Publicado dic 7, 2021



PLUMX
Almetrics
 
Dimensions
 

Google Scholar
 
Search GoogleScholar


Elizabeth Hernández Hernández

Catalina Méndez de la Espriella

Oscar Mauricio Jiménez-Peña

##plugins.themes.bootstrap3.article.details##

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

References
1. Adorno CG, Yoshioka T, Jindan P, Kobayashi C, Suda H. The effect of endodontic procedures on apical crack initiation and propagation ex vivo. Int Endod J. 2013 Aug; 46(8): 763-768. https://doi.org/10.1111/iej.12056
2. Chang E, Lam E, Shah P, Azarpazhooh A. Cone-beam computed tomography for detecting vertical root fractures in endodontically treated teeth: a systematic review. J Endod. 2016 Feb; 42(2): 177-185. https://doi.org/10.1016/j.joen.2015.10.005
3. Tamse A. Vertical root fractures in endodontically treated teeth: diagnostic signs and clinical management. Endod Top. 2006 Mar; 13(1): 84–94. https://doi.org/10.1111/j.1601-1546.2006. 00200.x
4. Meister F, Lommel TJ, Gerstein H. Diagnosis and possible causes of vertical root fractures. Oral Surg Oral Med Oral Pathol. 1980 Mar; 49(3): 243-253. https://doi.org/10.1016/0030-4220(80)90056-0
5. Yoshino K, Ito K, Kuroda M, Sugihara N. Prevalence of vertical root fracture as the reason for tooth extraction in dental clinics. Clin Oral Investig. 2015 Jul; 19(6): 1405-1409. https://doi.org/10.1007/s00784-014-1357-4
6. Fuss Z, Lustig J, Tamse A. Prevalence of vertical root fractures in extracted endodontically treated teeth. Int Endod J. 1999 Aug; 32(4): 283-286. https://doi.org/10.1046/j.1365-2591.1999.00208.x
7. Tsesis I, Rosen E, Tamse A, Taschieri S, Kfir A. Diagnosis of vertical root fractures in endodontically treated teeth based on clinical and radiographic indices: a systematic review. J Endod. 2010 Sep; 36(9): 1455-1458. https://doi.org/10.1016/j.joen.2010.05.003
8. Eskandarloo A, Asl AM, Jalalzadeh M, Tayari M, Hosseinipanah M, Fardmal J, et al. Effect of time lapse on the diagnostic accuracy of cone beam computed tomography for detection of vertical root fractures. Braz Dent J. 2016 Jan-Feb; 27(1): 16-21. https://doi.org/10.1590/0103-6440201600455
9. Yiit Özer S, Ünlü G, Deer Y. Diagnosis and treatment of endodontically treated teeth with vertical root fracture: three case reports with two-year follow-up. J Endod. 2011 Jan; 37(1): 97-102. https://doi.org/10.1016/j.joen.2010.09.002
10. Bernardes RA, De Moraes IG, Húngaro MA, Azevedo BC, De Azevedo JR, Bramante CM. Use of cone-beam volumetric tomography in the diagnosis of root fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Aug; 108(2): 270-277. https://doi.org/10.1016/j.tripleo.2009.01.017
11. Walton RE. Vertical root fracture: factors related to identification. J Am Dent Assoc. 2017 Feb 1; 48(2): 100-105. https://doi.org/10.1016/j.adaj.2016.11.014
12. Testori T, Badino M, Castagnola M. Vertical root fractures in endodontically treated teeth: a clinical survey of 36 cases. J Endod. 1993 Feb; 19(2): 87-91. https://doi.org/10.1016/S0099-2399(06)81202-1
13. Tsesis I, Kamburoǧlu K, Katz A, Tamse A, Kaffe I, Kfir A. Comparison of digital with conventional radiography in detection of vertical root fractures in endodontically treated maxillary premolars: an ex vivo study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Jul; 106(1): 124-128. https://doi.org/10.1016/j.tripleo.2007.09.007
14. Hannig C, Dullin C, Hülsmann M, Heidrich G. Three-dimensional, non-destructive visualization of vertical root fractures using flat panel volume detector computer tomography: an ex vivo in vitro case report. Int Endod J. 2005 Dec; 38(12): 904-913. https://doi.org/10.1111/j.1365-2591.2005.01033.x
15. Brady E, Mannocci F, Brown J, Wilson R, Patel S. A comparison of cone beam computed tomography and periapical radiography for the detection of vertical root fractures in non-endodontically treated teeth. Int Endod J. 2014 Aug; 47(8): 735-746. https://doi.org/10.1111/iej.12209
16. Cobos-Carbó A, Augustovski F. Declaración CONSORT 2010: actualización de la lista de comprobación para informar ensayos clínicos aleatorizados de grupos paralelos. Med Clin (Barc). 2011 Jul 23; 137(5): 213-215. https://doi.org/10.1016/j.medcli.2010.09.034
17. Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions, Version 5.1.0 [updated March 2011]. The Cochrane Collaboration; 2011. Available from www.cochrane-handbook.org
18. Scottish Intercollegiate Guidelines Network (SIGN). SIGN 50: a Guideline Developer’s Handbook. Edinburgh: SIGN; 2015.
19. Zamora J, Abraira V, Muriel A, Khan K, Coomarasamy A. Meta-diSc: a software for meta-analysis of test accuracy data. BMC Med Res Methodol. 2006 Jul 12; 6: 31. https://doi.org/10.1186/1471-2288-6-31.2006;6:1–12
20. Queiroz, PM, Nascimento, HAR, da Paz TDJ, Anacleto, FN, Queiroz FD. Accuracy of digital subtraction radiography in the detection of vertical root fractures. J Endod. 2016 Jun; 42(6): 896-899. https://doi.org/10.1016/j.joen.2016.03.003
21. Tofangchiha M, Bakhshi M, Fakhar HB, Panjnoush M. Conventional and digital radiography in vertical root fracture diagnosis: a comparison study. Dent Traumatol. 2011 Apr; 27(2): 143-146. https://doi.org/10.1111/j.1600-9657.2010.00973.x
22. Metska ME, Aartman IHA, Wesselink PR, Özok AR. Detection of vertical root fractures in vivo in endodontically treated teeth by cone-beam computed tomography scans. J Endod. 2012 Oct; 38(10): 1344-1347. https://doi.org/10.1016/j.joen.2012.05.003
23. Huang CC, Chang YC, Chuang MC, Lin HJ, Tsai YL, Chang SH, et al. Analysis of the width of vertical root fracture in endodontically treated teeth by 2 micro-computed tomography systems. J Endod. 2014 May; 40(5): 698-702. https://doi.org/10.1016/j.joen.2013.12.015
24. Neves FS, Freitas DQ, Campos PSF, Ekestubbe A, Lofthag-Hansen S. Evaluation of cone-beam computed tomography in the diagnosis of vertical root fractures: the influence of imaging modes and root canal materials. J Endod. 2014 Oct; 40(10): 1530-1536. https://doi.org/10.1016/j.joen.2014.06.012
25. Silva Fuente-Alba C, Molina Villagra M. Likelihood ratio (razón de verosimilitud): definición y aplicación en radiología. Rev Argentina Radiol. 2017 Sep; 81(3): 204-208. https://doi.org/10.1016/j.rard.2016.11.002
26. Macaskill P, Gatsonis C, Deeks J, Harbord R, Takwoingi Y. Chapter 10: Interpreting results and drawing conclusions. In: Deeks JJ, Bossuyt PM, Gatsonis C (editors). Cochrane Handbook for Systematic Reviews of Diagnostic Test Accuracy Version 1.0. The Cochrane Collaboration, 2010. Available from: http://srdta.cochrane.org/
27. Menezes RF de, Araújo NC de, Santa Rosa JMC, Carneiro VSM, Santos Neto AP dos, Costa V, et al. Detection of vertical root fractures in endodontically treated teeth in the absence and in the presence of metal post by cone-beam computed tomography. BMC Oral Health. 2016 Apr 14; 16: 48. https://doi.org/10.1186/s12903-016-0207-y
28. Youssefzadeh S, Gahleitner A, Dorffner R, Bernhart T, Kainberger FM. Dental vertical root fractures: value of CT in detection. Radiology. 1999 Feb; 210(2): 545-549. https://doi.org/10.1148/radiology.210.2.r99ja20545
29. Patel S, Brady E, Wilson R, Brown J, Mannocci F. The detection of vertical root fractures in root filled teeth with periapical radiographs and CBCT scans. Int Endod J. 2013 Dec; 46(12): 1140-1152. https://doi.org/10.1111/iej.12109
30. Pauwels R, Beinsberger J, Collaert B, Theodorakou C, Rogers J, Walker A, et al. Effective dose range for dental cone beam computed tomography scanners. Eur J Radiol. 2012 Feb; 81(2): 267-271. https://doi.org/10.1016/j.ejrad.2010.11.028
31. Hassan B, Metska ME, Ozok AR. Detection of vertical root fractures in endodontically treated teeth by a cone beam computed tomography scan. J Endod. 2009 May; 35(5): 719-722. https://doi.org/10.1016/j.joen.2009.01.022
32. Özer SY. Detection of vertical root fractures by using cone beam computed tomography with variable voxel sizes in an in vitro model. J Endod. 2011 Jan; 37(1): 75-79. https://doi.org/10.1016/j.joen.2010.04.021
33. Hassan B, Metska ME, Ozok AR, van der Stelt P, Wesselink PR. Comparison of five cone beam computed tomography systems for the detection of vertical root fractures. J Endod. 2010 Jan; 36(1): 126-129. https://doi.org/10.1016/j.joen.2009.09.013
34. Edlund M, Nair MK, Nair UP. Detection of vertical root fractures by using cone-beam computed tomography: A clinical study. J Endod. 2011 Jun; 37(6): 768-772. https://doi.org/10.1016/j.joen.2011.02.34
35. Scarfe WC, Farman AG. What is cone-beam CT and how does it work? Dent Clin North Am. 2008 Oct; 52(4): 707-730. https://doi.org/10.1016/j.cden.2008.05.005
36. Corbella S, Del Fabbro M, Tamse A, Rosen E, Tsesis I, Taschieri S. Cone beam computed tomography for the diagnosis of vertical root fractures: a systematic review of the literature and meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Nov;118(5): 593-602. https://doi.org/10.1016/j.oooo.2014.07.014
37. Rosen E, Taschieri S, Del Fabbro M, Beitlitum I, Tsesis I. The diagnostic efficacy of cone-beam computed tomography in endodontics: a systematic review and analysis by a hierarchical model of efficacy. J Endod. 2015 Jul; 41(7): 1008-1014. https://doi.org/10.1016/j.joen.2015.02.021
38. Preston RJ. Update on linear non-threshold dose-response model and implications for diagnostic radiology procedures. Health Phys. 2008 Nov; 95(5): 541-546. https://doi.org/10.1097/01.HP.0000326332.80829.63
39. Beam c, tomography c. AAE and AAOMR Joint position statement. J Endod. 2015 Sep; 41(9): 1393-1396. https://doi.org/10.1016/j.joen.2015.07.013
40. Honor K, Rushton VE. Radiation protection: cone beam CT for dental and maxillofacial radiology (Evidence-based guidelines). Radiat Prot Eur Comm. 2012; 156.
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
Sección
Práctica Clínica