Quality and Findings of Bitewing Radiographs among Twenty-Year-Old Conscripts in Finland
Objectives. Bitewing radiographs are mainly used to confirm clinical findings in caries diagnostics. The objective here was to investigate the quality of bitewing radiographs after short brush-up training and additional findings besides caries in a low-caries population. Methods. The material of thi...
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Series: | International Journal of Dentistry |
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doaj-e18ed6d22c374a76936c267a3bb708852021-02-22T00:01:51ZengHindawi LimitedInternational Journal of Dentistry1687-87362021-01-01202110.1155/2021/8894917Quality and Findings of Bitewing Radiographs among Twenty-Year-Old Conscripts in FinlandMiika Hyvönen0Arttu Jaakkola1Tarja Tanner2Jari Päkkilä3Antti Kämppi4Pertti Patinen5Leo Tjäderhane6Annina Sipola7Sisko Huumonen8Vuokko Anttonen9Department of CariologyDepartment of CariologyDepartment of CariologyDepartment of Mathematical SciencesDepartment of Oral and Maxillofacial DiseasesCentre for Military MedicineDepartment of CariologyResearch Unit of Oral Health SciencesInstitute of DentistryDepartment of CariologyObjectives. Bitewing radiographs are mainly used to confirm clinical findings in caries diagnostics. The objective here was to investigate the quality of bitewing radiographs after short brush-up training and additional findings besides caries in a low-caries population. Methods. The material of this cross-sectional study comprised 377 pairs of bitewing radiographs of 19- to 20-year-olds taken by dentists. Radiography was considered indicated if one dentinal caries lesion was present on clinical examination. A senior oral radiologist evaluated quality and diagnosed the findings afterwards unaware of clinical status. The association between variables was analysed using cross tabulation and chi-squared testing. Results. Almost half of the images were of compromised quality (44.1%). Dentinal caries lesions were detected in 82.3% and enamel lesions in 73.5% of the subjects. On average, the subjects had 1.7 (SD 0.52) dentinal lesions. Fillings were found in 81.8%, fractures/cracks in 11.7%, and attrition in 7.4% of the subjects. Signs of excessive bite force were recorded in 19.4%, whereas marginal bone loss was detected in 6.4%. No significant correlation was detected between fractures, attrition, and excessive bite forces. Conclusions. Effort must be taken to ensure high quality of bitewing radiographs. In addition to caries detection, bitewing radiographs offer additional value, such as detecting excessive bite forces, tooth wear, and marginal bone loss among young adults.http://dx.doi.org/10.1155/2021/8894917 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Miika Hyvönen Arttu Jaakkola Tarja Tanner Jari Päkkilä Antti Kämppi Pertti Patinen Leo Tjäderhane Annina Sipola Sisko Huumonen Vuokko Anttonen |
spellingShingle |
Miika Hyvönen Arttu Jaakkola Tarja Tanner Jari Päkkilä Antti Kämppi Pertti Patinen Leo Tjäderhane Annina Sipola Sisko Huumonen Vuokko Anttonen Quality and Findings of Bitewing Radiographs among Twenty-Year-Old Conscripts in Finland International Journal of Dentistry |
author_facet |
Miika Hyvönen Arttu Jaakkola Tarja Tanner Jari Päkkilä Antti Kämppi Pertti Patinen Leo Tjäderhane Annina Sipola Sisko Huumonen Vuokko Anttonen |
author_sort |
Miika Hyvönen |
title |
Quality and Findings of Bitewing Radiographs among Twenty-Year-Old Conscripts in Finland |
title_short |
Quality and Findings of Bitewing Radiographs among Twenty-Year-Old Conscripts in Finland |
title_full |
Quality and Findings of Bitewing Radiographs among Twenty-Year-Old Conscripts in Finland |
title_fullStr |
Quality and Findings of Bitewing Radiographs among Twenty-Year-Old Conscripts in Finland |
title_full_unstemmed |
Quality and Findings of Bitewing Radiographs among Twenty-Year-Old Conscripts in Finland |
title_sort |
quality and findings of bitewing radiographs among twenty-year-old conscripts in finland |
publisher |
Hindawi Limited |
series |
International Journal of Dentistry |
issn |
1687-8736 |
publishDate |
2021-01-01 |
description |
Objectives. Bitewing radiographs are mainly used to confirm clinical findings in caries diagnostics. The objective here was to investigate the quality of bitewing radiographs after short brush-up training and additional findings besides caries in a low-caries population. Methods. The material of this cross-sectional study comprised 377 pairs of bitewing radiographs of 19- to 20-year-olds taken by dentists. Radiography was considered indicated if one dentinal caries lesion was present on clinical examination. A senior oral radiologist evaluated quality and diagnosed the findings afterwards unaware of clinical status. The association between variables was analysed using cross tabulation and chi-squared testing. Results. Almost half of the images were of compromised quality (44.1%). Dentinal caries lesions were detected in 82.3% and enamel lesions in 73.5% of the subjects. On average, the subjects had 1.7 (SD 0.52) dentinal lesions. Fillings were found in 81.8%, fractures/cracks in 11.7%, and attrition in 7.4% of the subjects. Signs of excessive bite force were recorded in 19.4%, whereas marginal bone loss was detected in 6.4%. No significant correlation was detected between fractures, attrition, and excessive bite forces. Conclusions. Effort must be taken to ensure high quality of bitewing radiographs. In addition to caries detection, bitewing radiographs offer additional value, such as detecting excessive bite forces, tooth wear, and marginal bone loss among young adults. |
url |
http://dx.doi.org/10.1155/2021/8894917 |
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