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Clinical Findings and Diagnostic Yield of Dental Radiographic Examinations in Southern Nigeria


Sobechukwu, W.I Onwuzu
Peter Odosa Nosa
Julius Amechi Agbo
Ugwoke Emmanuel A C
Ifunanya Sylvia Onwuzu

Abstract

ABSTRACT


Background: Oral diseases are the commonest non-communicable disease, causing pain, discomfort, and in extreme cases, death. Dental radiography is one of the clinical tools employed during diagnostic workups for dental complaints.


Objective: To determine the diagnostic yield of dental radiography in Enugu, southeastern Nigeria.


Methods: Using simple random sampling, ninety-two radiography reports from a pool of dental examinations conducted over a 2-year period were selected Information obtained includes the patient’s age, gender, clinical history, and radiographic findings.


Results: 45 female (48.9%) and 47 male (51.1%) patients aged between 21 and 30 years presented to the department. Only two (2.2%) asymptomatic patients came for a routine dental check-up. Respectively, tooth pain (n = 71, 77.2%) and dental caries (n = 37, 40.2%) were the most prevalent clinical symptoms and findings, while dental radiolucency, presenting majorly as periapical radiolucency, was the commonest radiographic finding (n = 22, 23.9%). The chi-square test demonstrated a strong association between clinical and radiographic findings (: 235.9, p< 0.005). No visible pathology was seen in 8 (8.7%) of the radiographs.


Conclusion: Dental caries was the most prevalent dental disease. Radiographic examinations provided a high diagnostic yield as they demonstrated a strong association with clinical findings. It remains a pivotal examination during the clinical workup of patients with dental anomalies.


Keywords: Dental disease, Dental radiography, Dental caries, Radiography


 


 


Journal Identifiers


eISSN: 2736-1063
print ISSN: 2736-1071