Diagnostic efficacy of cone-beam computed tomography for detection of vertical root fractures in endodontically treated teeth: a systematic review

Abstract

Background Vertical root fractures (VRFs) sometimes occur in endodontically treated teeth. They have a difficult diagnosis and a dismal result. The objective of this review was to evaluate the diagnostic performance of cone-beam computed tomography (CBCT) for detecting VRFs in teeth that had undergone endodontic treatment. Methods Literature was reviewed from Web of Science, PubMed, Cochrane Review, SCOPUS, and Embase databases between 2000 and 2022. The searched keywords included "endodontically treated teeth," "cone-beam computed tomography," "CBCT," "tooth fracture," "vertical root fracture," "VRF," "accuracy," "sensitivity," and "specificity." Only articles in the English language were included. The final analysis included 20 papers that satisfied the eligibility requirements. Results The overall mean ± SD values (%) for the diagnostic sensitivity and specificity of CBCT for detection of VRFs in endodontically treated teeth in the presence of root-filling materials without an intracanal post were 71.50 ± 22.19 and 75.64 ± 19.41, respectively. The overall mean (SD) value (%) for the sensitivity of CBCT for the detection of VRFs in the presence of root-filling materials and intracanal posts was 72.76 (18.73), while the mean (SD) specificity was 75.44 (18.26). The accuracy of CBCT (mean ± SD) was 78.47 ± 17.19% and 74.02 ± 10.64%, respectively, for teeth without intracanal posts and those with posts. Conclusions Further clinical research is needed to validate the optimum efficiency of CBCT as a diagnostic technique for detecting VRFs in teeth that have had endodontic treatment, given the low sensitivity, significant heterogeneity of studies, and lack of in-vivo studies on the subject.

The effect of photobiomodulation therapy in common maxillofacial injuries: Current status

“…While bone remodeling is generally a regulated physiological process, imbalances between bone deposition and removal can occur. When faced with substantial tissue defects, repairing the damage can be a complex task that often requires the utilization of biomaterials, 100,101 bone substitutes, and implants 102,103 . Tissue engineering is essential in expediting the evolution of components that facilitate the reconstruction of damaged or lost tissue.…”

Evaluation of BIRC6 Expression in Oral Squamous Cell Carcinoma, Epithelial Dysplasia, Lichen Planus with and without Dysplasia, and Hyperkeratosis

“…Oral health plays a significant role in maintaining general health [1,2]. Oral squamous cell carcinoma (OSCC) is the prevailing malignant tumor among all types of squamous cell carcinomas that occur in the head and neck region [3], ranking 18th globally in 2018 [4,5]. OSCC is known for its propensity to recur, metastasize, and invade local tissues [6].…”

“…The inhibitor of the apoptosis protein (IAP) family has been shown to play a crucial role in the apoptosis of cancerous cells. IAPs are characterized by 1-3 copies of the Baculoviral IAP Repeat [3] domain and can inhibit apoptosis in cancerous cells by binding and suppressing proapoptotic factors. The most prominent member of the IAP family is BIRC6, also known as Apollon or Brcue [18,19].…”