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Diagnostic Accuracy of Radiological Methods Regarding Root Resorption of Teeth Neighbouring Impacted Maxillary Canines - A systematic review
Malmö University, Faculty of Odontology (OD).
Malmö University, Faculty of Odontology (OD).
2019 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [sv]

Syfte: Syftet med denna studie var att systematiskt granska den vetenskapliga litteraturen gällande diagnostisk tillförlitlighet för röntgenmetoder avseende rotresorption på granntänder till överkäkshörntanden. Material och metod: För att uppnå en systematisk och ett transparant tillvägagångssätt användes PRISMA och CRDs handbok. Sökningen gjordes i fyra olika databaser, PubMed, Cochrane, Web of Science och Scopus av de två författarna. De inkluderade studierna kvalitetsgranskades enligt QUADAS-2 dokument. Resultat: Sökningen resulterade i 2175 studier. Fem studier inkluderades i denna systematiska litteraturöversikt och alla rapporterade diagnostisk tillförlitlighet. Intraoral periapikal röntgen, panorama, CT och CBCT var olika indextest i studierna. Extraherade tänder, CT och CBCT användes som referensstandard. Låg risk för bias visades i ungefär hälften av domänerna gällande risk för bias och för alla domäner gällande applicerbarhet. Tillförlitligheten hos tredimensionell röntgen varierade mellan 0,85-1,0 och tillförlitligheten hos tvådimensionell röntgen varierade från 0,45 till 0,78. Konklusion: Denna systematiska litteraturöversikt visade att tredimensionell röntgen hade högst sensitivitet och specificitet gällande rotresorption på granntänder till överkäkshörntänder. CBCT visade en högre tillförlitlighet än tvådimensionell röntgen. Även om CBCT har högre tillförlitlighet så har den också en högre strålningsdos och är inte alltid fördelaktig.

Abstract [en]

Aim: The aim of this study was to systematically review the scientific literature in diagnostic accuracy of radiographic methods regarding root resorption of teeth neighbouring impacted maxillary canines. Material and method: In order to get a systematic and transparent approach, the PRISMA statement and CRD’s guidance was followed. Four databases were searched, PubMed, Cochrane, Web of Science and Scopus by the two authors. The included studies were evaluated by the QUADAS-2 tool for quality assessment. Result: The search resulted in 2175 studies. Five studies were included in this review and all of them reported diagnostic accuracy. Intraoral periapical radiograph, panorama, CT and CBCT was used as index test among the studies. Extracted teeth, CT and CBCT was used as reference test. Low risk of bias was shown in approximately half of the domains for risk of bias and for all domains regarding applicability. The accuracy of three-dimensional ranged from 0.85-1.0 and the accuracy of two-dimensional ranged from 0.45-0.78. Conclusions: According to this systematic review, three-dimensional imaging showed the highest sensitivity and specificity regarding root resorptions caused by impacted maxillary canine. CBCT showed higher accuracy than two-dimensional imaging. Though, CBCT has higher accuracy it also has a higher radiation dose and might not always be beneficial regarding treatment planning. Therefore, CBCT should be used with respect and not routinely.

Place, publisher, year, edition, pages
Malmö universitet/Odontologiska fakulteten , 2019. , p. 28
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-19748Local ID: 29769OAI: oai:DiVA.org:mau-19748DiVA, id: diva2:1479592
Educational program
OD Tandläkarutbildning
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Available from: 2020-10-27 Created: 2020-10-27 Last updated: 2022-06-27Bibliographically approved

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