Two-dimensional Periapical, Panoramic Radiography Versus Three-dimensional Cone-beam Computed Tomography in the Detection of Periapical Lesion After Endodontic Treatment: A Systematic Review

Abstract

Radiographic imaging is a common resource for endodontic diagnosis, treatment, and prognosis. Two-dimensional (2D) periapical and digital panoramic radiographs often showed image distortion; this issue was resolved with the emergence of three-dimensional (3D) conebeam computed tomography (CBCT). This review examines the accuracy of various radiographic techniques in the assessment of periapical lesion after endodontic treatment. Our goal was to determine whether a 2D radiograph (periapical and panoramic) is as accurate as a 3D radiograph (i.e., CBCT) in the assessment of periapical lesion after endodontic treatment. We searched the electronic databases Medline and Cochrane and trial registries for ongoing trials. We included both retrospective and prospective studies comparing the efficacy of periapical healing with various radiographic techniques after endodontic treatment. The outcome of interest was the percentage detection of periapical lesions and periapical healing assessment after endodontic treatment. All data were collected using a specially designed extraction form. We assessed the risk of bias in the studies using the Cochrane tool for diagnostic tests (QUADAS). We judged two studies to be at low risk and two to be at moderate risk of bias. Although there was a difference in the percentage detection of periapical healing efficacy by various radiographic techniques, all studies reported that CBCT had higher accuracy in the detection of periapical lesions compared to periapical and panoramic radiography. The next best choice is periapical radiographs, followed by panoramic radiographs as they provide better visualization and accuracy.

Do orthodontic tooth movements induce pulp necrosis? A systematic review

“…However, these studies have substantial limitations, such as the methods used to evaluate pulp status: periapical and panoramic radiographs, electric and thermal sensibility tests. It is well established that periapical and panoramic radiographs provide limited information due to the two-dimensional images provided (Aminoshariae et al 2018, Antony et al 2020, which can lead to an erroneous diagnosis. Also, electrical and thermal sensitivity tests evaluate only the neural response of the tooth, regardless of the presence or absence of blood circulation, providing subjective and limited results (Hall & Freer 1998, Gopikrishna et al 2007, Alomari et al 2011, Mainkar & Kim 2018.…”

Comparison of the Antimicrobial Efficiency of Neem Leaf Extract and 17% Edta with 3% Sodium Hypochlorite against E. faecalis, C. albicans – An in vitro Study

“…Moreover, its anti-adherence activity by altering bacterial adhesion and the ability of organisms to colonize also stimulated the study of this substance [33]. Apical periodontitis is an inflammation of the periodontium that occurs due to trauma, irritation, or infection through the root canal, It represents the main indication for root canal treatment [34].…”

Comparison of Effects of Triple Antibiotic Paste , Double Antibiotic Paste and Proton Pump Inhibitor on E. faecalis- An Invitro Study

“…Endodontic regeneration can occur from various sources like the vital pulp cells in the root canal, the stem cells in the dental pulp , periodontal ligament from apical papilla (saad and Yousef saad, 1988;Gronthos et al, 2002;Cotti, Mereu and lusso, 2008). radiographic evaluation reveals the successfulness of endodontic treatment performed (Antony, Thomas and nivedhitha, 2020). We have numerous highly cited publications on well designed clinical trials and lab studies (Govindaraju, neelakantan and Gutmann, 2017;Azeem and sureshbabu, 2018;Jenarthanan and subbarao, 2018;Manohar and sharma, 2018;nandakumar and nasim, 2018;Teja, ramesh and Priya, 2018;Janani and sandhya, 2019;Khandelwal and Palanivelu, 2019;Malli sureshbabu et al, 2019;Poorni, srinivasan and nivedhitha, 2019;rajakeerthi and Ms, 2019;rajendran et al, 2019;ramarao and sathyanarayanan, 2019;siddique, nivedhitha and Jacob, 2019).…”