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12.02.2020 | Review

CBCT does not reduce neurosensory disturbances after third molar removal compared to panoramic radiography: a systematic review and meta-analysis

verfasst von: Gabriel de Toledo Telles-Araújo, Mariela Peralta-Mamani, Raquel D’Aquino Garcia Caminha, Aneliza de Fatima Moraes-da-Silva, Cássia Maria Fischer Rubira, Heitor Marques Honório, Izabel Regina Fischer Rubira-Bullen

Erschienen in: Clinical Oral Investigations | Ausgabe 3/2020

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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; I² = 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.

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Titel: CBCT does not reduce neurosensory disturbances after third molar removal compared to panoramic radiography: a systematic review and meta-analysis
verfasst von: Gabriel de Toledo Telles-Araújo
Mariela Peralta-Mamani
Raquel D’Aquino Garcia Caminha
Aneliza de Fatima Moraes-da-Silva
Cássia Maria Fischer Rubira
Heitor Marques Honório
Izabel Regina Fischer Rubira-Bullen
Publikationsdatum: 12.02.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 3/2020
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-020-03231-6

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CBCT does not reduce neurosensory disturbances after third molar removal compared to panoramic radiography: a systematic review and meta-analysis