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Warhekar S, Nagarajappa S, Dasar PL, et al. Incidental findings on cone beam computed tomography and reasons for referral by dental practitioners in indore city (m.p). J Clin Diagn Res. 2015;9(2):ZC21-4doi: 10.7860/JCDR/2015/11705.5555.
Warhekar, S., Nagarajappa, S., Dasar, P. L., Warhekar, A. M., Parihar, A., Phulambrikar, T., Airen, B., & Jain, D. (2015). Incidental findings on cone beam computed tomography and reasons for referral by dental practitioners in indore city (m.p). Journal of clinical and diagnostic research : JCDR, 9(2), ZC21-4. https://doi.org/10.7860/JCDR/2015/11705.5555
Warhekar, Shilpa, et al. "Incidental findings on cone beam computed tomography and reasons for referral by dental practitioners in indore city (m.p)." Journal of clinical and diagnostic research : JCDR vol. 9,2 (2015): ZC21-4. doi: https://doi.org/10.7860/JCDR/2015/11705.5555
Warhekar S, Nagarajappa S, Dasar PL, Warhekar AM, Parihar A, Phulambrikar T, Airen B, Jain D. Incidental findings on cone beam computed tomography and reasons for referral by dental practitioners in indore city (m.p). J Clin Diagn Res. 2015 Feb;9(2):ZC21-4. doi: 10.7860/JCDR/2015/11705.5555. Epub 2015 Feb 01. PMID: 25859519; PMCID: PMC4378801.
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J Clin Diagn Res. 2015 Feb;9(2):ZC21-4. doi: 10.7860/JCDR/2015/11705.5555. Epub 2015 Feb 01.

Incidental findings on cone beam computed tomography and reasons for referral by dental practitioners in indore city (m.p).

Journal of clinical and diagnostic research : JCDR

Shilpa Warhekar, Sandesh Nagarajappa, Prahlad L Dasar, Ashish M Warhekar, Ajay Parihar, Tushar Phulambrikar, Bhuvnesh Airen, Deepika Jain

Affiliations

  1. Post Graduate Student , Department of Public Health Dentistry, Sri Aurobindo College of Dentistry , Indore, MP, India .
  2. Associate Professor, Department of Public Health Dentistry, Sri Aurobindo College of Dentistry , Indore, MP, India .
  3. Professor and Head, Department of Public Health Dentistry, Sri Aurobindo College of Dentistry , Indore, MP, India .
  4. Associate Professor, Department of Oral Medicine and Maxillofacial Radiology, Modern Dental College and Research Centre , Indore, MP, India .
  5. Associate Professor, Department of Oral Medicine and Maxillofacial Radiology, Government College of Dentistry , Indore, MP, India .
  6. Professor and Head, Department of Oral Medicine and Maxillofacial Radiology, Sri Aurobindo College of Dentistry , Indore, MP, India .
  7. Post Graduate Student, Department of Public Health Dentistry, Sri Aurobindo College of Dentistry , Indore, MP, India .

PMID: 25859519 PMCID: PMC4378801 DOI: 10.7860/JCDR/2015/11705.5555

Abstract

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.

Keywords: CBCT; Incidental finding; Referral pattern

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