Fibrous dysplasia is a benign fibroosseous bone dysplasia that can involve single (monostotic) or multiple (polyostotic) bones. Monostotic form is more frequent in the jaws. It is termed as craniofacial fibrous dysplasia, when it involves, though rarely, adjacent craniofacial bones. A 16‐year‐old girl consulted for a painless swelling in the right posterior mandible for two years. Panoramic radiography revealed ground‐glass ill‐defined lesions in the three different regions of the maxilla and mandible. Axial CT scan (bone window) showed multiple lesions involving skull base and facial bones. Despite lesions in the skull base, the patient had no abnormal neurological findings. The lesion was diagnosed as fibrous dysplasia based on radiological and histopathological examination. In this paper, CT findings and differential diagnosis of CFD are discussed. CT is a useful imaging technique for CFD cases.
Aim: Panoramic radiography is frequently used in dental practice as an imaging technique that provides an extensive view of facial anatomical structures. Achieving high-quality radiographic images requires precise positioning and technique. This study aims to evaluate the quality of panoramic radiographs, to identify common errors that compromise diagnostic adequacy, and to analyze interobserver agreement levels concerning these errors. Material and Method: A study analyzed 947 panoramic radiographs from the archive of Ordu University based on nine specific error criteria. Four research assistants evaluated the diagnostic quality of each image, classifying them as “excellent,” “diagnostically acceptable,” or “unacceptable.” Inter-observer agreement was measured with kappa statistics, and overall agreement was evaluated using the Fleiss κ test. Results: The rate of incorrect radiographs was 66.1% to 78.8%, with the most common error criterion differing for each observer. The least common error was the chin tipped too low for observers 1 and 2, and the patient positioned forward for observers 3 and 4. The highest inter-observer agreement was observed regarding the presence of foreign objects on the radiographs, while the lowest agreement occurred in cases where the patient was positioned too far back. Overall, the diagnostic quality of the panoramic radiographs was rated as “acceptable,” with scores ranging from 60.5% to 69.5%. The Fleiss Kappa analysis indicated fair agreement among the four observers in assessing radiographic quality (k=0.252). Conclusion: This study demonstrates that errors in panoramic radiography significantly impact image quality and diagnostic accuracy, highlighting the need for standardization, the use of various imaging models, and enhanced training in radiographic education.
20 April 2025 in Current Research in Dental Sciences
Objective: To evaluate the relationship between online searches for the term toothache and the COVID-19 pandemic in Türkiye by using Google Trends (GT) data. Methods: GT search was performed for the term "toothache" (in Turkish) for the period from March 03, 2019, to May 28, 2022, across Türkiye, and relative search volumes (RSV) per week were recorded. The dates between March 03, 2019-March 07, 2020 were considered as the pre-pandemic period, and between March 08, 2020-May 28, 2022 were considered as the pandemic period. The pandemic period was further divided into three groups; the early period, the full lockdown period, and the other weeks during the pandemic period. The mean RSV values of the pre-pandemic and pandemic periods were compared, and the relationship between the mean RSV values of pandemic period groups was also examined. The correlation between the number of COVID-19 cases and the RSV was analyzed. The statistical significance level was accepted as P <.05. Results: The mean RSV was significantly lower in the pre-pandemic period (62.96±9.98) than in the pandemic period (67.52±11.51) (P <.05). In the early pandemic period group, higher mean RSV was determined than other groups (P<.001). A negative correlation was found between the number of cases and RSV (r= -0.203, P <.05). Conclusion: Online searches for the term toothache increased during COVID-19 pandemic in Türkiye. Understanding the search trends in online media is critical to determine the interests and needs of the people regarding diseases and to provide the necessary information.