Abstract
AIM AND METHOD: The authors in this paper summarize the results of a clinical study of 100 patients who´s images were taken at the Department of Dentistry of the Faculty of Medicine of Slovak Medical University using the bitewing radiography method. Individual bite images were evaluated and further analyzed based on established criteria.
RESULTS: The material contained 100 pairs of X-ray images. Of these, 16 pairs were rejected due to poor image quality. Due to errors in the projection and position of the image, some teeth, mostly first premolars and upper second molars, were not detectable for the analyses, so another 5 pairs of images were excluded from the file. The final set of analyzed data contained 79 pairs of bitewing X-rays, therefore we analyzed the images of 79 patients from a clinical set of 100 patients. Carious lesions were diagnosed in 33 patients, 67 patients had no new lesions. Carious lesions affecting dentin were present in 9 patients, only in enamel in 24 patients. Most of the dentin caries lesions were found in lower first molars and upper second premolars. 68 patients had dental fillings, of which only eight had amalgam fillings. Most dental fillings were found in the first molars, with the upper teeth having fewer of them than the lower. The smallest number of dental fillings was found in the lower first premolars. 21 patients had endodontic treatment of their teeth. Fractures/splitting of teeth were present in 13 patients. Tooth wear was detected in three patients. 14 individuals had widening of the periodontal fissure due to the traumatic obstruction of poorly made restorations. Regarding the periodontal findings, minor bone loss was found in 5, while moderate to severe bone loss was found in 7 patients. Calculus was visible in 5 patients. 9 patients had implants.
CONCLUSION: Regardless of whether bitewing radiography seems simple to dentists, achieving good technical quality is challenging. Therefore, continuing education should be emphasized and regular steps should be taken to update radiographic skills in how to take a successful intraoral or bitewing image and how to diagnose it (Tab. 2, Fig. 5, Ref. 7). Text in PDF www.lekarskyobzor.sk.
KEY WORDS: bitewing, radiograph, tooth decay.
Lek Obz 2022, 71 (9): 343-347
Juraj DEGLOVIČ 1, Marek ŠUPLER 1, Simona DIANIŠKOVÁ 2, Neda MARKOVSKÁ 1
1 Katedra zubného lekárstva LF SZU, Bratislava, prednosta MUDr. J. Deglovič, PhD., MPH
2 Katedra čeľustnej ortopédie LF SZU, Bratislava, prednostka MUDr. S. Dianišková, PhD., MPH
CITE:
DEGLOVIČ J., ŠUPLER M., DIANIŠKOVÁ S., MARKOVSKÁ N.: Bitewing digital radiography. Lek Obz 2022, 71 (9): 343-347
