Mutalik Sunil, Rengasamy Kandasamy, Tadinada Aditya
Quintessence Int. 2018;49(5):419-426. doi: 10.3290/j.qi.a40112.
Several incidental findings with varying degrees of clinical significance are often found on cone beam computed tomography (CBCT) scans of the maxillofacial skeleton acquired for dental procedures. The present study analyzed CBCT scans of dental implant therapy patients to identify incidental findings and assign those findings an appropriate clinical significance.
A total of 500 CBCT scans of patients were evaluated for this study. The incidental findings recorded in different anatomical regions were assigned a clinical significance score of mild, moderate, or severe. These findings were further segregated based on age and sex to evaluate specific trends for prevalence of incidental findings and their clinical significance.
Out of the 298 intracranial findings, four were categorized as moderate. Out of 407 sinonasal findings, 19 were categorized as severe. Most (43%) of the airway findings were classified as mild. Among the cervical vertebrae findings the severe category included degenerative changes and vertebral-body fusion along with other degenerative changes. Most (259 [51.8%]) of the vascular findings were categorized as severe.
Patients referred for dental implant treatment present with a myriad of incidental radiographic findings in the head and neck region. It is important that care providers recognize and understand these findings so appropriate care and timely intervention may be initiated.
在为牙科手术进行的颌面部骨骼锥形束计算机断层扫描（CBCT）中，经常会发现一些具有不同程度临床意义的偶然发现。本研究分析了牙种植治疗患者的CBCT扫描，以识别偶然发现并赋予这些发现适当的临床意义。
本研究共评估了500例患者的CBCT扫描。将在不同解剖区域记录的偶然发现赋予轻度、中度或重度的临床意义评分。这些发现进一步按年龄和性别进行分类，以评估偶然发现的患病率及其临床意义的特定趋势。
在298例颅内发现中，4例被归类为中度。在407例鼻窦发现中，19例被归类为重度。大多数（43%）气道发现被归类为轻度。在颈椎发现中，重度类别包括退行性改变和椎体融合以及其他退行性改变。大多数（259例[51.8%]）血管发现被归类为重度。
因牙种植治疗而转诊的患者在头颈部区域存在大量偶然的影像学发现。护理人员认识和理解这些发现很重要，以便能够启动适当的护理和及时的干预。
