Third Molar Position: Reliability of Panoramic Radiography
Purpose
The purpose of the present study was to determine whether panoramic radiographs could predict physical contact between the mandibular third molar and the mandibular canal on limited cone-beam computed tomography, known as dental 3D-CT (3-dimensional computed tomography [3D-CT]).
Patients and Methods
The association of images between the panoramic radiograph and the dental 3D-CT was investigated in a cross-sectional study. Seventy-three lower third molars in 65 patients were examined. Findings of absence or presence of the white line of the mandibular canal wall on panoramic radiographs and contact or separation between the tooth and the mandibular canal on dental 3D-CT were compared.
Results
Absence of a superior white line on panoramic radiography was associated with an increased risk of contact between the third molar and the mandibular canal on dental 3D-CT, even when the effects of tooth position, age, and gender were taken into account. The multivariate adjusted odds ratio was 10.79. Women were more likely to have contact between the 2 structures on dental 3D-CT when their panoramic radiograph showed absence of the white line.
Conclusions
Panoramic radiography is useful for predicting to a limited extent physical contact between the mandibular third molar and the mandibular canal on dental 3D-CT.
⁎Assistant Professor, Second Department of Oral and Maxillofacial Surgery, Tsurumi University School of Dental Medicine, Yokohama, Japan.
†Visiting Assistant Professor, Second Department of Oral and Maxillofacial Surgery, Tsurumi University School of Dental Medicine, Yokohama, Japan.
‡Assistant Professor, Department of Preventive Dentistry and Public Health, Tsurumi University School of Dental Medicine, Yokohama, Japan.
§Visiting Researcher, Second Department of Oral and Maxillofacial Surgery, Tsurumi University School of Dental Medicine, Yokohama, Japan.
¶Staff, Second Department of Oral and Maxillofacial Surgery, Tsurumi University School of Dental Medicine, Yokohama, Japan.
∥Professor, Department of Oral Radiology, Tsurumi University School of Dental Medicine, Yokohama, Japan.
#Professor, Second Department of Oral and Maxillofacial Surgery, Tsurumi University School of Dental Medicine, Yokohama, Japan.
Address correspondence and reprint requests to Dr Nakagawa: Department of Oral and Maxillofacial Surgery, Tsurumi University School of Dental Medicine, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama, 230-8501 Japan
This investigation was supported in part by a grant-in-aid for High Technology Research Centers from the Ministry of Education, Culture, Sports, Science, and Technology.
ABSTRACT