Computed Tomography Radiography in Diagnosis of Dental Caries: A Systematic Review
Keywords:
Tomography, Radiography, Dental caries, Accuracy, IntraoralAbstract
Introduction: Digital radiography is used widely in dental practice and there is a considerable increase in the number of clinics that tend to use it. This systematic review aimed at evaluating the evidence in relation to the diagnostic accuracy of CBCT compared to digital and film-based intra-oral radiography.
Methods: An electronic search was conducted on Medline Plus, PubMed, Science Direct, and Wiley databases. A search on different search engines and different database websites including a hand search revealed 496 articles. After reading titles and abstracts, irrelevant and duplicated articles 459 were excluded.
Results: A total of 22 articles, available according to the inclusion criteria, were included in this systematic review. Most of the studies (13 articles) were conducted on premolars and molars while 5 studies were conducted on molars, one study was conducted on premolars, one study was on incisors, and two studies did not report the type of teeth used.
Conclusions: CBCT has similar diagnostic accuracy as other intra-oral systems for diagnosing dental caries. CBCT is not recommended for caries diagnosis unless the CBCT was undertaken for any other procedures where dental caries should be included in the final report.