CBCT does not reduce neurosensory disturbances after third molar removal compared to panoramic radiography: a systematic review and meta-analysis
Objectives The current dentistry scenario is showing an increase in the availability of cone-beam computed tomography (CBCT) in dental offices. Oral surgeons are using three-dimensional information as an additional tool to assess preoperative data for lower third molar (LTM) removal in moderate and...
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| Veröffentlicht in: | Clinical oral investigations 2020-03, Vol.24 (3), p.1137-1149 |
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| creator | de Toledo Telles-Araújo, Gabriel Peralta-Mamani, Mariela Caminha, Raquel D’Aquino Garcia de Fatima Moraes-da-Silva, Aneliza Rubira, Cássia Maria Fischer Honório, Heitor Marques Rubira-Bullen, Izabel Regina Fischer |
| description | Objectives
The current dentistry scenario is showing an increase in the availability of cone-beam computed tomography (CBCT) in dental offices. Oral surgeons are using three-dimensional information as an additional tool to assess preoperative data for lower third molar (LTM) removal in moderate and high-risk cases of inferior alveolar nerve (IAN) injury diagnosed through the panoramic radiography (PR). The aim of this study is to identify whether CBCT examination reduces neurosensoric disturbances (ND) following the removal of the LTM when compared to PR.
Materials and Methods
PubMed, Embase, Web of Science, Science Direct, and Scopus electronic databases were searched for studies published up to February 2019. The gray literature was also searched including papers that eventually met the eligibility criteria. Meta-analysis was performed using the comprehensive meta-analysis software,
p
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| doi_str_mv | 10.1007/s00784-020-03231-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2354735671</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2354735671</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-4f493a7bc06b9ed8e88f0ce297d69aa02a1c57248ea1f4c116c0458a692058213</originalsourceid><addsrcrecordid>eNp9kc1u1TAQhSMEoqXwAiyQJTZsDP6L7bCDK_6kSmzK2prrTNpUiR1spyiPwRvje28BiQUbj6X5zhl7TtM85-w1Z8y8yfWwijLBKJNCcqofNOdcSU2lMfzh8S6o7iw_a57kfMsYV9rIx82ZFKwV3Njz5ufu_e6K9BEzCbGQhP3qkQRcU8wYckwb6cdc1rSH4CsEQ8FEys2YejLHCVKVzPEOJuLjvEDVkxLJAiEmmEdPEvRjvE6w3GxvCZC85YIzlEMH70b8QSBUIyxAIcC05TE_bR4NMGV8dl8vmm8fP1ztPtPLr5--7N5dUi9NW6gaVCfB7D3T-w57i9YOzKPoTK87ACaA-9YIZRH4oDzn2jPVWtBd_bsVXF40r06-S4rfV8zFzWP2OE0QMK7ZCdkqI1ttDujLf9DbuKb63iPVcdkJxSolTpSvu8sJB7ekcYa0Oc7cITB3CszVwNwxMKer6MW99bqfsf8j-Z1QBeQJyLUVrjH9nf0f21_CKaKg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2359139240</pqid></control><display><type>article</type><title>CBCT does not reduce neurosensory disturbances after third molar removal compared to panoramic radiography: a systematic review and meta-analysis</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>de Toledo Telles-Araújo, Gabriel ; Peralta-Mamani, Mariela ; Caminha, Raquel D’Aquino Garcia ; de Fatima Moraes-da-Silva, Aneliza ; Rubira, Cássia Maria Fischer ; Honório, Heitor Marques ; Rubira-Bullen, Izabel Regina Fischer</creator><creatorcontrib>de Toledo Telles-Araújo, Gabriel ; Peralta-Mamani, Mariela ; Caminha, Raquel D’Aquino Garcia ; de Fatima Moraes-da-Silva, Aneliza ; Rubira, Cássia Maria Fischer ; Honório, Heitor Marques ; Rubira-Bullen, Izabel Regina Fischer</creatorcontrib><description>Objectives
The current dentistry scenario is showing an increase in the availability of cone-beam computed tomography (CBCT) in dental offices. Oral surgeons are using three-dimensional information as an additional tool to assess preoperative data for lower third molar (LTM) removal in moderate and high-risk cases of inferior alveolar nerve (IAN) injury diagnosed through the panoramic radiography (PR). The aim of this study is to identify whether CBCT examination reduces neurosensoric disturbances (ND) following the removal of the LTM when compared to PR.
Materials and Methods
PubMed, Embase, Web of Science, Science Direct, and Scopus electronic databases were searched for studies published up to February 2019. The gray literature was also searched including papers that eventually met the eligibility criteria. Meta-analysis was performed using the comprehensive meta-analysis software,
p
< 0.05 considered significant.
Results
Among the search, 6 studies met all eligibility criteria. There was no statistically significant difference between the two groups (PR and CBCT) in all six studies regarding reducing ND (95%. Confidence interval, 0,788–1734; heterogeneity: Q = 10,361; I
2
= 22.788%).
Conclusions
CBCT was not superior to PR in avoiding ND. However, further studies are necessary with standardized parameters for a better comparability between variables in the studies.
Clinical Relevance
To better understand the CBCT clinical applicability in LTM removal to avoid unnecessary extra radiation when compared to PR to the patient and to improve patient’s prognosis.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-020-03231-6</identifier><identifier>PMID: 32052178</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Alveoli ; Computed tomography ; Cone-Beam Computed Tomography ; Dentistry ; Humans ; Mandibular Nerve ; Mandibular Nerve Injuries - prevention & control ; Medicine ; Meta-analysis ; Molar, Third ; Radiography ; Radiography, Panoramic ; Review ; Statistical analysis ; Tooth Extraction</subject><ispartof>Clinical oral investigations, 2020-03, Vol.24 (3), p.1137-1149</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Clinical Oral Investigations is a copyright of Springer, (2020). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-4f493a7bc06b9ed8e88f0ce297d69aa02a1c57248ea1f4c116c0458a692058213</citedby><cites>FETCH-LOGICAL-c375t-4f493a7bc06b9ed8e88f0ce297d69aa02a1c57248ea1f4c116c0458a692058213</cites><orcidid>0000-0002-5069-9433</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-020-03231-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-020-03231-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32052178$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Toledo Telles-Araújo, Gabriel</creatorcontrib><creatorcontrib>Peralta-Mamani, Mariela</creatorcontrib><creatorcontrib>Caminha, Raquel D’Aquino Garcia</creatorcontrib><creatorcontrib>de Fatima Moraes-da-Silva, Aneliza</creatorcontrib><creatorcontrib>Rubira, Cássia Maria Fischer</creatorcontrib><creatorcontrib>Honório, Heitor Marques</creatorcontrib><creatorcontrib>Rubira-Bullen, Izabel Regina Fischer</creatorcontrib><title>CBCT does not reduce neurosensory disturbances after third molar removal compared to panoramic radiography: a systematic review and meta-analysis</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objectives
The current dentistry scenario is showing an increase in the availability of cone-beam computed tomography (CBCT) in dental offices. Oral surgeons are using three-dimensional information as an additional tool to assess preoperative data for lower third molar (LTM) removal in moderate and high-risk cases of inferior alveolar nerve (IAN) injury diagnosed through the panoramic radiography (PR). The aim of this study is to identify whether CBCT examination reduces neurosensoric disturbances (ND) following the removal of the LTM when compared to PR.
Materials and Methods
PubMed, Embase, Web of Science, Science Direct, and Scopus electronic databases were searched for studies published up to February 2019. The gray literature was also searched including papers that eventually met the eligibility criteria. Meta-analysis was performed using the comprehensive meta-analysis software,
p
< 0.05 considered significant.
Results
Among the search, 6 studies met all eligibility criteria. There was no statistically significant difference between the two groups (PR and CBCT) in all six studies regarding reducing ND (95%. Confidence interval, 0,788–1734; heterogeneity: Q = 10,361; I
2
= 22.788%).
Conclusions
CBCT was not superior to PR in avoiding ND. However, further studies are necessary with standardized parameters for a better comparability between variables in the studies.
Clinical Relevance
To better understand the CBCT clinical applicability in LTM removal to avoid unnecessary extra radiation when compared to PR to the patient and to improve patient’s prognosis.</description><subject>Alveoli</subject><subject>Computed tomography</subject><subject>Cone-Beam Computed Tomography</subject><subject>Dentistry</subject><subject>Humans</subject><subject>Mandibular Nerve</subject><subject>Mandibular Nerve Injuries - prevention & control</subject><subject>Medicine</subject><subject>Meta-analysis</subject><subject>Molar, Third</subject><subject>Radiography</subject><subject>Radiography, Panoramic</subject><subject>Review</subject><subject>Statistical analysis</subject><subject>Tooth Extraction</subject><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kc1u1TAQhSMEoqXwAiyQJTZsDP6L7bCDK_6kSmzK2prrTNpUiR1spyiPwRvje28BiQUbj6X5zhl7TtM85-w1Z8y8yfWwijLBKJNCcqofNOdcSU2lMfzh8S6o7iw_a57kfMsYV9rIx82ZFKwV3Njz5ufu_e6K9BEzCbGQhP3qkQRcU8wYckwb6cdc1rSH4CsEQ8FEys2YejLHCVKVzPEOJuLjvEDVkxLJAiEmmEdPEvRjvE6w3GxvCZC85YIzlEMH70b8QSBUIyxAIcC05TE_bR4NMGV8dl8vmm8fP1ztPtPLr5--7N5dUi9NW6gaVCfB7D3T-w57i9YOzKPoTK87ACaA-9YIZRH4oDzn2jPVWtBd_bsVXF40r06-S4rfV8zFzWP2OE0QMK7ZCdkqI1ttDujLf9DbuKb63iPVcdkJxSolTpSvu8sJB7ekcYa0Oc7cITB3CszVwNwxMKer6MW99bqfsf8j-Z1QBeQJyLUVrjH9nf0f21_CKaKg</recordid><startdate>20200301</startdate><enddate>20200301</enddate><creator>de Toledo Telles-Araújo, Gabriel</creator><creator>Peralta-Mamani, Mariela</creator><creator>Caminha, Raquel D’Aquino Garcia</creator><creator>de Fatima Moraes-da-Silva, Aneliza</creator><creator>Rubira, Cássia Maria Fischer</creator><creator>Honório, Heitor Marques</creator><creator>Rubira-Bullen, Izabel Regina Fischer</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5069-9433</orcidid></search><sort><creationdate>20200301</creationdate><title>CBCT does not reduce neurosensory disturbances after third molar removal compared to panoramic radiography: a systematic review and meta-analysis</title><author>de Toledo Telles-Araújo, Gabriel ; Peralta-Mamani, Mariela ; Caminha, Raquel D’Aquino Garcia ; de Fatima Moraes-da-Silva, Aneliza ; Rubira, Cássia Maria Fischer ; Honório, Heitor Marques ; Rubira-Bullen, Izabel Regina Fischer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-4f493a7bc06b9ed8e88f0ce297d69aa02a1c57248ea1f4c116c0458a692058213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Alveoli</topic><topic>Computed tomography</topic><topic>Cone-Beam Computed Tomography</topic><topic>Dentistry</topic><topic>Humans</topic><topic>Mandibular Nerve</topic><topic>Mandibular Nerve Injuries - prevention & control</topic><topic>Medicine</topic><topic>Meta-analysis</topic><topic>Molar, Third</topic><topic>Radiography</topic><topic>Radiography, Panoramic</topic><topic>Review</topic><topic>Statistical analysis</topic><topic>Tooth Extraction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Toledo Telles-Araújo, Gabriel</creatorcontrib><creatorcontrib>Peralta-Mamani, Mariela</creatorcontrib><creatorcontrib>Caminha, Raquel D’Aquino Garcia</creatorcontrib><creatorcontrib>de Fatima Moraes-da-Silva, Aneliza</creatorcontrib><creatorcontrib>Rubira, Cássia Maria Fischer</creatorcontrib><creatorcontrib>Honório, Heitor Marques</creatorcontrib><creatorcontrib>Rubira-Bullen, Izabel Regina Fischer</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Toledo Telles-Araújo, Gabriel</au><au>Peralta-Mamani, Mariela</au><au>Caminha, Raquel D’Aquino Garcia</au><au>de Fatima Moraes-da-Silva, Aneliza</au><au>Rubira, Cássia Maria Fischer</au><au>Honório, Heitor Marques</au><au>Rubira-Bullen, Izabel Regina Fischer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CBCT does not reduce neurosensory disturbances after third molar removal compared to panoramic radiography: a systematic review and meta-analysis</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>24</volume><issue>3</issue><spage>1137</spage><epage>1149</epage><pages>1137-1149</pages><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objectives
The current dentistry scenario is showing an increase in the availability of cone-beam computed tomography (CBCT) in dental offices. Oral surgeons are using three-dimensional information as an additional tool to assess preoperative data for lower third molar (LTM) removal in moderate and high-risk cases of inferior alveolar nerve (IAN) injury diagnosed through the panoramic radiography (PR). The aim of this study is to identify whether CBCT examination reduces neurosensoric disturbances (ND) following the removal of the LTM when compared to PR.
Materials and Methods
PubMed, Embase, Web of Science, Science Direct, and Scopus electronic databases were searched for studies published up to February 2019. The gray literature was also searched including papers that eventually met the eligibility criteria. Meta-analysis was performed using the comprehensive meta-analysis software,
p
< 0.05 considered significant.
Results
Among the search, 6 studies met all eligibility criteria. There was no statistically significant difference between the two groups (PR and CBCT) in all six studies regarding reducing ND (95%. Confidence interval, 0,788–1734; heterogeneity: Q = 10,361; I
2
= 22.788%).
Conclusions
CBCT was not superior to PR in avoiding ND. However, further studies are necessary with standardized parameters for a better comparability between variables in the studies.
Clinical Relevance
To better understand the CBCT clinical applicability in LTM removal to avoid unnecessary extra radiation when compared to PR to the patient and to improve patient’s prognosis.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32052178</pmid><doi>10.1007/s00784-020-03231-6</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-5069-9433</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-6981 |
| ispartof | Clinical oral investigations, 2020-03, Vol.24 (3), p.1137-1149 |
| issn | 1432-6981 1436-3771 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2354735671 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Alveoli Computed tomography Cone-Beam Computed Tomography Dentistry Humans Mandibular Nerve Mandibular Nerve Injuries - prevention & control Medicine Meta-analysis Molar, Third Radiography Radiography, Panoramic Review Statistical analysis Tooth Extraction |
| title | CBCT does not reduce neurosensory disturbances after third molar removal compared to panoramic radiography: a systematic review and meta-analysis |
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