Diagnostic Performance of Cone-Beam Computed Tomography to Evaluate in Vitro Internal Root Resorption: A Systematic Review İnternal Kök Rezorpsiyonu Değerlendirmesinde Konik-Işınlı Bilgisayarlı Tomografinin Tanısal Performansı: Sistematik Derleme


BAĞCI N., BÜYÜKSUNGUR A., KURT M. H.

Selcuk Dental Journal, cilt.12, sa.3, ss.506-511, 2025 (Scopus, TRDizin) identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 12 Sayı: 3
  • Basım Tarihi: 2025
  • Doi Numarası: 10.15311/selcukdentj.1615782
  • Dergi Adı: Selcuk Dental Journal
  • Derginin Tarandığı İndeksler: Scopus, Central & Eastern European Academic Source (CEEAS), Directory of Open Access Journals, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.506-511
  • Anahtar Kelimeler: CBCT, Cone-beam computed tomography, Diagnosis, Internal root resorption
  • Ankara Üniversitesi Adresli: Evet

Özet

Purpose: The systematic review aims to analyze the diagnostic performance of Cone-Beam Computed Tomography (CBCT) for the evaluation of Internal Root Resorption (IRR). Material and method: For the systematic review, a diagnostic test accuracy protocol was used following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive electronic search of three electronic databases (PubMed, Web of Science, and Google Scholar) was performed. These databases were searched combinations of the following terms: Cone Beam Computed Tomography, CBCT, micro-CT, micro-computed tomography, and internal root resorption. The eligibility criteria were designed for the Problem-Intervention-Comparison-Outcomes (PICO) statement, and methodological quality was assessed by Quality of Diagnostic Accuracy Studies (QUADAS-2). Results: Eight articles, which met inclusion criteria, were included from a total of 1945 articles in the systematic review. For diagnosis with CBCT, sensitivity ranged from 57-63% to 100%, while specificity was between 76% and 100%. For diagnosis with periapical radiography, sensitivity ranged from 47-64% to 74-86%, while specificity was between 73-77% and 96%. In most studies, the risk of bias was low, and applicability concerns were high. Conclusion: The present systematic review suggests that the diagnostic performance of CBCT is sufficient for the diagnosis of IRR. It was observed that CBCT images performed better than periapical radiography in detecting IRR.