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Author
J.W. Nolte
L.H.E. Karssemakers
D.C. Grootendorst
D.B. Tuinzing
A.G. Becking
Year
2015
Title
Panoramic imaging is not suitable for quantitative evaluation, classification, and follow up in unilateral condylar hyperplasia
Journal
British Journal of Oral & Maxillofacial Surgery
Volume | Issue number
53 | 5
Pages (from-to)
446-450
Document type
Article
Faculty
Faculty of Dentistry (ACTA)
Faculty of Medicine (AMC-UvA)
Abstract
Patients with suspected unilateral condylar hyperplasia are often screened radiologically with a panoramic radiograph, but this is not sufficient for routine diagnosis and follow up. We have therefore made a quantitative analysis and evaluation of panoramic radiographs in a large group of patients with the condition. During the period 1994-2011, 132 patients with 113 panoramic radiographs were analysed using a validated method. There was good reproducibility between observers, but the condylar neck and head were the regions reported with least reliability. Although in most patients asymmetry of the condylar head, neck, and ramus was confirmed, the kappa coefficient as an indicator of agreement between two observers was poor (−0.040 to 0.504). Hardly any difference between sides was measured at the gonion angle, and the body appeared to be higher on the affected side in 80% of patients. Panoramic radiographs might be suitable for screening, but are not suitable for the quantitative evaluation, classification, and follow up of patients with unilateral condylar hyperplasia.
URL
go to publisher's site
Language
English
Permalink
http://hdl.handle.net/11245/1.484367

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