目的:这项工作的目的是确定全景射线照相在检测颞下颌关节退行性疾病中的诊断准确性。
方法:该协议已在PROSPERO网站注册。考虑纳入/排除本审查的研究的资格,使用首字母缩写“PIRDS”,并在以下电子数据库中调整了适当的单词组合和截断:PubMed/Medline,EMBASE,拉丁美洲和加勒比健康科学文献,WebofScience,Scopus,科克伦图书馆
结果:总共2572篇参考文献,删除副本后,从八个电子数据库中检索。阅读标题和摘要后,总共选择了26篇文章进行全面阅读,其中十个被排除在外,导致16篇文章被纳入定性综合。所有体内研究都被归类为具有低偏倚风险。关于体外研究,所包括的研究在总体评价中没有得分低于80%。
结论:体外和体内研究一致报道,使用全景X线摄影检测颞下颌关节退行性疾病的准确性较低。
结论:锥形束计算机断层扫描提供了卓越的图像质量,而没有重叠的结构,并且与全景射线照相术相比具有更高的准确性。然而,全景射线照相术与临床评估相结合时,仍可作为初始检查。CBCT应保留用于有明显的临床和/或影像学改变建议使用的情况。这种方法确保了对CBCT资源的明智和具有成本效益的使用。
OBJECTIVE: The objective of this work was to determine the diagnostic accuracy of panoramic radiography in detecting degenerative diseases of the temporomandibular joint.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: Both in vitro and in vivo studies consistently report a low accuracy in detecting degenerative diseases of the temporomandibular joint using panoramic radiography.
CONCLUSIONS: 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.