Student Scientific Circle at the Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, Powstancow Wielkopolskich 72, 70-111 Szczecin, Poland.
Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, Powstancow Wielkopolskich 72, 70-111 Szczecin, Poland.
Int J Environ Res Public Health. 2023 Feb 8;20(4):2940. doi: 10.3390/ijerph20042940.
This systematic review aimed to investigate the scientific literature on volumetric studies concerning the diagnosis and treatment of apical periodontitis using CBCT. A systematic review protocol was written following the preferred reporting items for the systematic reviews and meta-analyses (PRISMA) checklist. Four electronic databases were searched for relevant publications in English, which were published up to 21 January 2023. The inclusion criteria and corresponding search keys were applied. The risk of bias was assessed using the Joanna Briggs Institute Meta-Analysis of Statistic Assessment and Review Instrument. The search strategy identified 202 studies, with 123 studies excluded during the title and abstract screening and 47 studies left for full text screening. A total of 17 studies met the inclusion criteria. The lesion volume was measured and classified according to different indices which compared the effectiveness of their diagnostics. Moreover, the volume of AP lesions increased with the thickness of the maxillary sinus mucosa in primary and secondary infections and decreased due to endodontic treatment. Volumetric measurements using CBCT are useful in the correct definition of periapical tissue pathosis using a CBCT periapical volume index and assessment of the dynamics of the treatment of apical lesions.
本系统评价旨在调查使用 CBCT 诊断和治疗根尖周炎的容积研究的科学文献。根据系统评价和荟萃分析的首选报告项目 (PRISMA) 检查表，编写了系统评价方案。在英语中搜索了截至 2023 年 1 月 21 日的相关出版物，使用了四个电子数据库。使用 Joanna Briggs 研究所统计评估和审查工具评估偏倚风险。搜索策略确定了 202 项研究，在标题和摘要筛选期间排除了 123 项研究，47 项研究进入全文筛选。共有 17 项研究符合纳入标准。根据比较其诊断效果的不同指标测量和分类病变体积。此外，原发性和继发性感染中上颌窦黏膜的厚度使 AP 病变的体积增加，而根管治疗会使体积减小。使用 CBCT 进行容积测量有助于使用 CBCT 根尖体积指数正确定义根尖组织病变，并评估根尖病变治疗的动态。
