Validity of Using a Panoramic Radiograph for Initial Dental Classification of Army Recruits
Source: Military Medicine, Volume 169, Number 5, May 2004 , pp. 368-372(5)
Abstract:Objective: 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. Materials and Methods: 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. Results: 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. Conclusions: 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.
Document Type: Research Article
Affiliations: 1: Public Health Dental Officer, U.S. Army Dental Command, 2050 Worth Road, Suite 4, Fort Sam Houston, TX 78234. 2: Assistant Program Director, Comanche Advanced General Dentistry Program, 605 Randolph Road, Fort Sill, OK 73503. 3: Program Director, Comanche Advanced General Dentistry Program, 605 Randolph Road, Fort Sill, OK 73503.
Publication date: May 2004
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Military Medicine is the Association's official monthly journal. The objective of the Journal is to promote awareness of Federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to Federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members' writings.
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