ArticleDiagnostics (Basel, Switzerland)2022
Dental and Maxillofacial Cone Beam CT-High Number of Incidental Findings and Their Impact on Follow-Up and Therapy Management.
Article in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Comparison of Multimodal Large Language Models and Oral and Maxillofacial Radiologists in the Detection of Incidental Findings on Panoramic Radiographs: A CBCT-Referenced Diagnostic Accuracy Study.Healthcare (Basel, Switzerland) · 2026Article
- Prevalence and anatomical distribution of incidental and actionable findings on CBCT scans for implant planning.PloS one · 2026Observational
- A retrospective cone beam computed tomography investigation of incidental findings in the maxillo-facial region.Bioinformation · 2025Article
- A CBCT study of changes in temporomandibular joint morphology with immediate implant placement and immediate loaded full-arch fixed dental prostheses.BMC oral health · 2024Article
- Opportunistic investigation of vascular calcification using 3-dimensional dental imaging.Imaging science in dentistry · 2024Article
- Incidental findings in cone beam computed tomography (CBCT) scans for implant treatment planning: a retrospective study of 404 CBCT scans.Oral radiology · 2024Article
- Reproducibility analysis of automated deep learning based localisation of mandibular canals on a temporal CBCT dataset.Scientific reports · 2023Article
- The Use of CBCT in Evaluating the Health and Pathology of the Maxillary Sinus.Diagnostics (Basel, Switzerland) · 2022Review
- Change in the Constricted Airway in Patients after Clear Aligner Treatment: A Retrospective Study.Diagnostics (Basel, Switzerland) · 2022Article
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8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Cone beam computed tomography (CBCT) is increasingly used for dental and maxillofacial imaging. The occurrence of incidental findings has been reported, but clinical implications of these findings remain unclear. The study’s aim was to identify the frequency and clinical impact of incidental findings in CBCT. A total of 374 consecutive CBCT examinations of a 3 year period were retrospectively evaluated for the presence, kind, and clinical relevance of incidental findings. In a subgroup of 54 patients, therapeutic consequences of CBCT incidental findings were queried from the referring physicians. A total of 974 incidental findings were detected, involving 78.6% of all CBCT, hence 2.6 incidental findings per CBCT. Of these, 38.6% were classified to require treatment, with an additional 25.2% requiring follow-up. Incidental findings included dental pathologies in 55.3%, pathologies of the paranasal sinuses and airways in 29.2%, osseous pathologies in 14.9% of all CBCT, and findings in the soft tissue or TMJ in few cases. Clinically relevant dental incidental findings were detected significantly more frequently in CBCT for implant planning compared to other indications (60.7% vs. 43.2%, p < 0.01), and in CBCT with an FOV ≥ 100 mm compared to an FOV < 100 mm (54.7% vs. 40.0%, p < 0.01). Similar results were obtained for paranasal incidental findings. In a subgroup analysis, 29 of 54 patients showed incidental findings which were previously unknown, and the findings changed therapeutical management in 19 patients (35%). The results of our study highlighted the importance of a meticulous analysis of the entire FOV of CBCT for incidental findings, which showed clinical relevance in more than one in three patients. Due to a high number of clinically relevant incidental findings especially in CBCT for implant planning, an FOV of 100 × 100 mm covering both the mandible and the maxilla was concluded to be recommendable for this indication.
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