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- Title
Validity of using a panoramic radiograph for initial dental classification of Army recruits.
- Authors
Chaffin JG; Hennessy BJ; Cripps KA; Chaffin, Jeffrey G; Hennessy, Bernard J; Cripps, Kathryn A
- Abstract
<bold>Objective: </bold>The objective of this study was to examine the validity of classifying Initial Entry Training (IET) soldiers into dental fitness classification 2 or 3 based solely on examining panoramic radiographs.<bold>Materials and Methods: </bold>The dental readiness classification, derived from a clinical screening examination versus a panoramic radiological examination, was compared for 1,050 Fort Sill Basic Training recruits during a 1-month period. The dentist who reviewed the panoramic radiograph and determined a dental classification was blinded to the earlier dental classification from the clinical examination. The Spearman's rank order correlation test was used to determine if a statistically significant correlation existed between classifications based on the clinical examination versus classification by review of the panoramic radiograph alone.<bold>Results: </bold>The project identified that 18% (n = 186) and 23.7% (n = 249) of the sample population had at least one class 3 condition identified from the clinical screening examination and the panoramic radiograph review, respectively. Of the 186 dental fitness category 3 conditions identified from the routine dental screening, 81.7% (152) of them were also identified from the review of the panoramic radiograph. Spearman's rank order correlation test statistic was 0.633 for a p < 0.001, indicating a statistically significant correlation in the identification of IET soldiers with class 3 conditions using a screening examination with a review of the panoramic radiograph.<bold>Conclusions: </bold>The findings of this study suggest that panoramic radiograph review can identify IET soldiers with dental fitness category 3 conditions and implies that a policy change may be prudent to allow this type of initial classification.
- Publication
Military Medicine, 2004, Vol 169, Issue 5, p368
- ISSN
0026-4075
- Publication type
journal article
- DOI
10.7205/milmed.169.5.368