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Title |
Diagnostic Evaluation of Temporomandibular Joint Osteoarthritis using Cone Beam Computed Tomography Compared With Conventional Radiographic Technology |
Clinical Question |
In Patients with possible osteoarthritis of the temporomandibular joint (TMJ), how effectively will panoramic radiography produce an image diagnostic of osteoarthritis as compared to cone beam computerized tomography (CBCT)? |
Clinical Bottom Line |
No significant difference in image accuracy was detected between panoramic radiography and CBCT. |
Best Evidence |
(you may view more info by clicking on the PubMed ID link) |
PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
#1) 17304321 | Meng/2007 | 511 joints from 350 patients | Retrospective study | Key results | Both Panoramic and CBCT imagine were adequately effective at detecting osseous abnormalities of the TMJ, of which osteoarthritis is included. | |
Evidence Search |
((("Osteoarthritis"[Mesh]) AND "Temporomandibular Joint"[Mesh]) AND "Radiography, Panoramic/utilization"[Mesh]) AND "Cone(Beam Computed Tomography"[Mesh] |
Comments on
The Evidence |
Although the number of subjects is favorable, no mentions are made of blinding in data interpretation- the lack of which could have potentially skewed data due to confirmation bias. |
Applicability |
This study could prove useful for monitoring the treatment of patients suffering from TMJ osteoarthritis. The lower cost and suitable accuracy of panoramic radiography would make continued panoramic monitoring of the TMJ a more viable option for lower-income patients. |
Specialty/Discipline |
(Oral Medicine/Pathology/Radiology) (General Dentistry) |
Keywords |
TMD, CBCT, cone beam computerized tomography, radiology, TMJ, osteoarthritis, panoramic, pano, panograph
|
ID# |
2435 |
Date of submission: |
03/01/2013 |
E-mail |
GonzalezA18@livemail.uthscsa.edu |
Author |
Arthur Gonzalez |
Co-author(s) |
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Co-author(s) e-mail |
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Faculty mentor/Co-author |
Edward F. Wright, DDS, MS |
Faculty mentor/Co-author e-mail |
WrightE2@uthscsa.edu |
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
None available | |
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Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
None available | |
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