Rubens Spin-Neto

Cone Beam Computed Tomography for Detection of Intrabony and Furcation Defects: A Systematic Review Based on a Hierarchical Model for Diagnostic Efficacy

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisReviewForskningpeer review


  • Natasa Nikolic-Jakoba, Department of Periodontology, School of Dental Medicine, University of Belgrade, Belgrade, Serbia, Serbien og Montenegro
  • Rubens Spin-Neto
  • Ann Wenzel

OBJECTIVES: To make a systematic review assessing the diagnostic efficacy of cone beam computed tomography (CBCT) for the diagnosis of and/or treatment plan for intrabony and furcation defects, using a well-known six-tiered hierarchical model for diagnostic efficacy.

METHODS: The MEDLINE, EMBASE, and Cochrane Library bibliographic databases were searched until August 2015 for studies evaluating CBCT imaging for the diagnosis of and/or treatment plan for intrabony and/or furcation defects. The search strategy was restricted to English language publications using the combination of MeSH terms, free terms, and key words.

RESULTS: The search strategy yielded 16 publications, which qualitatively or quantitatively evaluated the use of CBCT for the detection of intrabony and/or furcation defects, and how CBCT influenced the diagnosis and/or treatment plan. According to QUADAS-2, all included studies were medium to low risk of bias. The review identified only one study, which investigated the societal efficacy, and none evaluated the patient outcome efficacy or therapeutic efficacy. One study investigated the diagnostic thinking efficacy. All other included studies investigated the diagnostic accuracy of CBCT.

CONCLUSIONS: From the assessed studies, it can be concluded that there is not sufficient scientific evidence to justify the use of CBCT for the diagnosis of and/or treatment plan for intrabony and furcation defects. Further, the effectiveness of CBCT for such diagnostic tasks has been assessed only at low diagnostic efficacy levels.

TidsskriftJournal of Periodontology
Sider (fra-til)1-19
Antal sider19
StatusUdgivet - 15 feb. 2016

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