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Significance of Panoramic Radiographic Examination of Edentulous Patients Prior To Denture Fabrication - A Survey

DOI : https://doi.org/10.36349/easjdom.2019.v01i06.004
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Aim: The purpose of this study was to determine the frequency of significant radiographic findings in edentulous jaws and analysis of those findings for age, sex and location of their occurrence by the panoramic radiograph taken before denture fabrication. Materials and methods: 170 edentulous patients were randomly selected who are without any clinical signs and symptoms of pain or any infection. Panoramic radiograph of all samples were taken and evaluated for findings like root stumps, impacted teeth, radiolucencies, radiopacities, and also the space between the alveolar crest and maxillary sinus and mental foramen. The findings were then analyzed for the sex and region of their occurrence.Results: out of 170 patients 68 (40%) showed positive radiographic findings. Out of 40% (n=68), 22.05% (n=15) patients had one or more remaining root fragments, 11.76% (n=8) had impacted teeth, 4.41% (n=3) demonstrated radiopacities, 2.94% (n=2) demonstrated radiolucencies, 27.94% (n=19) mental foramina was near the crest of the residual alveolar ridge, 39.88% (n=21) maxillary sinus was close the crest of the residual alveolar ridge. Application of the Chi-square test has shown that root fragments, maxillary sinus and mental foramen was a highly significant entity in comparison to the other entities.Conclusion: Considering all the above factors, panoramic radiographic evaluation done prior to denture fabrication gives the better treatment outcome. Rather than facing the problems after treatment it is better to evaluate before treatment which reduces patient’s discomforts after denture insertion.

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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