Cone-Beam Computed Tomography for Detection of Intrabony and Furcation Defects: A Systematic Review Based on a Hierarchical Model for Diagnostic Efficacy

The advent of CBCT has contributed significantly to dental imaging. In the field of periodontics, CBCT provides a multiplanar view to assess the alveolar bone in three dimensions. This helps the dentist to make measurements at any location that could significantly improve periodontal diagnosis. Objective- The aim of this systematic review is to evaluate the accuracy of using CBCT in the assessment of alveolar bone level and furcation involvement in periodontal diseases. Materials and Methods- PubMed and Google Scholar databases were searched for literature related to the application of CBCT in periodontal diseases. Keywords used for the search were CBCT, furcation involvement, measurement and their synonyms. Results-Fifteen full-text English language research papers were eligible for the systematic review using the PRISMA guidelines. Conclusion- From the results of the systematic review it can be conclude that cone-beam computed tomography imaging technique offers significantly reliable images of the furcation involvement and height of the alveolar bone.KeywordsCone Beam Computed tomography, furcation defects, alveolar bone loss

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Correction to: Diagnostic efficacy of cone beam computed tomography in paediatric dentistry: a systematic review

European Archives of Paediatric Dentistry ◽

10.1007/s40368-020-00510-4 ◽

2020 ◽

Vol 21 (4) ◽

pp. 427-427

Author(s):

K. Horner ◽

S. Barry ◽

M. Dave ◽

C. Dixon ◽

A. Littlewood ◽

...

Keyword(s):

Computed Tomography ◽

Systematic Review ◽

Cone Beam Computed Tomography ◽

Paediatric Dentistry ◽

Cone Beam ◽

Diagnostic Efficacy

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Diagnostic efficacy of cone beam computed tomography in paediatric dentistry: a systematic review

European Archives of Paediatric Dentistry ◽

10.1007/s40368-019-00504-x ◽

2019 ◽

Vol 21 (4) ◽

pp. 407-426 ◽

Cited By ~ 4

Author(s):

K. Horner ◽

S. Barry ◽

M. Dave ◽

C. Dixon ◽

A. Littlewood ◽

...

Keyword(s):

Computed Tomography ◽

Systematic Review ◽

Systematic Reviews ◽

Cone Beam Computed Tomography ◽

Ex Vivo ◽

Cone Beam ◽

Paediatric Research ◽

Diagnostic Efficacy ◽

Paediatric Patients

Abstract Purpose To determine in which clinical situations it is indicated or contra-indicated to prescribe cone beam computed tomography (CBCT) for paediatric patients. Methods Systematic review of in vivo paediatric research studies of diagnostic efficacy using CBCT, with supplementary searches for guideline documents on CBCT and for systematic reviews permitting inclusion of ex vivo and adult studies. Results After screening, 190 publications were included, mostly case studies. No systematic reviews were found of in vivo paediatric research. Fourteen studies of diagnostic efficacy were identified. The supplementary searches found 18 guideline documents relevant to the review and 26 systematic reviews. The diagnostic efficacy evidence on CBCT was diverse and often of limited quality. There was ex vivo evidence for diagnostic accuracy being greater using CBCT than radiographs for root fractures. The multiplanar capabilities of CBCT are advantageous when localising dental structures for surgical planning. Patient movement during scanning is more common in children which could reduce diagnostic efficacy. Conclusions No strong recommendations on CBCT are possible, except that it should not be used as a primary diagnostic tool for caries. Guidelines on use of CBCT in the paediatric age group should be developed cautiously, taking into account the greater radiation risk and the higher economic costs compared with radiography. CBCT should only be used when adequate conventional radiographic examination has not answered the question for which imaging was required. Clinical research in paediatric patients is required at the higher levels of diagnostic efficacy of CBCT.

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