CORRELATION OF PANORAMIC RADIOGRAPHIC FINDINGS AND CLINICAL FINDINGS OF DENTAL PATIENTS AT MOI TEACHING AND REFERRAL HOSPITAL, KENYA

Authors

  • Abdullatif Muhaji Badru Department of Radiology and Imaging, Moi University
  • Prof G. D. Onditi Elias Department of Radiology and Imaging, Moi University
  • Dr. Kenneth. A. Okemwa Department of Community, Preventive Dentistry and Periodontology, Moi University

DOI:

https://doi.org/10.47604/jhmn.1440

Keywords:

Panoramic Radiographic, Clinical Findings, Dental Patients, Moi Teaching and Referral Hospital (MTRH)

Abstract

Purpose: The purpose of this study was to determine the correlation of panoramic radiographic findings and clinical findings among dental patients at Moi Teaching and Referral Hospital (MTRH), Kenya.

Materials and Methods: This was a hospital based cross sectional study conducted at the Radiology and Imaging department and dental department at Moi Teaching and Referral Hospital from September, 2019 to June, 2020. A total of 93 consenting patients were enrolled using systematic random sampling. Standard chart review forms were administered, and clinical examination findings documented. Panoramic radiograph findings were then discussed with a consultant radiologists and findings recorded. Descriptive statistics were carried out. Categorical variables were summarized as frequencies and proportions, and reported in tables. Numerical variables were summarized as median and interquartile ranges. Cross tabulation was done to compare clinical examination and panoramic radiograph findings where total raw agreement was reported as proportions.

Results: 93 patients whose ages ranged from 5-73 years with a mean of 29 years were included into the study. Radiographic features of dental caries were present in 54% of panoramic radiographs compared to clinical examination (50.5%) while 23.7% of radiographs revealed impacted teeth compared to clinical examination (19.4%).  Radiographic features of periodontitis were observed in 14% compared to clinical examination (16.1%). Fractures (12.9%) were observed radiographically compared to (10.7%) clinically. Periapical lesions (8.6%) were observed radiographically compared to clinical examination (6.4%). Temporo-mandibular disorder (6.5%) were observed both on radiographs and clinical examination. Radiographic features of missing teeth (3.2%) were observed compared to clinical examination (1.1%) while only 1.1% of malpositioned teeth were observed radiographically compared to clinical examination (2.2%). Notably, mandibular lesions (3.2%) and nasal congestion (14%) were only discovered radiographically. The overall raw agreement between panoramic radiograph and clinical examination was 75.3% (70/93) with a p value of less than 0.001.

Unique contribution to theory, practice and policy: The study recommends that all patients presenting with dental conditions should be done panoramic radiograph to improve diagnosis. Moi Teaching and Referral Hospital and the Ministry of Health to consider routine panoramic radiographs in the guidelines for the assessment of dental patients in all the hospitals offering, dental health services

Downloads

Download data is not yet available.

References

Adams, B. J. (2003). The diversity of adult dental patterns in the United States and the implications for personal identification. Journal of forensic sciences, 48(3), 497-503.

American Dental Association. Survey Center. (1997). The... Survey of Dental Practice: Characteristics of dentists in private practice and their patients. American Dental Association, Survey Center.

Amrollahi, P., Shah, B., Seifi, A., & Tayebi, L. (2016). Recent advancements in regenerative dentistry: A review. Materials Science and Engineering: C, 69, 1383-1390.

An, S. Y., An, C. H., & Choi, K. S. (2007). Efficacy of panoramic radiography as a screening procedure in dental examination compared with clinical evaluation. Imaging Science in Dentistry, 37(2), 83-86.

Aumuller, G., Aust, G., Doll, A., Engele, J., Kirsch, J., & Mense, S. (2009). Anatomia. Rio De Janeiro Rj: Guanabara Koogan.

Bhateja, S., Arora, G., &Katote, R. (2015). Evaluation of adult dental patterns on orthopantomograms and its implication for personal identification: A retrospective observational study. Journal of forensic dental sciences, 7(1), 14.

Borisov, N., & Krüger, H. (2021). Formation of the Thebe Extension in the Ring System of Jupiter. Journal of Geophysical Research: Space Physics, e2021JA029654.

Bortoluzzi, M. C., Traebert, J., Lasta, R., Da Rosa, T. N., Capella, D. L., & Presta, A. A. (2012). Tooth loss, chewing ability and quality of life. Contemporary clinical dentistry, 3(4), 393.

Capurro, D. A., & Davidsen, M. (2017). Socioeconomic inequalities in dental health among middle-aged adults and the role of behavioral and psychosocial factors: evidence from the Spanish National Health Survey. International journal for equity in health, 16(1), 34.

Chenicheri, S., Usha, R., Ramachandran, R., Thomas, V., & Wood, A. (2017). Insight into oral biofilm: primary, secondary and residual caries and phyto-challenged solutions. The open dentistry journal, 11, 312.

Choi, J. W. (2011). Assessment of panoramic radiography as a national oral examination tool: review of the literature. Imaging science in dentistry, 41(1), 1-6.

Civera, V. G., Silla, J. M. A., & Navarro, L. F. (2007). Clinical and radiographic diagnosis of approximal and occlusal dental caries in a low risk population. Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 12(3), 16.

Clark, H. C., & Curzon, M. E. (2004). A prospective comparison between findings from a clinical examination and results of bitewing and panoramic radiographs for dental caries diagnosis in children. Eur J Paediatr Dent, 5(4), 203-9.

Cury, J. A., & Tenuta, L. M. A. (2009). Enamel remineralization: controlling the caries disease or treating early caries lesions?. Brazilian oral research, 23, 23-30.

De Oliveira Capote, T. S., de Almeida Gonçalves, M., Gonçalves, A., &Gonçalves, M. (2015). Panoramic radiography"”diagnosis of relevant structures that might compromise oral and general health of the patient. In Emerging Trends in Oral Health Sciences and Dentistry. InTech.

Dental, S. (2014). Prevention and Treatment of Periodontal Diseases in Primary Care Dental Clinical Guidance.

Dumitrescu, A. L. (2016). Periodontal disease-a Public Health Problem. Frontiers in public health, 3, 278.

Eigbobo, J. O., & Etim, S. S. (2015). The pattern of dental caries in children in Port Harcourt, Nigeria. Journal of the West African College of Surgeons, 5(1), 20.

Eigbobo, J. O., Nzomiwu, C. L., Etim, S. S., & Amobi, E. O. (2015). The care of traumatic dental injuries in primary schools in Southern Nigeria. European journal of paediatric dentistry, 16(3), 197-200.

El Wazani, B., Dodd, M. N., & Milosevic, A. (2012). The signs and symptoms of tooth wear in a referred group of patients. British dental journal, 213(6), E10-E10.

Farges, J. C., Alliot-Licht, B., Renard, E., Ducret, M., Gaudin, A., Smith, A. J., & Cooper, P. R. (2015). Dental pulp defence and repair mechanisms in dental caries. Mediators of inflammation, 2015.

Ferguson, C. J., & Kilburn, J. (2010). Much ado about nothing: The misestimation and overinterpretation of violent video game effects in Eastern and Western nations: Comment on Anderson et al.(2010).

Fink, A., Kosecoff, J., Chassin, M., & Brook, R. H. (1984). Consensus methods: characteristics and guidelines for use. American journal of public health, 74(9), 979-983.

Fletcher, P. D., Galal, M. F., & Robinson, B. H. (1985). Structural study of microemulsions of glycerol stabilised by cetyltrimethylammonium bromide dispersed in heptane+ chloroform mixtures. Journal of the Chemical Society, Faraday Transactions 1: Physical Chemistry in Condensed Phases, 81(9), 2053-2065.

Gathecha, G., Makokha, A., Wanzala, P., Omolo, J., & Smith, P. (2012). Dental caries and oral health practices among 12 year old children in Nairobi West and Mathira West Districts, Kenya. Pan African Medical Journal, 12(1).

GLOBOCAN (2018). Estimated Cancer Incidence, Mortality and Prevalence Worldwide in 2012. International Agency for Research on Cancer [online] 2012. Available At:http://gco.iarc.fr/today/fact-sheets-populations.

Goryawala, S. N., Chavda, P., Udhani, S., Pathak, N. V., Pathak, S., &Ojha, R. (2016). A survey on oral hygiene methods practiced by patients attending Dentistry Department at a Tertiary Care Hospital from Central Gujarat. Journal of International Society of Preventive & Community Dentistry, 6(2), 115.

Gupta, N., Gupta, R., Acharya, A. K., Patthi, B., Goud, V., Reddy, Singla, A. (2016). Changing Trends in oral cancer-a global scenario. Nepal journal of epidemiology, 6(4), 613.

Hegde, R., &Awan, K. H. (2018). Effects of periodontal disease on systemic health. Disease-a-Month.

Hopcraft, M. S., & Morgan, M. V. (2005). Comparison of radiographic and clinical diagnosis of approximal and occlusal dental caries in a young adult population. Community dentistry and oral epidemiology, 33(3), 212-218.

Iyer, N. P., Reddy, C. B., Wahidi, M. M., Lewis, S. Z., Diekemper, R. L., Feller-Kopman, D., ... & Balekian, A. A. (2019). Indwelling pleural catheter versus pleurodesis for malignant pleural effusions. A systematic review and meta-analysis. Annals of the American Thoracic Society, 16(1), 124-131.

Jeannotte, L., & Moore, M. J. (2007). The state of aging and health in America 2007.

Jo, R., Yama, K., Aita, Y., Tsutsumi, K., Ishihara, C., Maruyama, M., ... & Morishima, S. (2021). Comparison of oral microbiome profiles in 18-month-old infants and their parents. Scientific reports, 11(1), 1-10.

Kumar, A., Ghosh, S., &Logani, A. (2014). Occurrence of diversity in dental pattern and their role in identification in Indian population: An orthopantomogram based pilot study. Journal of forensic dental sciences, 6(1), 42.

Kweon, H. H. I., Lee, J. H., Youk, T. M., Lee, B. A., & Kim, Y. T. (2018). Panoramic radiography can be an effective diagnostic tool adjunctive to oral examinations in the national health checkup program. Journal of periodontal & implant science, 48(5), 317-325.

Langland, O. E., Langlais, R. P., & Preece, J. W. (2002). Principles of dental imaging. Lippincott Williams & Wilkins.

Lemeshow, S., Hosmer Jr, W.D., Klar, J., and Lwanga S.K. (1990). Adequacy of sample size in health studies. Chichester. John Wiley & Sons.

Lira, P. H., Giraldi, G. A., & Neves, L. A. (2009). Panoramic dental X-Ray image segmentation and feature extraction. In Proceedings of V workshop of computing vision, Sao Paulo, Brazil.

Loesche, W. J. (1996). Microbiology of dental decay and periodontal disease. Medical Microbiology. 4th edition.

Loesche, W. J., Giordano, J., Soehren, S., Hutchinson, R., Rau, C. F., Walsh, L., & Schork, M. A. (1996). Nonsurgical treatment of patients with periodontal disease. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 81(5), 533-543.

Lyden, P., Buchan, A., Boltze, J., & Fisher, M. (2021). Top Priorities for Cerebroprotective Studies"”A Paradigm Shift: Report From STAIR XI. Stroke, 52(9), 3063-3071.

Maheshwari, B., Varua, M., Ward, J., Packham, R., Chinnasamy, P., Dashora, Y., ... & Rao, P. (2014). The role of transdisciplinary approach and community participation in village scale groundwater management: insights from Gujarat and Rajasthan, India. Water, 6(11), 3386-3408.

Masiga, M.A, & M'Imunya,J.M. (2013). Prevalence of dental caries and its impact on quality of life (QoL) among HIV-infected children in Kenya. The journal of clinical Pediatric Dentistry 38(1), 83

Masiga, M.A. (2016). Determinants of oral healthcare among female caregivers of children with HIV/AIDS in Nairobi City County, Kenya. University of Niarobi repository [online] 2021. Available At: http://eropistory.uonbi.ac.ke.

Mira, A., Simon"Soro, A., & Curtis, M. A. (2017). Role of microbial communities in the pathogenesis of periodontal diseases and caries. Journal of clinical periodontology, 44, S23-S38.

Moll et al. (2013). Comparison of clinical and dental panoramic findings: a practice- based crossover study. BMC Oral Health, 13:48.

Nazir, M. A. (2017). Prevalence of periodontal disease, its association with systemic diseases and prevention. International journal of health sciences, 11(2), 72.

Needleman, I. (2018). Oral Health, the Elite Athlete, and Performance. Sports Dentistry: Principles and Practice, 139-157.

Paris, S., & Meyer-Lueckel, H. (2009). Masking of labial enamel white spot lesions by resin infiltration--a clinical report. Quintessence international, 40(9).

Parisotto, T. M., Steiner-Oliveira, C., Silva, C. M., Rodrigues, L. K., & Nobre-dos-Santos, M. (2010). Early childhood caries and mutans streptococci: a systematic review. Oral Health Prev Dent, 8(1), 59-70.

Peng, J., Zeng, X., Townsend, J., Liu, G., Huang, Y., & Lin, S. (2021). A Machine Learning Approach to Uncovering Hidden Utilization Patterns of Early Childhood Dental Care Among Medicaid-Insured Children. Frontiers in Public Health, 8, 1025.

Perez, I. E. (2015). Dental Patterns in Peruvians: A panoramic Radiography Study. The Journal of Forensic Odonto-stomatology, 33(2), 9.

Perschbacher, S. (2012). Interpretation of panoramic radiographs. Australian dental journal, 57, 40-45.

Petersen, P. E., & Ogawa, H. (2016). Prevention of dental caries through the use of fluoride-the WHO approach. Community Dent Health, 33(2), 66-68.

Shahin, K. A., Chatra, L., &Shenai, P. (2013). Dental and craniofacial imaging in forensics. Journal of Forensic Radiology and Imaging, 1(2), 56-62.

Silva, R. F. D., Nunes, F. G., FariaNeto, J. C. D., Rege, I. C. C., &DarugeJúnior, E. (2012). Forensic importance of panoramic radiographs for human identification. RGO, 60(4), 531-527.

Simangwa, L. D. (2020). Oral diseases and problems, and oral impacts on daily performances among adolescents living in Maasai populated areas in Tanzania.

Singh, S., Bhargava, D., & Deshpande, A. (2013). Dental orthopantomogram biometrics system for human identification. Journal of forensic and legal medicine, 20(5), 399-401.

Taghi, A., & Motamedi, M. H. K. (2009). Riga-Fede disease: a histological study and case report. Indian Journal of Dental Research, 20(2), 227.

Tate, S. S., & Meister, A. (1977). Affinity labeling of gamma-glutamyl transpeptidase and location of the gamma-glutamyl binding site on the light subunit. Proceedings of the National Academy of Sciences, 74(3), 931-935.

Tellez, M., Zini, A., &Estupiñan-Day, S. (2014). Social determinants and oral health: an update. Current Oral Health Reports, 1(3), 148-152.

Thiriar, S., Deroux, E., Dourov, N., Evrard, L., Peny, M. O., Simon, P., & Parent, D. (1998). Granulomatous vulvitis, granulomatous cheilitis: a single diagnosis? Dermatology, 196(4), 455-458.

Yılancı, H. Ö., Akkaya, N., &Göksülük, D. (2017). A preliminary study of dental patterns in panoramic radiography for forensic identification. Rom J Leg Med, 25, 75-81.

Downloads

Published

2021-12-30

How to Cite

Badru, A. ., Onditi , E., & Okemwa, K. (2021). CORRELATION OF PANORAMIC RADIOGRAPHIC FINDINGS AND CLINICAL FINDINGS OF DENTAL PATIENTS AT MOI TEACHING AND REFERRAL HOSPITAL, KENYA. Journal of Health, Medicine and Nursing, 7(4), 28 – 44. https://doi.org/10.47604/jhmn.1440

Issue

Section

Articles