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. 2025 Aug 30;25(1):1235.
doi: 10.1186/s12909-025-07829-w.

Assessing dental students' knowledge of panoramic radiographs and the importance of normal anatomy education

Yoon Joo Choi #  1 , Kug Jin Jeon #  1 , Chena Lee  1 , Sang-Sun Han  2   3
Affiliations

Assessing dental students' knowledge of panoramic radiographs and the importance of normal anatomy education

Yoon Joo Choi et al. BMC Med Educ. .

Abstract

Background: This study aimed to investigate dental students' knowledge of normal anatomical structures and their competency in diagnosing jaw lesions using panoramic radiographs, as well as to compare diagnostic accuracy among three groups with different levels of anatomical knowledge.

Methods: A computer-based test, consisting of 50 panoramic radiographs (10 depicting normal anatomical structures and 40 showing jaw lesions), was conducted on November 8, 2023, at Yonsei Dental University. The 40 jaw lesions were classified into four categories: cyst, benign tumor, inflammation or malignancy, and other bone lesion. The mean score for the 10 anatomical structure questions and the mean accuracy rate for diagnosing the 40 jaw lesions were calculated. Based on their scores on the anatomical structure questions, 125 students were divided into three groups (upper, middle, and lower). The accuracy rates for diagnosing jaw lesions among these groups were statistically analyzed using the Kruskal-Wallis test (p = 0.05).

Results: Among all students, the mean score for normal anatomical structures was 5.99 out of 10, and the mean accuracy rate for diagnosing jaw lesions was 44.8%. In the analysis of jaw lesions, the four categories exhibited significant differences in accuracy rates: cyst (53.8%), benign tumor (47.7%), inflammation or malignancy (45.0%), and other bone lesion (32.7%). The three groups based on anatomical structure scores showed significantly different accuracy rates for diagnosing jaw lesions (p < 0.05). The upper group, with the highest anatomical structure scores, achieved an accuracy rate of 54.5%, outperforming the other groups.

Conclusions: Knowledge of anatomical structures enhances the ability to diagnose jaw lesions using panoramic radiographs. These findings underscore the importance of anatomical education in dental curricula to improve diagnostic accuracy.

Keywords: Anatomy; Dental; Diagnostic Imaging; Education; Jaw Disease; Panoramic; Radiography.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: Approval was obtained from the ethics committee of Yonsei Dental College Hospital IRB ( No. 2-2024-0080). The procedure used in this study adheres to the tenets of the Declaration of Helsinki. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Ten questions about normal anatomical structures on two panoramic radiographs presenting bone (a) and soft tissue structures (b). 1: innominate line, 2: hard palate, 3: infraorbital canal, 4: pterygomaxillary fissure, 5: hyoid bone, 6: mental foramen, 7: ghost image of mandibular angle, 8: dorsal surface of tongue, 9: nasolabial fold, 10: soft palate
Fig. 2
Fig. 2
Examples of four categories of jaw lesions. Cyst (a), benign tumor (b), inflammation or malignancy (c), and other bone lesion (d). Jaw lesions are presented in white boxes on each panoramic radiograph
See this image and copyright information in PMC

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