Study helps reduce errors in panoramic imaging

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Fruit leather, chewing gum help reduce errors in panoramic imaging

A recent study demonstrated that using fruit leather or chewing gum to position the tongue significantly reduces errors in panoramic imaging. (Image: olepeshkina/Shutterstock)

Tue. 23 July 2024

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TABRIZ, Iran: Incorrect tongue placement is the major cause of poor-quality dental radiographs, resulting in radiographic error of 40% to 80%. A recent study found that fruit leather can improve radiographic quality by helping patients hold their tongue in place against the palate. The findings might help reduce common errors in panoramic imaging and minimise additional radiation exposure necessitated by retakes.

The study included 270 patients referred to the Department of Oral and Maxillofacial Radiology in the Faculty of Dentistry at Tabriz University of Medical Sciences. The participants were randomly divided into a control group, a celluloid matrix group and an edible tapes group. Before undergoing panoramic imaging, all the patients were instructed to press their tongue against their palate. The patients in the celluloid matrix and edible tapes groups were additionally asked to place celluloid tape, fruit leather or chewing gum on their tongues before doing so. The researchers then performed routine imaging and compared the results across all groups to evaluate the incidence of palatoglossal air space shadow error.

According to the findings, high-quality radiographs were captured for 75.5% of the edible tapes group. In contrast, high-quality radiographs were obtained for 60.0% of the celluloid matrix group and only 36.6% of the control group.

Cherry Agustin, the editor-in-chief of Journal of Medical Radiation Sciences, commented in a press release that the results could help patients by reducing the need to recapture radiographs. “When a person can’t hold their tongue in place and the radiographer needs to retake the [radiograph], the patient has to spend more time and money, and gets exposed to more radiation,” she noted.

Sour fruit leather (thickness: 1 mm; a), chewing gum (thickness: 1 mm; b) and celluloid matrix strip (thickness: 5 μm; c). (Image: © 2024 Mokhtari et al., Journal of Medical Radiation Sciences, licensed under CC BY 4.0)

Sour fruit leather (thickness: 1 mm; a), chewing gum (thickness: 1 mm; b) and celluloid matrix strip (thickness: 5 μm; c). (Image: © 2024 Mokhtari et al., Journal of Medical Radiation Sciences, licensed under CC BY 4.0)

Approximate positioning of the respective strip in relation to the palate. (Image: © 2024 Mokhtari et al., Journal of Medical Radiation Sciences,licensed under CC BY 4.0)

Approximate positioning of the respective strip in relation to the palate. (Image: © 2024 Mokhtari et al., Journal of Medical Radiation Sciences,licensed under CC BY 4.0)

“Fruit leather […] can help get the [radiograph] right the first time, and also tastes delicious,” she added.

The study, titled Effect of using different strips on reducing the most common error in panoramic imaging: A randomised controlled trial on palatoglossal air space shadow”, was published in the June 2024 issue of Journal of Medical Radiation Sciences.

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