Acta Scientific Dental Sciences (ISSN: 2581-4893)

Research Article Volume 4 Issue 4

Efficacy of Panoramic Radiography Versus Clinical Evaluation as a Diagnostic Tool - A Cross Sectional Study

Vathsala Naik1 and Gaurav2*

1Prof and Head, Dept of Oral Medicine and Radiology, Bangalore Institute of Dental Sciences, Bangalore, Karnataka, India
2Assistant Professor, Department of Oral Medicine and Maxillofacial Radiology, NSVK SVDCH, Bangalore, India

*Corresponding Author: Gaurav, Assistant Professor, Department of Oral Medicine and Maxillofacial Radiology, NSVK SVDCH, Bangalore, India

Received: February 29, 2020; Published: March 19, 2020



Background and Objectives: The commitment of the dental profession in delivering the highest quality of care to each of its individual patients and applying advancements in technology and science has been continually improving the oral health status of the population globally. Radiographs can help the dental practitioner evaluate and definitively diagnose many oral diseases, disorders and conditions. 

Hence the present study aims to compare the clinical features and findings with the panoramic radiographic features and the frequency to detect various occult findings which were undetected clinically.

Methodology: A total of 130 patients above 10 years of age inclusive of both genders were taken as sample size. After an informed consent from all the study subjects and institutional ethical committee clearance, a thorough clinical examination was carried out under optimal illumination and recorded on a pre designed Performa.

This was followed by a panoramic radiographic screening. 

The pathologies which were taken into consideration, clinically (C) and radiologically (R) to check for their association in the study included:

  • Dental caries (C1 and R1)
  • Periodontal bone loss (C2 and R2)
  • Condylar changes (C3 and R3)
  • Any occult/incidental findings (C4 and R4)

The data was analyzed using Chi-Square test.

Results: The association in above mentioned 4 groups was found to be 99% (significant p < 0.05), 94% (significant p = 0.44), 84% (significant p = 0.32) and 11% (p > 0.05 - statistically insignificant) respectively.

Conclusion: Radiographs have been an important aid in guiding the dental practitioner evaluate and definitively diagnose many oral diseases and conditions. The use of panoramic radiography as an additive tool to the clinical examination in oral evaluation would enhance the global oral health thereby proving to be an essential diagnostic tool.

Keywords: Radiographs; Diagnostic Tool; X-Rays



  1. Van Aken J and van der Linden L. “The integral absorbed dose in conventional and panoramic complete-mouth examinations”. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology 22 (2012): 603-616.
  2. Dentino AR., et al. “Prevention of periodontal diseases”. Dental Clinics of North America 49.3 (2015): 573-594. 
  3. Worth HM. “Principles and practice of oral radiologic interpretation”. 1st edition. Chicago: Year Book Medical Publishers (2011).
  4. Haring JI and Howerton LJ. “Dental radiography: principles and techniques”. 3rd edition. New Delhi: Saunders (2009).
  5. Horner K., et al. “Interpreting dental radiographs”. London: Quintessence Publishing Co Ltd (2010).
  6. Corbet EF., et al. “Radiographs in periodontal disease diagnosis and management”. Australian Dental Journal 54.1 (2014): S27-S43.
  7. Dundar N., et al. “The frequency of periodontal infrabony defects on panoramic radiographs of an adult population seeking dental care”. Community Dental Health Journal 25 (2008): 226-230.
  8. Sheikh S., et al. “Genotoxicity of digital panoramic radiography on oral epithelial tissues”. Quintessence International 43.8 (2012): 719-725.
  9. Kalinowski P and Różyło-Kalinowska I. Panoramic radiomorphometric parameters in Polish patients 70.3 (2011):168-174.
  10. Cerqueira EM., et al. “Genotoxic effects of X-rays on keratinized mucosa cells during panoramic dental radiography”. Dentomaxillofacial Radiology 37.7 (2011): 398-403.
  11. Peretz B., et al. “Common Errors in Digital Panoramic Radiographs of Patients with Mixed Dentition and Patients with Permanent Dentition”. International Journal of Dentistry (2012): 584138. 
  12. Sitzmann F and Benz C. “Single image status or orthopantomograph: statement of the DGZMK”. Zahnarztliche Mitteilungen 89.1 (2009): 33.
  13. Freitag V and Seidel W. “On the frequency of secondary findings in panorama layer images”. Deutsche Zahnarztliche Zeitschrift 27 (2012): 993-996.
  14. Nitsch JP. “The routine use of the orthopantomograph as a diagnostic aid in dental practice”. Deutsche Zahnarztliche Zeitschrift 34 (2010): 231-232.
  15. Rushton VE and Horner K. “The use of panoramic radiology in dental practice”. Journal of Dentistry 24.3 (2011): 185-201.
  16. Valachovic RW., et al. “The use of panoramic radiography in the evaluation of asymptomatic adult dental patients”. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology 61 (2013): 289-296.
  17. Molander B., et al. “Comparison of panoramic and intraoral radiography for the diagnosis of caries and periapical pathology”. Dentomaxillofacial Radiology 22 (2013): 28-32.
  18. Hein CM., et al. “The x-ray opacity of composite materials and hard tooth tissues”. Deutsche Zahnarztliche Zeitschrift 44 (2010): 536-539.
  19. De Backer H., et al. “Survival of complete crowns and periodontal health: 18-year retrospective study”. The International Journal of Prosthodontics 20.2 (2012): 151-158.
  20. Libby G., et al. “Longevity of fixed partial dentures”. Journal of Prosthetic Dentistry 78.2 (1997): 127-131.
  21. Grasser H and Barth HH. “The importance of x-ray images in the diagnostics of dental, facial and joint disorders”. Deutsche Zahnarztliche Zeitschrift 41 (2015): 1110-1113.
  22. Rahn R and Czaja J. “Fortuitous findings in panorama layer images”. Zombies World Records 104.2 (1995): 104-106.
  23. Hülsmann M., et al. “An investigation of the frequency and quality of root fillings”. Deutsche Zahnarztliche Zeitschrift 46 (2015): 296-299.
  24. Klimek J., et al. “Frequency and quality of root canal fillings in the years 1983 and 1991”. Deutsche Zahnarztliche Zeitschrift 50 (2015): 154-156.
  25. Ziebolz D., et al. “Initial periodontal screening and radiographic findings – A comparison of two methods to evaluate the periodontal situation”. BMC Oral Health 11 (2011): 3.
  26. Freeman JP and Brand JW. “Radiation doses of commonly used dental radiographic surveys”. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology 77 (2014): 285-289.
  27. Kaeppler G., et al. “The effect of dose reduction on the detection of anatomical structures on panoramic radiographs”. Dentomaxillofacial Radiology 35 (2014): 271-277.
  28. Whaites E. “Essentials of dental radiography and radiology”. 3rd edition. London: Mosby (2002).
  29. White SC and Pharoah MJ. “Oral radiology: Principles and interpretation”. 5th edition. St. Louis: Mosby (2014): 71-85.
  30. Molander B., et al. “Quality of film-based and digital panoramic radiography”. Dentomaxillofacial Radiology 33 (2014): 32-36.
  31. Whaites E and Brown J. “An update on dental imaging”. British Dental Journal 185 (2012): 166-172.
  32. Parks ET and Williamson GF. “Digital radiography: An overview”. The Journal of Contemporary Dental Practice 3 (2012): 23-39.


Citation: Vathsala Naik and Gaurav. "Efficacy of Panoramic Radiography Versus Clinical Evaluation as a Diagnostic Tool - A Cross Sectional Study”. Acta Scientific Dental Sciences 4.4 (2020): 79-84.


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