Evaluation of Soft and Hard Tissue Radiopacities on Panoramic Radiographs: A Retrospective Study

Safiye Pelin Şahiner; Dilek Çoban Tazegül; Yasin Yasa

doi:10.7126/cumudj.1843812

EN TR

Evaluation of Soft and Hard Tissue Radiopacities on Panoramic Radiographs: A Retrospective Study

Abstract

Objectives: Panoramic radiography is a widely used imaging modality in dentistry. Areas of increased mineral density within anatomical structures appear as radiopaque regions on radiographs. Radiopacities detected on panoramic radiographs may be associated with both physiological and pathological processes. The aim of this study was to retrospectively evaluate common radiopacities observed in both hard and soft tissues on panoramic radiographs. Materials and Methods: This retrospective study analyzed 10000 panoramic radiographs to evaluate radiopacities in hard and soft tissues. Radiopacities detected on the radiographs were classified according to their radiographic characteristics. The distribution of radiopacities was analyzed according to age, gender, and anatomical localization. Statistical analysis was performed using the Chi-square test, with a significance level set at p< 0.05. Results: A total of 1060 radiopacities were identified in 963 patients, including 284 (3.25%) in soft tissues and 776 (8.89%) in hard tissues. Tonsilloliths were the most common soft tissue calcification, whereas idiopathic osteosclerosis was the most frequent hard tissue radiopacity. Conclusion: Although most hard and soft tissue radiopacities are asymptomatic and do not require treatment, accurate diagnosis of certain lesions is clinically important. Therefore, systematic evaluation of panoramic radiographs is essential for the detection and appropriate management of these findings.

Keywords

Panoramik Radyograflarda Yumuşak ve Sert Doku Radyopasitelerinin Değerlendirilmesi: Retrospektif Bir Çalışma

Abstract

Amaç: Panoramik radyografi, diş hekimliğinde yaygın olarak kullanılan bir görüntüleme yöntemidir. Anatomik yapılar içindeki mineral yoğunluğunun arttığı bölgeler, radyografilerde radyopak alanlar olarak görülür. Panoramik radyografilerde tespit edilen radyopak alanlar hem fizyolojik hem de patolojik süreçlerle ilişkili olabilir. Bu çalışmanın amacı, panoramik radyografilerde hem sert hem de yumuşak dokularda gözlemlenen yaygın radyopasiteleri retrospektif olarak değerlendirmektir. Gereç ve Yöntemler: Bu retrospektif çalışmada, sert ve yumuşak dokulardaki radyopasiteleri değerlendirmek amacıyla 10000 panoramik röntgen filmi analiz edildi. Röntgen filmlerinde tespit edilen radyopasiteler, radyografik özelliklerine göre sınıflandırıldı. Radyopasitelerin dağılımı yaş, cinsiyet ve anatomik lokalizasyona göre incelendi. İstatistiksel analiz, anlamlılık düzeyi p <0,05 olarak belirlenerek Ki-kare testi kullanılarak gerçekleştirildi. Bulgular: 963 hastada toplam 1060 radyopasite tespit edildi; bunların 284'ü (3.25%) yumuşak dokularda, 776'sı (8.89%) ise sert dokularda yer alıyordu. En sık görülen yumuşak doku kalsifikasyonu tonsillolit, en sık görülen sert doku radyopasitesi ise idiyopatik osteosklerozdu. Sonuçlar: Çoğu sert ve yumuşak doku radyopasitesi asemptomatik olup tedavi gerektirmese de bazı lezyonların doğru teşhisi klinik açıdan önemlidir. Bu nedenle, bu lezyonların saptanması ve uygun şekilde yönetilmesi için panoramik röntgen filmlerinin sistematik olarak değerlendirilmesi büyük önem taşımaktadır.

Keywords

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Details

Primary Language

English

Subjects

Oral and Maxillofacial Surgery, Oral and Maxillofacial Radiology, Oral Medicine and Pathology

Journal Section

Research Article

Authors

Safiye Pelin Şahiner
0009-0002-0955-3472
Türkiye

Dilek Çoban Tazegül ^*
0000-0001-7565-8147
Türkiye

Yasin Yasa
0000-0002-4388-2125
Türkiye

Publication Date

September 30, 2026

Submission Date

December 17, 2025

Acceptance Date

August 6, 2026

Published in Issue

Year 2026 Volume: 29 Number: 3

DOI

https://doi.org/10.7126/cumudj.1843812

IZ

https://izlik.org/JA84HW32BX

Cite

RIS / Bibtex

APA

Şahiner, S. P., Çoban Tazegül, D., & Yasa, Y. (2026). Evaluation of Soft and Hard Tissue Radiopacities on Panoramic Radiographs: A Retrospective Study. Cumhuriyet Dental Journal, 29(3), 393-399. https://doi.org/10.7126/cumudj.1843812

AMA

1.Şahiner SP, Çoban Tazegül D, Yasa Y. Evaluation of Soft and Hard Tissue Radiopacities on Panoramic Radiographs: A Retrospective Study. Cumhuriyet Dent J. 2026;29(3):393-399. doi:10.7126/cumudj.1843812

Chicago

Şahiner, Safiye Pelin, Dilek Çoban Tazegül, and Yasin Yasa. 2026. “Evaluation of Soft and Hard Tissue Radiopacities on Panoramic Radiographs: A Retrospective Study”. Cumhuriyet Dental Journal 29 (3): 393-99. https://doi.org/10.7126/cumudj.1843812.

EndNote

Şahiner SP, Çoban Tazegül D, Yasa Y (September 1, 2026) Evaluation of Soft and Hard Tissue Radiopacities on Panoramic Radiographs: A Retrospective Study. Cumhuriyet Dental Journal 29 3 393–399.

IEEE

[1]S. P. Şahiner, D. Çoban Tazegül, and Y. Yasa, “Evaluation of Soft and Hard Tissue Radiopacities on Panoramic Radiographs: A Retrospective Study”, Cumhuriyet Dent J, vol. 29, no. 3, pp. 393–399, Sept. 2026, doi: 10.7126/cumudj.1843812.

ISNAD

Şahiner, Safiye Pelin - Çoban Tazegül, Dilek - Yasa, Yasin. “Evaluation of Soft and Hard Tissue Radiopacities on Panoramic Radiographs: A Retrospective Study”. Cumhuriyet Dental Journal 29/3 (September 1, 2026): 393-399. https://doi.org/10.7126/cumudj.1843812.

JAMA

1.Şahiner SP, Çoban Tazegül D, Yasa Y. Evaluation of Soft and Hard Tissue Radiopacities on Panoramic Radiographs: A Retrospective Study. Cumhuriyet Dent J. 2026;29:393–399.

MLA

Şahiner, Safiye Pelin, et al. “Evaluation of Soft and Hard Tissue Radiopacities on Panoramic Radiographs: A Retrospective Study”. Cumhuriyet Dental Journal, vol. 29, no. 3, Sept. 2026, pp. 393-9, doi:10.7126/cumudj.1843812.

Vancouver

1.Safiye Pelin Şahiner, Dilek Çoban Tazegül, Yasin Yasa. Evaluation of Soft and Hard Tissue Radiopacities on Panoramic Radiographs: A Retrospective Study. Cumhuriyet Dent J. 2026 Sep. 1;29(3):393-9. doi:10.7126/cumudj.1843812