scholarly journals CBCT in orthodontics: a systematic review on justification of CBCT in a paediatric population prior to orthodontic treatment

2018 ◽  
Vol 41 (4) ◽  
pp. 381-389 ◽  
Author(s):  
Annelore De Grauwe ◽  
Irem Ayaz ◽  
Sohaib Shujaat ◽  
Simon Dimitrov ◽  
Logan Gbadegbegnon ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Systematic Review ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Treatment Options ◽  
Correct Diagnosis ◽  
Conventional Radiography ◽  
Paediatric Population ◽  
Treatment Optimization ◽  
Diagnostic Efficacy

Summary Background Taking into account radiation doses, safety, and protection, we highlighted the features in which cone-beam computed tomography (CBCT) can offer an advantage compared to the conventional two-dimensional imaging in paediatric dentistry before orthodontic treatment. Objective The aim of this article was to conduct a systematic review to assess the diagnostic efficacy of CBCT in the paediatric population at a pre-orthodontic phase. Search methods MEDLINE via PubMed was searched to identify all peer-reviewed articles potentially relevant to the review until 1 July 2018. Relevant publications were selected by two reviewers independently. Selection criteria The literature selection for this systematic review was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and was based on predetermined inclusion criteria. Data collection and analysis Data were collected on overall study characteristics and examination characteristics of the selected studies. Methodological quality of the selected studies was evaluated. Original studies were assessed using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool. Thereafter, levels of evidence were obtained according to Grading of Recommendations Assessment, Development and Evaluation criteria. Results As a result of the QUADAS assessment, a total of 37 articles were included in the protocol. Following a proper protocol, CBCT was regarded as a reliable tool for assessment and management of impacted canine and root fracture. It provided a better evaluation of normal and pathological condylar shape and volume. CBCT was a superior choice for pre-surgical diagnostic applications in cleft lip and/or palate over a medical computed tomography based on its lower radiation exposure, shorter investigation time, and low purchase costs. Conclusions CBCT is justified only in those cases where conventional radiography fails to provide a correct diagnosis of pathology. Therefore, it cannot be regarded as a standard method of diagnosis. CBCT imaging may also be justified when it positively affects treatment options or provides treatment optimization. Registration None. Conflict of interest None to declare.

scholarly journals Characteristics and treatment effectiveness of the nummular headache: a systematic review and analysis of 110 cases

2020 ◽  
Vol 2 (1) ◽  
pp. e000049
Author(s):  
Urvish K Patel ◽  
Sidra Saleem ◽  
Arsalan Anwar ◽  
Preeti Malik ◽  
Bindi Chauhan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Complete Resolution ◽  
Rating Scale ◽  
Botulinum Toxin Type A ◽  
Treatment Options ◽  
Correct Diagnosis ◽  
Primary Headache ◽  
Tricyclic Antidepressant ◽  
Nummular Headache ◽  
Pubmed Database

Background/objectiveNummular headache (NH) is a primary headache disorder characterised by intermittent or continuous scalp pain, affecting a small circumscribed area of the scalp. As there are limited data in the literature on NH, we conducted this review to evaluate demographic characteristics and factors associated with complete resolution of the headache, and effectiveness of treatment options.MethodsWe performed a systematic review of cases reported through PubMed database, using Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol and ‘nummular headache’, ‘coin-shaped headache’ and ‘coin-shaped cephalalgia’ keywords. Analysis was performed by using χ2 test and Wilcoxon rank-sum test. For individual interventions, the response rate (RR%) of the treatment was calculated.ResultsWe analysed a total of 110 NH cases, with median age 47 years and age of pain onset 42 years. Median duration to make correct diagnosis was 18 months after first attack. The median intensity of each attack was 5/10 on verbal rating scale over 4 cm diameter with duration of attack <30 min. Patients with NH had median three attacks per day with frequency of 9.5 days per month. 40 (57.97%) patients had complete resolution of the headache after treatment. Patients with complete resolution were younger, more likely to be female, and were more likely to have diagnosis within year. Patients with complete resolution more likely to have received treatment with onabotulinum toxin A (botulinum toxin type A (BoNT-A)), and gabapentin compared with patients without complete resolution. Most effective interventions were gabapentin (n=34; RR=67.7%), non-steroidal anti-inflammatory drugs (NSAIDs) (n=32; RR=65.6%), BoNT-A (n=12; RR=100%) and tricyclic antidepressant (n=9; RR=44.4%).ConclusionYounger patients, female sex and early diagnosis were associated with complete resolution. NSAIDs, gabapentin and BoNT-A were most commonly used medications, with significant RRs.

scholarly journals Evaluation of orthodontically induced external root resorption following orthodontic treatment using cone beam computed tomography (CBCT): a systematic review and meta-analysis

2018 ◽  
Vol 41 (1) ◽  
pp. 67-79 ◽  
Author(s):  
Aikaterini Samandara ◽  
Spyridon N Papageorgiou ◽  
Ioulia Ioannidou-Marathiotou ◽  
Smaragda Kavvadia-Tsatala ◽  
Moschos A Papadopoulos
Keyword(s):  
Computed Tomography ◽  
Systematic Review ◽  
Cone Beam Computed Tomography ◽  
Orthodontic Treatment ◽  
Root Resorption ◽  
Meta Analysis ◽  
Cone Beam ◽  
External Root Resorption

scholarly journals Cone Beam Computed Tomography Study on the Incidence of Endodontic Filling Biomaterials Resorption in Patients With/Without Orthodontic Treatment

2021 ◽  
Vol 6 (2) ◽  
pp. 103-107
Author(s):  
Eugen Bud ◽  
Mariana Păcurar ◽  
Alexandru Vlasa ◽  
Cristina Bica ◽  
Krisztina Martha ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Orthodontic Treatment ◽  
Periodontal Diseases ◽  
Correct Diagnosis ◽  
Cone Beam ◽  
Total Length ◽  
Lower Jaw ◽  
Starting Point ◽  
Study Population ◽  
The Mean

Abstract Background: The differential diagnosis of endodontic and periodontal diseases can sometimes be clinically difficult, but it is vital to establish a correct diagnosis so that predictable treatment can be offered. Aim: The aim of this study was to highlight the prevalence of endo-periodontal lesions in the frontal dental group of the lower jaw depending on the degree of bone resorption as well as endodontic filling resorption in different patients, some of them with orthodontic treatment, using conical beam computed tomography (CBCT). Materials and methods: A number of 31 CBCT imaging volumes and the medical records of these patients were selected for analysis by an experienced examiner. The sites selected for analysis were divided into two subgroups, one where the endodontic treatment was performed with Endomethasone™ (Colthene, Creteil, France) (7 patients), and the other where it was performed with Adseal™ (Meta Biomed, Seoul, South Korea) (6 patients). Results: The mean age of the study population was 24.1 years, and 35.8% presented previous orthodontic treatment in their medical history. There were no statistically significant differences (p = 0.54) between groups regarding the length of the endodontic filling, the Endomethasone group showing a total length of 11.24 millimeters while the Adseal group showed a total length of 10.85 millimeters. Conclusions: The image obtained in clinical situations in which patients present combined endodontic-periodontal lesions is of real help because in many cases, with the help of CBCT, the starting point of a combined lesion can be highlighted, whether it is endodontic or periodontal.

Diagnostic Accuracy of Cone-beam Computed Tomography and Conventional Radiography on Apical Periodontitis: A Systematic Review and Meta-analysis

2016 ◽  
Vol 42 (3) ◽  
pp. 356-364 ◽  
Author(s):  
Kamile Leonardi Dutra ◽  
Letícia Haas ◽  
André Luís Porporatti ◽  
Carlos Flores-Mir ◽  
Juliana Nascimento Santos ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Systematic Review ◽  
Diagnostic Accuracy ◽  
Cone Beam Computed Tomography ◽  
Meta Analysis ◽  
Conventional Radiography ◽  
Apical Periodontitis ◽  
Cone Beam

scholarly journals Comparative Assessment of Midfoot Osteoarthritis Diagnostic Sensitivity Using Weightbearing Computed Tomography vs Weightbearing Radiography

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0045
Author(s):  
Jesse Steadman ◽  
Yantarat Sripanich ◽  
Chamnanni Rungprai ◽  
Charles L. Saltzman ◽  
Alexej Barg
Keyword(s):  
Computed Tomography ◽  
Imaging Modality ◽  
Treatment Options ◽  
Correct Diagnosis ◽  
Diagnostic Sensitivity ◽  
Imaging Modalities ◽  
Complication Rates ◽  
Lisfranc Joint ◽  
Significant Discrepancy ◽  
Joint Group

Category: Midfoot/Forefoot; Other Introduction/Purpose: Osteoarthritis (OA) of the midfoot can elicit significant pain, disability, and decreased quality of life in affected patients. Therefore, correct diagnosis and appropriate, timely interventions towards this degeneration is essential. Currently, weightbearing radiography (WBR) has been widely accepted as the standard method in assessing midfoot OA. However, the complex structural anatomy of this region poses unique challenges in its visualization due to the obscurance caused by the overlapping osseous structures present when observed in a two-dimensional perspective. Weightbearing computed tomography (WBCT), providing a relatively clearer visualization of the midfoot could also be used for evaluation. This study aims to perform a single center, retrospective, intra-patient analysis identifying the discrepancy in midfoot OA diagnostic sensitivity among the two imaging modalities (WBCT vs. WBR). Methods: After gaining approval from an internal review board, a retrospective analysis of patient electronic health records was performed to assess the discrepancy of midfoot OA diagnostic sensitivity among WBCT and WBR. The radiological interpretation (RI) of 761 consecutive patient WBCT images were systematically assessed for OA diagnosed in 3 midfoot joint groups (Chopart group; 2 joints, midfoot group; 6 joints, Lisfranc group; 5 joints). A case was considered positive for OA if the WBCT RI contained any explicit mention of midfoot OA or any reported signs of the pathology including mild, moderate, or severe degeneration, joint space narrowing, osteophytic changes, spurring, cystic changes, or sclerosis in at least one of the aforementioned joint groups. After an appropriate washout period, the observer then synonymously reviewed the WBR RI of each positive OA case. A sensitivity metric was calculated for the OA incidence and severity discrepancy between the two imaging modalities. Results: A total of 302 (mean age, 56.0 +- 16.0 years; 140 left and 162 right) feet were assessed in this study. 244 cases of Chopart OA were detected on WBCT RI, where only 184 cases were detected on the WBR RI of the same feet, resulting in a diagnostic discrepancy of 24.6%. In the midfoot joint group, WBCT RI and WBR RI detected 96 and 67 cases of OA respectively, yielding a 30.2% discrepancy. Finally, in the Lisfranc joint group, the WBCT and WBR RI detected 174 and 129 cases of OA, respectively, showing a 25.9% discrepancy in diagnosis. Additionally, the OA severity was downgraded between modalities in 7.0%, 4.2%, and 8.0% for the Chopart, midfoot, and Lisfranc joint groups, respectively. Conclusion: After assessing 244 Chopart, 96 midfoot, and 174 Lisfranc cases of OA detected by WBCT, a significant discrepancy has been observed in the diagnostic abilities of midfoot OA among the two imaging modalities studied. With this difference realized, in addition to the recent higher availability, decreasing cost, and low radiation exposure offered by WBCT, this imaging modality may have the ability to aid physicians considerably in their clinical practice. Detecting and correctly diagnosing the severity of this pathology may lead to more appropriate treatment options, lower complication rates, and better patient outcomes.

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