Influence of the technical parameters of CBCT image acquisition on vertical root fracture diagnosis: a systematic review and meta-analysis

Lima, Kaique Leite de; Silva, Lorena Rosa; Prado, Thayse Bernardes de Paiva; Silva, Maria Alves Garcia; Silva, Brunno Santos de Freitas; Yamamoto‐Silva, Fernanda Paula

doi:10.1007/s00784-022-04797-z

Clin Oral Invest

2023

DOI: 10.1007/s00784-022-04797-z

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Influence of the technical parameters of CBCT image acquisition on vertical root fracture diagnosis: a systematic review and meta-analysis

Kaique Leite de Lima

Lorena Rosa Silva

Thayse Bernardes de Paiva Prado

et al.

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Cited by 2 publications

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“…45 In light of the above, de Lima et al with a systematic review of the literature stated that smaller voxels (respectively, 0.08 mm and 0.1 mm voxels) and FOV sizes seem to provide more accurate vertical root fracture detection values when using CBCT. 46 Moreover, use of the metal artifact reduction (MAR) tool has been suggested to increase as much as possible the diagnostic accuracy in the detection of vertical root fracture; however, a recent systematic review (2021) concluded that better results in terms of root fracture detection were found when the MAR software was deactivated, although a low level of evidence and high heterogeneity was observed. 47 Two other clinical scenarios in which CBCT is able to provide a more accurate, sensitive, and specific diagnosis are external and internal resorptions and perforations.…”

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confidence: 99%

Endodontic Orthograde Retreatments: Challenges and Solutions

Zanza,

Reda,

Testarelli

2023

CCIDE

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Endodontic orthograde retreatments are considered one of the possible treatment options in case of post-treatment diseases considering the promising results present in the literature. Despite this, a plethora of articles have been published on this topic, and drawing conclusions could be challenging. For this reason, this review aims to summarize the crucial points on each aspect of non-surgical endodontic retreatments, discussing and comparing the current protocols, techniques, materials, and indications. Taking into consideration data from the literature, in terms of diagnosis, CBCT should be considered the first choice, since it can thoroughly affect the diagnosis and treatment plan. Regarding the procedural phases, some conclusions can be drawn: when present, coronal restoration materials such as crowns, partial prostheses, post, and core should be removed; the use of magnification devices, ultrasonic instruments, and an in-depth interpretation of radiographic images with both 2D and 3D images are strongly recommended during the orifice location; additional protocols such as irrigants activation, ultrasonic cleaning, and rotary or reciprocating instrumentation of treated canals are strongly recommended for filling materials removal and to achieve a high-quality chemo-mechanical disinfection; perforations should be treated as soon as possible, and the material of choice to treat them is the MTA or other calcium-silicate-based repair materials; the presence of ledges does not intrinsically reduce the success rate of RCRts if properly managed; in case of instrument fragments, their removal should be considered as the first treatment option, however many variables should be considered to select the proper technique or consider the option of bypassing.

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confidence: 99%

Endodontic Orthograde Retreatments: Challenges and Solutions

Zanza,

Reda,

Testarelli

2023

CCIDE

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Developing evidence-based clinical imaging guidelines for the diagnosis of vertically fractured teeth

Kim,

Lee

et al. 2024

Oral Radiol

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Objectives This study aimed to develop an evidence-based clinical imaging guideline for teeth suspected with vertical root fractures. Methods An adaptation methodology based on the Korean Clinical Imaging Guidelines (K-CIG) was used in the guideline development process. After searching for guidelines using major databases such as Ovid-Medline, Elsevier-Embase, National Guideline Clearinghouse, and Guideline International Network, as well as domestic databases such as KoreaMed, KMbase, and KoMGI, two reviewers analyzed the retrieved articles. The retrieved articles were included in this review using well-established inclusion criteria. Results Twenty articles were identified through an online search, of which three were selected for guideline development. Based on these three guidelines, this study developed specific recommendations concerning the optimal imaging modality for diagnosing teeth suspected of vertical root fractures. Conclusions Periapical radiography is the preferred method for assessing teeth with mastication-related pain and suspected vertical root fractures. However, if intraoral radiographs do not provide sufficient information about root fractures, a small FOV CBCT may be considered. However, the use of CBCT in endodontically treated teeth is significantly constrained by the presence of artificial shading.

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Influence of the technical parameters of CBCT image acquisition on vertical root fracture diagnosis: a systematic review and meta-analysis

Cited by 2 publications

References 81 publications

Endodontic Orthograde Retreatments: Challenges and Solutions

Endodontic Orthograde Retreatments: Challenges and Solutions

Developing evidence-based clinical imaging guidelines for the diagnosis of vertically fractured teeth

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