Abstract
Abstract Lateral cephalograms and orthopantomograms (OPGs) are often taken prior to the commencement of orthodontic treatment to assist in diagnosis and treatment planning. Further radiographs may be taken during treatment to monitor progress. It is the responsibility of the practitioner to carefully and thoroughly assess all aspects of the radiographs, both orthodontic and non-orthodontic. In the case presented, a radiolucency in the right mandible was identified in a mid-treatment OPG. Following referral to an oral maxillofacial surgeon for opinion and management, the lesion was biopsied and a specimen sent for histological examination. This case highlights the need for the orthodontic clinician to assess not only the state of orthodontic treatment, but also the overall clinical presentation and any radiographs that may be taken.
Highlights
A consensus has not been reached on the minimum record set required for orthodontic diagnosis and treatment planning,[1] many practitioners traditionally take dental models, facial and intraoral photographs and a series of two-dimensional radiographs
The records are taken for orthodontic assessment, it is the duty of the requesting clinician to carefully assess all aspects of the records, the radiographs, from both orthodontic and nonorthodontic perspectives.[2]
Local excision is generally curative but ongoing radiographic follow-up is recommended
Summary
A consensus has not been reached on the minimum record set required for orthodontic diagnosis and treatment planning,[1] many practitioners traditionally take dental models, facial and intraoral photographs and a series of two-dimensional radiographs. Following clinical assessment and appropriate interpretation of gathered records, further information might be obtained as needed. During or at the end of treatment, records may be acquired to assist in further management of the patient. These are taken prior to appliance removal in order to verify the correct apical position of the teeth and to prescribe an appropriate retention regime. Bondemark et al.,[3] in a study of 496 OPGs, noted 56 (8.7%) findings that were not related to orthodontic
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