Publicado Dec 7, 2021



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Elizabeth Hernández Hernández

Catalina Méndez de la Espriella

Oscar Mauricio Jiménez-Peña

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Resumen

Antecedentes: Determinar la posición, dirección y tamaño de una fractura en etapas iniciales es de gran valor para elegir el plan de tratamiento adecuado. Objetivo: Comparar la precisión diagnóstica de las radiografías periapicales (RP) convencionales con la tomografía computarizada de rayo cónico (TCRC) para identificar fracturas radiculares verticales (FRV) en dientes con raíces tratadas. Métodos: Se tomaron el manual Cochrane y recomendaciones de SIGN 50 como guía para la revisión. Se utilizó el software Meta DiSc 1.4 para calcular las características operativas de sensibilidad, especificidad, valores positivos y negativos. Resultados: Se obtuvieron inicialmente 651 artículos y después de la revisión completa se eligieron 4: 2 estudios tuvieron una sensibilidad del 60-61 % usando RP convencional y 80 % TCRC; especificidad 70-71 % usando RP convencional y 69 % TCRC; no hubo diferencias significativas entre los dos (p> 0,05). La radiografía dental digital (RDD) tuvo una especificidad del 78 % frente al 70 % de la RP convencional. Conclusiones: Con base en los hallazgos y la información publicada, ambas herramientas, la RDD y la TCRC son útiles para el diagnóstico de FRV. No hubo diferencias significativas entre TCRC y RP convencional (p> 0,05), ni en etapas avanzadas ni en tempranas de VRF. Para responder a la pregunta de investigación se requieren más estudios. Para hacer un diagnóstico temprano de VRF en las etapas iniciales, se deben considerar las herramientas de imagen actuales, los métodos clínicos y los síntomas del paciente. Como última opción, se requiere una exploración quirúrgica para confirmar su presencia.

Keywords

cone beam computed tomography, cracked tooth syndrome, diagnostics, endodontics, periapical radiographs, root canal therapy, tooth fracturediagnóstico, endodoncia, fractura de diente, fractura dental, radiografías periapicales, síndrome del diente agrietado, terapia de conducto radicular, tomografía computarizada de rayo de conoendodontia, fratura de dente, radiografias periapicais, síndrome do dente rachado, diagnósticos, terapia do canal radicular, tomografia computadorizada de feixe cônico

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Cómo citar
Hernández Hernández, E., Méndez de la Espriella, C., & Jiménez-Peña, O. M. (2021). Tomografía de rayo cónico y radiografías periapicales para diagnosticar tempranamente fracturas verticales radiculares. Revisión sistemática. Universitas Odontologica, 40. https://doi.org/10.11144/Javeriana.uo40.cbtp
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Práctica Clínica