Author(s): Mohamed Jaber, Mohammed Shammakh, Asok Mathew, Alexander Luke, Essra El-Ameen

Email(s): drashokm@gmail.com

DOI: 10.52711/0974-360X.2022.00968   

Address: Mohamed Jaber1, Mohammed Shammakh2, Asok Mathew3*, Alexander Luke4, Essra El-Ameen5
1Professor, Head of Department, Clinical Sciences Department, College of Dentistry, Ajman University, UAE.
2Specialist Oral Surgeon, Department of oral and maxillofacial surgery, MBR University, Dubai, UAE.
3Specialist Maxillofacial Radiologist,Clinical Sciences Department, College of Dentistry, Ajman University.
4Maxillofacial Radiologist, Clinical Sciences Department, College of Dentistry, Ajman University, UAE.
5Medical student, College of Medicine, Ajman University.
*Corresponding Author

Published In:   Volume - 15,      Issue - 12,     Year - 2022


ABSTRACT:
Background: Cone beam computed tomography (CBCT) is commonly used for guidance in radiotherapy and computed tomography (CT) machines. It gives a rapid acquisition of a certain dataset involving a complete view of the area under study. CBCT has attained a great importance in the diagnosis and clinical treatment planning in dentistry in recent times. Aim and objectives: To assess the frequency of different incidental findings on CBCT and the need to alter the treatment plan after a radiological interpretation accordingly. Methods: Ninety-three CBCT reports by a single radiologist in Hamdan Bin Mohamed College of Dental Medicine were collected. Each report was analysed by a single maxillofacial radiologist, for any of the incidental findings that were recorded. These findings were broadly classified depending on their location, nature, and necessity of further intervention, alteration of treatment plan as well as patient age group and gender, and the reason for the scan. At 95% confidence intervals, statistical analysis was performed, using Chi-square test having a p value <0.05 as significant. Results: Our study findings showed that 86 CBCT was taken during the study period (2013 – 2019) showed incidental findings on the scan. A total of 66% of patients demonstrated a minimum of one type of incidental finding. Other findings including root fragments, dental abnormalities, inflammatory bone changes & non-inflammatory TMJ abnormalities were reported in 36 subjects (41.9%). Conclusions: This descriptive study concludes that approximately 66% of patients showed a minimum of one incidental finding on the CBCT scan and about 1% of these findings were instrumental in actually altering the proposed treatment plan. Therefore, it's recommended that a trained-personnel in interpretation techniques of CBCT, must report in all the images to avoid misdiagnosis.


Cite this article:
Mohamed Jaber, Mohammed Shammakh, Asok Mathew, Alexander Luke, Essra El-Ameen. Assessment of incidental Findings and the Need for Alteration of Treatment Plan after Cone Beam Computer Tomography – A Descriptive Cross - sectional Study. Research Journal of Pharmacy and Technology 2022; 15(12):5741-5. doi: 10.52711/0974-360X.2022.00968

Cite(Electronic):
Mohamed Jaber, Mohammed Shammakh, Asok Mathew, Alexander Luke, Essra El-Ameen. Assessment of incidental Findings and the Need for Alteration of Treatment Plan after Cone Beam Computer Tomography – A Descriptive Cross - sectional Study. Research Journal of Pharmacy and Technology 2022; 15(12):5741-5. doi: 10.52711/0974-360X.2022.00968   Available on: https://rjptonline.org/AbstractView.aspx?PID=2022-15-12-62


REFERENCES:
1.    Allard R, Van Der Kwast W, Van Der Waal I. Nasopalatine duct cyst: review of the literature and report of 22 cases. Int J Oral Surg. 1981;10: 447-61.
2.    Bäckman B, Holm AK. Amelogenesis imperfect; prevalence and incidence in a northern Swedish county. Community Dent Oral Epidemiol. 1986;14: 43-7.
3.    Bamgbose BO. The Prevalence of Tonsillitis and Other Stones in Patients Attending Oral and Maxillofacial Radiology Clinic of the University of Iowa. 2008.
4.    Scarfe WC, Farman AG.  What is cone-beam CT and how does it work? Dent. Clinics of North America. 2008;52: 707-30.
5.    Farman TT, Chen Z, Khan Z, Friedlander A, Carter L, Farman AG. Image characteristics of digital panoramic radiography—potential for computer-aided diagnosis of calcified carotid atheromatous plaque.  Int Congress Series. 2001. Elsevier, 514-19.
6.    Horner K, Islam M, Flygare L, Tsiklakis K, Whaites E. Basic principles for use of dental cone beam computed tomography: consensus guidelines of the European Academy of Dental and Maxillofacial Radiology. Dento Maxillo Facial Radiol. 2009; 38: 187–95.
7.    Oberoi S, Chigurupati R, Gill P, Hoffman WY, Vargervik K. Volumetric assessment of secondary alveolar bone grafting using cone beam computed tomography. Cleft Palate Craniofac J. 2009; 46: 503–11.
8.    Kau CH, Pan P, Gallerano RL, English JD A novel 3D classification system for canine impactions-the KPG index. Int J Med Robot. 2009;5: 291–96.
9.    Barghan S, Mehrnaz TA, Madhu KN. "Incidental Findings on Cone Beam Computed Tomography Studies outside of the Maxillofacial Skeleton", Int J Dent. 2016, ID 9196503, 2016. https://doi.org/10.1155/2016/9196503
10.    Newaz ZA, Barghan R A, Katkar JA, Nair MK. Incidental findings of skull-base abnormalities in cone-beam computed tomography scans with consultation by maxillofacial radiologists. Am J Ortho Dentofac Orthoped. 2015;147: 127–31.
11.    Dogramacı EJ, G. Rossi-Fedele, F. McDonald. Clinical ˘ importance of incidental findings reported on small-volume dental cone beam computed tomography scans focused on impacted maxillary canine teeth. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;118: e205– e209.
12.    Scarfe WC. Incidental findings on cone beam computed tomographic images: a Pandora’s box? Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;117: 537–40.
13.    Edwards RN, Alsufyani G. Heo, C. Flores-Mir. The frequency and nature of incidental findings in large-field cone beam computed tomography scans of an orthodontic sample. Prog in Ortho 2014;15:37.
14.    Drage N, S. Rogers, C. Greenall, and R. Playle, Incidental findings on cone beam computed tomography in orthodontic patients. J Ortho. 2013; 40: 29–37.
15.    Barghan S, Tetradis S, Nervina J. Skeletal and softtissue incidental findings on cone-beam computed tomography images. Am J Orth Dentofac Orthoped. 2013;143: 888–92.
16.    Gracco A, Incerti Parenti S, Ioele C, Alessandri Bonetti G, Stellini E. Prevalence of incidental maxillary sinus findings in Italian orthodontic patients: a retrospective cone-beam computed tomography study. Korean J Ortho. 2012;42: 329–34.
17.    Price JB, Thaw K, Tyndall DA, Ludlow JB, Padilla RJ. Incidental findings from cone beam computed tomography of the maxillofacial region: a descriptive retrospective study. Clinical Oral Implants Res. 2012;23:1261– 68.
18.    Pette GA, Norkin FJ, Ganeles J. Incidental findings from a retrospective study of 318 cone beam computed tomography consultation reports. Int J Oral & Maxillofac Implants. 2012;27: 595–603.
19.    Liu D, Zhang W, Zhang Z, Wu Y, Ma X. Localization of impacted maxillary canines and observation of adjacent incisor resorption with cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105: 91–8.
20.    Popat H, Drage N, Durning P. Mid-line clefts of the cervical vertebrae — an incidental finding arising from cone beam computed tomography of the dental patient. Br Dent J. 2008; 204: 303–6.
21.    Pliska B, DeRocher M, Larson BE. Incidence of significant findings on CBCT scans of an orthodontic patient population. Northwest Dent. 2011;90: 12–16.
22.    Pazera P, Bornstein MM, Pazera A, Sendi P, Katsaros C. Incidental maxillary sinus findings in orthodontic patients: a radiographic analysis using cone-beam computed tomography (CBCT). Orthod Craniofac Res. 2011;14: 17–24.
23.    Cha JY, Mah J, Sinclair P. Incidental findings in the maxillofacial area with 3-dimensional cone-beam imaging. Am J Orthod Dentofacial Orthop. 2007;132: 7–14.
24.    Lim WK, Ram B, Fasulakis S, Kane KJ. Incidental magnetic resonance image sinus abnormalities in asymptomatic Australian children. J Laryngol Otol. 2003; 117: 969–72.
25.    Havas T, Motbey J, Gullane P. Prevalence of incidental abnormalities on computed tomographic scans of the paranasal sinuses. Arch Otolaryngol Head Neck Surg. 1988; 114: 856–59.
26.    Gordts F, Clement PA, Buisseret T. Prevalence of sinusitis signs in a non-ENT population. ORL J Otorhinolaryngol Relat Spec. 1996; 58: 315–19
27.    Rogers SA, Drage N, Durning P. Incidental findings arising with cone beam computed tomography imaging of the orthodontic patient. Angle Orthod. 2011; 81: 350–55.
28.    Gorlin RJ. 1987. Nevoid basal-cell carcinoma syndrome. Medicine (Baltimore), 66, 98-113.

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