Comparison of healing assessments of periapical endodontic surgery using conventional radiography and cone-beam computed tomography: A systematic review
Sharma Garima, Abraham Dax, Gupta Alpa, Aggarwal Vivek, Mehta Namrata, Jala Sucheta, Chauhan Parul, Singh Arundeep,
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( Sharma Garima ) - Manav Rachna Dental College Department of Conservative Dentistry and Endodontics
( Abraham Dax ) - Manav Rachna Dental College Department of Conservative Dentistry and Endodontics
( Gupta Alpa ) - Manav Rachna Dental College Department of Conservative Dentistry and Endodontics
( Aggarwal Vivek ) - Jamia Millia Islamia Faculty of Dentistry Department of Conservative Dentistry & Endodontics
( Mehta Namrata ) - Manav Rachna Dental College Department of Conservative Dentistry and Endodontics
( Jala Sucheta ) - Manav Rachna Dental College Department of Conservative Dentistry and Endodontics
( Chauhan Parul ) - Manav Rachna Dental College Department of Conservative Dentistry and Endodontics
( Singh Arundeep ) - Manav Rachna Dental College Department of Conservative Dentistry and Endodontics
Abstract
Purpose: This systematic review aimed to compare assessments of the healing of periapical endodontic surgery using conventional radiography and cone-beam computed tomography (CBCT).
Materials and Methods: This review of clinical studies was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. All articles published from 1990 to March 2020 pertaining to clinical and radiographic healing assessments after endodontic surgery using conventional radiography and CBCT were included. The question was “healing assessment of endodontic surgery using cone-beam computed tomography.” The review was conducted by manual searching, as well as undertaking a review of electronic literature databases, including PubMed and Scopus. The studies included compared radiographic and CBCT assessments of periapical healing after periapical endodontic surgery.
Results: The initial search retrieved 372 articles. The titles and abstracts of these articles were read, leading to the selection of 73 articles for full-text analysis. After the eligibility criteria were applied, 11 articles were selected for data extraction and qualitative analysis. The majority of studies found that CBCT enabled better assessments of healing than conventional radiography, suggesting higher efficacy of CBCT for correct diagnosis and treatment planning. A risk of bias assessment was done for 10 studies, which fell into the low to moderate risk categories.
Conclusion: Three-dimensional radiography provides an overall better assessment of healing, which is imperative for correct diagnosis and treatment planning.
키워드
Cone-Beam Computed Tomography; Apicoectomy; Systematic Review
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