Incidental Findings on Cone Beam Computed Tomography and Reasons for Referral by Dental Practitioners in Indore City (M.P)
Introduction: Cone beam computed tomography is a new diagnostic innovation to dental imaging. Despite the use of CBCT in oral and maxillofacial imaging, reports on its use either by individual practitioners or referral patterns to CBCT centers is lacking. Hence, a study was conducted to determine...
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JCDR Research and Publications Private Limited
|Journal of Clinical and Diagnostic Research
|Introduction: Cone beam computed tomography is a new diagnostic innovation to dental imaging. Despite the use of CBCT in
oral and maxillofacial imaging, reports on its use either by individual
practitioners or referral patterns to CBCT centers is lacking. Hence,
a study was conducted to determine incidental findings on CBCT
and reasons for referral by dental practitioners in Indore city.
Materials and Methods: A retrospective analysis of 795 records
that were referred for CBCT imaging at Institutional and Oracal
CBCT Centre, Indore was undertaken. Referrals from both within
and outside institution, as well as from private practitioners were
considered. The reason for CBCT referral, provision diagnosis,
final diagnosis and any incidental diagnosis were recorded.
Results: This retrospective chart audit revealed that 56.7 %
were male and 43.3% were females. Greatest source of patients
was referred by oral surgeons (21.9%) followed by oral and
maxillofacial radiologist (14.2%) and prosthodontist (9.3%).
The most common reason for referral was for implant analysis
(24.2%) and the most common incidental finding diagnosed by
CBCT was oral malignancies.
Conclusion: In Institutional set-up, CBCT referrals were mostly
for the reason of planning implant placement followed by trauma
whereas private practitioners used CBCT mostly for implant
placement followed by impaction. CBCT was being utilized more
by Oral surgeons in private sector whereas it in an Institutional
setup majority of referrals from Department of Oral Diagnosis
and Radiology. Findings that were most commonly diagnosed
incidentally on CBCT were Orofacial malignancies followed
maxillary sinus pathologies.