Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Diagnostic Efficacy of Cone-Beam Computed Tomography for Detection of Vertical Root Fractures in Endodontically Treated Teeth: A Systematic Review Publisher Pubmed



Habibzadeh S1, 2 ; Ghoncheh Z2, 3 ; Kabiri P4 ; Mosaddad SA5
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Prosthodontics, School of Dentistry, International Campus, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Oral & Maxillofacial Radiology, School of Dentistry, International Campus, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Dentist, School of Dentistry, International Campus, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Student Research Committee, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran

Source: BMC Medical Imaging Published:2023


Abstract

Background: Vertical root fractures (VRFs) sometimes occur in endodontically treated teeth. They have a difficult diagnosis and a dismal result. The objective of this review was to evaluate the diagnostic performance of cone-beam computed tomography (CBCT) for detecting VRFs in teeth that had undergone endodontic treatment. Methods: Literature was reviewed from Web of Science, PubMed, Cochrane Review, SCOPUS, and Embase databases between 2000 and 2022. The searched keywords included endodontically treated teeth, cone-beam computed tomography, CBCT, tooth fracture, vertical root fracture, VRF, accuracy, sensitivity, and specificity. Only articles in the English language were included. The final analysis included 20 papers that satisfied the eligibility requirements. Results: The overall mean ± SD values (%) for the diagnostic sensitivity and specificity of CBCT for detection of VRFs in endodontically treated teeth in the presence of root-filling materials without an intracanal post were 71.50 ± 22.19 and 75.64 ± 19.41, respectively. The overall mean (SD) value (%) for the sensitivity of CBCT for the detection of VRFs in the presence of root-filling materials and intracanal posts was 72.76 (18.73), while the mean (SD) specificity was 75.44 (18.26). The accuracy of CBCT (mean ± SD) was 78.47 ± 17.19% and 74.02 ± 10.64%, respectively, for teeth without intracanal posts and those with posts. Conclusions: Further clinical research is needed to validate the optimum efficiency of CBCT as a diagnostic technique for detecting VRFs in teeth that have had endodontic treatment, given the low sensitivity, significant heterogeneity of studies, and lack of in-vivo studies on the subject. © 2023, The Author(s).
Related Docs
1. The Impact of Study Design on the Efficacy of Cone-Beam Computed Tomography in Detecting Vertical Root Fractures: Why Are the Results Conflicting?, Imaging Science in Dentistry (2025)
2. Effect of Object Position in Cone Beam Computed Tomography Field of View for Detection of Root Fractures in Teeth With Intra-Canal Posts, Iranian Journal of Radiology (2015)
3. Diagnostic Accuracy of Cone-Beam Computed Tomography at Different Tube Voltages for Vertical Root Fractures in Endodontically Treated Teeth With Metallic Posts, Dental Hypotheses (2021)
4. Effect of Metal Artifact Removal Modes on the Accuracy of Linear Measurement Around Titanium Implants by Applying Different Voltages: An Original Article, BMC Medical Imaging (2023)
5. A Comparative Study of Diagnostic Accuracy of Cone Beam Computed Tomography and Intra Oral Digital Radiography Phosphor Storage Plates in Detecting Strip Perforation in Endodontically-Treated Teeth, Journal of Mazandaran University of Medical Sciences (2022)
Experts (# of related papers)
View all Related Experts
Fatemeh Dibaji (1)
Behnam Bolhari (1)