PMID- 25979226
OWN - NLM
STAT- MEDLINE
DCOM- 20171031
LR  - 20190318
IS  - 1460-2210 (Electronic)
IS  - 0141-5387 (Linking)
VI  - 38
IP  - 1
DP  - 2016 Feb
TI  - Quality assessment of orthodontic radiography in children.
PG  - 96-102
AB  - OBJECTIVES: Numbers of dental panoramic tomographs (DPTs) and lateral 
      cephalometric radiographs (LCRs) outweigh other radiographic examinations in 7- 
      to 12-year-old Finns. Orthodontists and general practitioners (GPs) involved in 
      orthodontics hold therefore the highest responsibility of the exposure of 
      children to ionising radiation with its risks. Against this background, lack of 
      reports on the quality of orthodontic radiography is surprising. The purpose of 
      our study was to shed some light and draw the awareness of the orthodontic 
      community on the subject by analyzing the quality of orthodontic radiography in 
      Oral Healthcare Department of City of Helsinki, in the capital of Finland. 
      MATERIALS AND METHODS: We analyzed randomly selected 241 patient files with DPTs 
      and 118 patient files with LCRs of 7- to 12-year-olds for the indications of 
      radiography, quality of referrals, status of interpretation, and number of failed 
      radiographs. RESULTS: The majority of DPTs (95%) and all LCRs had been ordered 
      for orthodontic reasons. Of the DPTs, 60% were ordered by GPs, and of the LCRs, 
      64% by orthodontists. The referrals were adequate for most DPTs (78%) and LCRs 
      (73%), orthodontists being responsible for the majority of inadequate referrals. 
      Of the DPTs, 80% had been interpreted. Of the LCRs, 65% lacked interpretation, 
      but 67% had been analysed cephalometrically. Failed radiographs, leading to 
      repeated exposure, were found in 2-3%. CONCLUSION: The quality assessment 
      revealed that orthodontic radiography may not completely fulfill the criteria of 
      good practice. Our results stress further need of continuing education in 
      radiation protection among both orthodontists and GPs involved in orthodontics.
CI  - (c) The Author 2015. Published by Oxford University Press on behalf of the European 
      Orthodontic Society. All rights reserved. For permissions, please email: 
      journals.permissions@oup.com.
FAU - Pakbaznejad Esmaeili, Elmira
AU  - Pakbaznejad Esmaeili E
AD  - *Oral Radiology, Department of Oral and Maxillofacial Diseases, University of 
      Helsinki, elmira.pakbaznejad@helsinki.fi.
AD  - **Oral Healthcare Department of City of Helsinki.
FAU - Ekholm, Marja
AU  - Ekholm M
AD  - *Oral Radiology, Department of Oral and Maxillofacial Diseases, University of 
      Helsinki.
AD  - ***University Dental Clinic of City of Helsinki.
FAU - Haukka, Jari
AU  - Haukka J
AD  - ****Department of Public Health, University of Helsinki.
FAU - Waltimo-Siren, Janna
AU  - Waltimo-Siren J
AD  - ***University Dental Clinic of City of Helsinki.
AD  - *****Orthodontics, Department of Oral and Maxillofacial Diseases, University of 
      Helsinki, Finland.
LA  - eng
PT  - Journal Article
DEP - 20150514
PL  - England
TA  - Eur J Orthod
JT  - European journal of orthodontics
JID - 7909010
SB  - IM
MH  - Age Distribution
MH  - Cephalometry/methods/standards
MH  - Child
MH  - Educational Status
MH  - Female
MH  - Finland
MH  - Humans
MH  - Image Interpretation, Computer-Assisted/methods
MH  - Male
MH  - Orthodontics/education/*standards
MH  - *Quality Assurance, Health Care
MH  - Radiation Protection
MH  - Radiography, Panoramic/methods/*standards
MH  - Random Allocation
MH  - Referral and Consultation/standards
MH  - Tomography, X-Ray Computed/methods/*standards
EDAT- 2015/05/17 06:00
MHDA- 2017/11/01 06:00
CRDT- 2015/05/17 06:00
PHST- 2015/05/17 06:00 [pubmed]
PHST- 2017/11/01 06:00 [medline]
PHST- 2015/05/17 06:00 [entrez]
AID - cjv033 [pii]
AID - 10.1093/ejo/cjv033 [doi]
PST - ppublish
SO  - Eur J Orthod. 2016 Feb;38(1):96-102. doi: 10.1093/ejo/cjv033. Epub 2015 May 14.