidelines, the number of missed intraosseous and dental conditions was small and most likely inconsequential given the range of variability in dental diagnosis and treatment.

Medienart:

Artikel

Erscheinungsjahr:

1995

Erschienen:

1995

Enthalten in:

Zur Gesamtaufnahme - volume:80

Enthalten in:

Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics - 80(1995), 1 vom: 01. Juli, Seite 108-14

Sprache:

Englisch

Beteiligte Personen:

White, S C [VerfasserIn]
Atchison, K A [VerfasserIn]
Hewlett, E R [VerfasserIn]
Flack, V F [VerfasserIn]

Themen:

Journal Article
Research Support, U.S. Gov't, P.H.S.

Anmerkungen:

Date Completed 26.10.1995

Date Revised 09.09.2019

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM075290618