| Title |
Cone Beam Computerized Tomography (CBCT) can be useful in diagnosing Horizontal Root Fracture (HRF) |
| Clinical Question |
In patients with horizontal root fracture (HRF), how does Cone Beam Computerized Tomography (CBCT) compare to intraoral radiograph in diagnosing HRF? |
| Clinical Bottom Line |
As there is no adequate gold standard to diagnose Horizontal Root Fracture, CBCT gives the clinician another means for helping diagnose HRF. |
| Best Evidence |
|
| PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
| 19836716 | Likubo/2009 | 28 extracted dogs maxillary anterior teeth. | Preclinical Study | | Key results | The study used 28 maxillary anterior teeth form 7 dogs, 13 of the 28 teeth had artificially induced HRF. 6 radiologists who were blinded to the research procedures observed the image independently. The statistical significance of differences was determined using Scheffé's F test. The mean ± Standard deviation of 6 observers was the method to calculate all numeric data. The intraloral radiograph showed 0.719±20(mean±SD) while the CBCT showed 0.933±0.029(mean±SD). The sensitivity(95%), NPV and diagnostic accuracy ( TP+TN) of CBCT was significantly the highest among other radiographic measures. Specificity showed no significant difference. | |
| Evidence Search |
((“Cone Beam Computed Tomography”[Mesh] and Horizontal Root Fracture [All Fields |
Comments on
The Evidence |
Validity: The study didn’t mention when the teeth were examined(immediately after the artificial fracture or not). This study represents a preclinical study and needs further studies with higher level of evidence. Also the sample size is small and another study with a large sample size is needed.
|
| Applicability |
If the clinician has access to a CBCT unit, it will be beneficial in diagnosing HRF as it has the highest sensitivity among other radiographic measures which makes it a reliable tool in diagnosing HRF. |
| Specialty |
(Endodontics) (General Dentistry) (Periodontics) |
| Keywords |
Cone Beam Computerized Tomography, CBCT, Horizontal Root Fracture, HRF
|
| ID# |
2524 |
| Date of submission |
08/13/2013 |
| E-mail |
Alaqla@livemail.uthscsa.edu |
| Author |
Ali Alaqla, BDS |
| Co-author(s) |
Jeremaih Whetman, DDS |
| Co-author(s) e-mail |
whetman@uthscsa.edu |
| Faculty mentor |
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| Faculty mentor e-mail |
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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?) |
| 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) |
| None available | |