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Article: Volume 44 Number 9 Page 833 - October 2017

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  Dent Update 2017; 44: 833-837

Paediatric dentistry:  Serendipity on Bitewing Radiographs

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Abstract: An odontoma is described as a hamartoma, which is usually classified as a benign tumour. This clinical report will describe an unusual presentation of an odontoma in the mandibular primary molar region and highlight the importance of a comprehensive clinical and radiographic examination. A systematic approach to reading bitewing radiographs will also be described.

Clinical relevance: This clinical report serves as a good example to highlight the importance of thorough radiographic examination to enable detection of tooth abnormalities and facilitate timely interventions; thus preventing or reducing the severity of the potential complications.

Author notes: Gregory Celine, BOH DSc, GDip Dent, Paediatric Dental Registrar, University of Western Australia, Susan Wong, BDS, DClinDent(Paed), MRACDS(Paed Dent), Specialist Paediatric Dentist, University of Western Australia, Robert Anthonappa, BDS, MDS(Paed Dent), AdvDipDS, PhD, MPaedDent RCSEd, FDS RCSEd, MRACDS(Paed), Discipline Lead and Program Convenor, Paediatric Dentistry, University of Western Australia and Nigel M King, BDS(Hons), MSc(Hons), FDS RCSEd, FDS RCS(Eng), LDS RCS, PhD, Paediatric Dentistry, University of Western Australia, 17 Monash Avenue, Nedlands, WA 6009, Australia.

Objective: To outline a systematic approach to the reading of radiographs to identify inconspicuous tooth abnormalities.