Incidental Radiographic Findings in Pediatric Dental Practice

  • Johan Aps


This chapter contains a myriad of examples of incidental radiographic findings, and it also illustrates that good diagnostic skills are essential and paramount in distinguishing normal from abnormal or aberrant anatomy and the latter from pathology. Foreign objects can be another challenge, especially if they are not radiopaque. Often endoscopic nasal investigations by ear, nose, and throat specialists result in incidental findings of pieces of toys or a coin or an earring being stuck in the nasal cavity. Sometimes they have been there for months or years. As pediatric dentist, one should keep an open mind as to what children can push into their ears, noses, and mouth. Our greatest fear is when objects are being aspirated and cause stridor or even worse asphyxiation. A good clinical examination and a justified radiographic examination can answer most clinical complaints or issues.

Further Reading

  1. Al-batayneh OB, GA AJ, EK AT. Pre-eruptive intracoronal dentine radiolucencies in the permanent dentition of Jordanian children. Eur Arch Paediatr Dent. 2014;15:229–36.CrossRefGoogle Scholar
  2. Avsever H, Gunduz K, Karakoc O, Akyol M, Orhan K. Incidental findings on cone-bean computed tomographic images: paranasal sinus findings and nasal septum variations. Oral Radiol. 2018;34:40–8.CrossRefGoogle Scholar
  3. Edwards R, Altalibi M, Flores-Mir C. The frequency and nature of incidental findings in cone-beam computed tomographic scans of the head and neck region: A systematic Review. JADA. 2013;144(2):161–70.PubMedGoogle Scholar
  4. Lenzi R, Marceliano-Alves MF, FRF A, Pires FR, Fidel S. Pre-eruptive intracoronal resorption in a third upper molar: clinical, tomographic and histological analysis. Austr Dental J. 2017;62:223–7.CrossRefGoogle Scholar
  5. Lopes IA, RMA T, Handem RH, ALA C. Study of the frequency and location of incidental findings of the maxillofacial region in different fields of view in CBCT scans. Dentomaxillofacial Radiology. 2017;46:20160215.CrossRefGoogle Scholar
  6. MAR K, Pazera A, Admiraal RJ, Berge SJ, Vissink A, Pazera P. Incidental findings on cone beam computed tomography scans in cleft lip and palate patients. Clin Oral Invest. 2014;18:1237–44.CrossRefGoogle Scholar
  7. O’Sullivan JW, Muntinga T, Grigg S, JPA I. Prevalence and outcomes of incidental imaging findings: umbrella review. BMJ. 2018;361:k2387.CrossRefGoogle Scholar
  8. Oser DG, Henson BR, Shiang EY, Finkelman MD, Amato RB. Incidental findings in small field of view cone-beam computed tomography scans. JOE. 2017;43:901–4.PubMedGoogle Scholar
  9. Timucin A. Management of hidden caries: a case of severe pre-eruptive intracoronal resorption. J Can Dent Assoc. 2014;80:e59.Google Scholar
  10. Warhekar S, Nagarajappa S, Dasar PL, Warhekar AM, Parihar A, Phulambrikar T, Airen B, Jain D. Incidental findings on cone beam computed tomography and reasons for referral by dental practitioners in Indore City (M.P). J Clin Diagn Res. 2015;9(2):ZC21–4.PubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Johan Aps
    • 1
  1. 1.Dental SchoolUniversity of Western AustraliaWestern AustraliaAustralia

Personalised recommendations