%0 Meta-Analysis
%T Diagnosis of TMJ degenerative diseases by panoramic radiography: is it possible? A systematic review and meta-analysis.
%A Schroder ÂGD
%A Gonçalves FM
%A Germiniani JDS
%A Schroder LD
%A Porporatti AL
%A Zeigelboim BS
%A de Araujo CM
%A Santos RS
%A Stechman-Neto J
%J Clin Oral Investig
%V 27
%N 11
%D 2023 Nov 11
%M 37821655
%F 3.606
%R 10.1007/s00784-023-05293-8
%X <B>OBJECTIVE: </B>The objective of this work was to determine the diagnostic accuracy of panoramic radiography in detecting degenerative diseases of the temporomandibular joint.<BR><B>METHODS: </B>The protocol was registered at the PROSPERO website. To consider the eligibility of studies to be included/excluded from this review, the acronym "PIRDS" was used and appropriate word combinations and truncations were adapted in the following electronic databases: PubMed/Medline, EMBASE, Latin American and Caribbean Literature on Health Sciences, Web of Science, Scopus, and Cochrane Library.<BR><B>RESULTS: </B>A total of 2572 references, after the removal of duplicates, were retrieved from the eight electronic databases. After reading the titles and abstracts, a total of 26 articles were selected for full reading, of which ten were excluded, resulting in 16 articles included for qualitative synthesis. All in vivo studies were classified as having a low risk of bias. Regarding in vitro studies none of the included studies scored below 80% in the overall evaluation.<BR><B>CONCLUSIONS: </B>Both in vitro and in vivo studies consistently report a low accuracy in detecting degenerative diseases of the temporomandibular joint using panoramic radiography.<BR><B>CONCLUSIONS: </B>Cone-beam computed tomography offers a superior image quality without overlapping structures and a higher accuracy compared to panoramic radiography. However, panoramic radiography can still serve as an initial examination when combined with a clinical assessment. CBCT should be reserved for cases where there are evident clinical and/or radiographic alterations that recommend its use. This approach ensures a judicious and cost-effective use of CBCT resources.