Abstract：
OBJECTIVE: This study aimed to develop an evidence-based clinical imaging guideline for teeth suspected with vertical root fractures.
METHODS: An adaptation methodology based on the Korean Clinical Imaging Guidelines (K-CIG) was used in the guideline development process. After searching for guidelines using major databases such as Ovid-Medline, Elsevier-Embase, National Guideline Clearinghouse, and Guideline International Network, as well as domestic databases such as KoreaMed, KMbase, and KoMGI, two reviewers analyzed the retrieved articles. The retrieved articles were included in this review using well-established inclusion criteria.
RESULTS: Twenty articles were identified through an online search, of which three were selected for guideline development. Based on these three guidelines, this study developed specific recommendations concerning the optimal imaging modality for diagnosing teeth suspected of vertical root fractures.
CONCLUSIONS: Periapical radiography is the preferred method for assessing teeth with mastication-related pain and suspected vertical root fractures. However, if intraoral radiographs do not provide sufficient information about root fractures, a small FOV CBCT may be considered. However, the use of CBCT in endodontically treated teeth is significantly constrained by the presence of artificial shading.
METHODS: An adaptation methodology based on the Korean Clinical Imaging Guidelines (K-CIG) was used in the guideline development process. After searching for guidelines using major databases such as Ovid-Medline, Elsevier-Embase, National Guideline Clearinghouse, and Guideline International Network, as well as domestic databases such as KoreaMed, KMbase, and KoMGI, two reviewers analyzed the retrieved articles. The retrieved articles were included in this review using well-established inclusion criteria.
RESULTS: Twenty articles were identified through an online search, of which three were selected for guideline development. Based on these three guidelines, this study developed specific recommendations concerning the optimal imaging modality for diagnosing teeth suspected of vertical root fractures.
CONCLUSIONS: Periapical radiography is the preferred method for assessing teeth with mastication-related pain and suspected vertical root fractures. However, if intraoral radiographs do not provide sufficient information about root fractures, a small FOV CBCT may be considered. However, the use of CBCT in endodontically treated teeth is significantly constrained by the presence of artificial shading.
摘要：
目的：本研究旨在为怀疑有垂直牙根骨折的牙齿制定基于证据的临床影像学指南。
方法：在指南制定过程中使用了基于韩国临床影像学指南（K-CIG）的适应方法。在使用Ovid-Medline等主要数据库搜索指南后，Elsevier-Embase,国家准则信息交换所，和指导国际网络，以及KoreaMed等国内数据库，KMbase,和KoMGI,两位审稿人分析了检索到的文章。使用完善的纳入标准将检索到的文章纳入本综述。
结果：通过在线搜索确定了20篇文章，其中三个被选择用于指南开发。根据这三条准则，这项研究提出了关于诊断疑似垂直牙根骨折的最佳影像学模式的具体建议。
结论：根尖周X线摄影是评估咀嚼相关疼痛和疑似垂直牙根骨折的首选方法。然而,如果口腔内X光片不能提供关于牙根骨折的足够信息，可以考虑小FOVCBCT。然而,CBCT在经牙髓治疗的牙齿中的使用受到人工阴影的存在的显著限制。
方法：在指南制定过程中使用了基于韩国临床影像学指南（K-CIG）的适应方法。在使用Ovid-Medline等主要数据库搜索指南后，Elsevier-Embase,国家准则信息交换所，和指导国际网络，以及KoreaMed等国内数据库，KMbase,和KoMGI,两位审稿人分析了检索到的文章。使用完善的纳入标准将检索到的文章纳入本综述。
结果：通过在线搜索确定了20篇文章，其中三个被选择用于指南开发。根据这三条准则，这项研究提出了关于诊断疑似垂直牙根骨折的最佳影像学模式的具体建议。
结论：根尖周X线摄影是评估咀嚼相关疼痛和疑似垂直牙根骨折的首选方法。然而,如果口腔内X光片不能提供关于牙根骨折的足够信息，可以考虑小FOVCBCT。然而,CBCT在经牙髓治疗的牙齿中的使用受到人工阴影的存在的显著限制。
