Capability of dental practitioners to identify condylar changes on orthopantomograms: a multicenter cross-sectional study in Pakistan.

Background: A comprehensive understanding of temporomandibular joint (TMJ) anatomy and Condylar changes is pivotal in facilitating the accurate diagnosis and proficient management of patients exhibiting TMJ dysfunction. This study is focused on assessing the Pakistani dental practitioner's ability t...

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Publicado en:BMC Oral Health Vol. 25; no. 1; pp. 1 - 11
Autores principales: Ijaz, Hafsa, Chaudhary, Muhammad Aamir Ghafoor, Tauheed, Syeda Laiba, Shehzad, Maheer, Ahtasham, Haris, Riaz, Hira, Abbas, Syeda Kashaf, Ashraf, Javed
Formato: diagnostic images research tables/charts Journal Article
Publicado: BioMed Central 11/14/2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 11/14/2025
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      pub: BioMed Central
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        10.1186/s12903-025-07127-3
        189359130
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        atl: Capability of dental practitioners to identify condylar changes on orthopantomograms: a multicenter cross-sectional study in Pakistan.
      aug:
        au:
          Ijaz, Hafsa
          Chaudhary, Muhammad Aamir Ghafoor
          Tauheed, Syeda Laiba
          Shehzad, Maheer
          Ahtasham, Haris
          Riaz, Hira
          Abbas, Syeda Kashaf
          Ashraf, Javed
        affil: https://ror.org/02kdm5630 Department, Islamic International Dental College and Hospital, Riphah International University Islamabad, Islamabad, Pakistan
      sug:
        subj:
          Dentists Psychosocial Factors
          Clinical Competence Evaluation
          Temporomandibular Joint Diseases Radiography
          Mandibular Condyle Radiography
          Mandibular Condyle Pathology
          Radiography, Panoramic
          Specialties, Dental
          Sensitivity and Specificity
          Pakistan
          Human
          Female
          Male
          Adult
          Middle Age
          World Health Organization
          Radiography, Dental
          Nonprobability Sample
          Descriptive Statistics
          Dentistry
          Hyperplasia
          Sclerosis
          Dental Enamel Hypoplasia
          Chi Square Test
          Logistic Regression
          Structured Questionnaires
          Confidence Intervals
          ROC Curve
          Odds Ratio
          Multicenter Studies
          Cross Sectional Studies
          Data Analysis Software
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: A comprehensive understanding of temporomandibular joint (TMJ) anatomy and Condylar changes is pivotal in facilitating the accurate diagnosis and proficient management of patients exhibiting TMJ dysfunction. This study is focused on assessing the Pakistani dental practitioner's ability to identify condylar changes on OPGs and compare diagnostic accuracy across different dental specialities. Methods: Cross sectional study method was used. WHO calculator was used to determine a sample size of 385, maintaining a 5% margin of error, and a 95% confidence level. A non-probability consecutive method of sampling was used for the sampling process to ensure a steady inclusion of participants over the study duration. Results: A total of 385 dental practitioners participated in the study, comprising 100 (26.0%) males and 285 (74.0%) females. House officers that participated in the study were 146 (37.9) 127 (33%) were postgraduates, 78 (20.3%) were general dentists and 14 (3.6%) were consultants. The results indicated that 251 (65.2%) of the participants observed the condyles on both sides in OPGs during their daily practice. Only 17.1% of practitioners demonstrated complete agreement across all six OPGs, highlighting substantial variability in diagnostic accuracy. General dentistry consistently demonstrated the highest accuracy rates in identifying condylar hyperplasia (61.9%), flattening (58%), Sclerosis (46.3%), deviation/dislocation (64%), hypoplasia (50.4%), and surface erosion (56.9%) in comparison to other specialities. Conclusions: The findings of the study conclude that in certain cases, Pakistani general dentists performed better in terms of correctly identifying OPGs. However, in other cases specialists were equally proficient in recognizing various condylar alterations. This study identified significant gaps in knowledge in the correct identification of condylar changes among dental practitioners both at specialists and general dentist's level. These results suggest us that additional training might be needed equally, at regular intervals for both general and specialist dentists.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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