Priscila Brenner Hilgenberg-Sydney1, Danielle Veiga Bonotto1, José Stechman-Neto2, Liete Figueiredo Zwir3, Camila Pachêco-Pereira4, Graziela De Luca Canto5, André Luís Porporatti5. 1. 1 Department of Restorative Dentistry, Federal University of Paraná , Curitiba , Brazil. 2. 2 Department of Dentistry, Tuiuti University of Paraná , Curitiba , Brazil. 3. 3 Department of Pediatrics, Federal University of Sao Paulo , São Paulo , Brazil. 4. 4 School of Dentistry, University of Alberta , Edmonton, Alberta , Canada. 5. 5 Department of Dentistry, Brazilian Centre for Evidence Based Research, Federal University of Santa Catarina , Florianópolis , Brazil.
Abstract
OBJECTIVES: The aim of this systematic review was to answer the focus question: "In subjects with degenerative joint disease (DJD) of the temporomandibular joint (TMJ), what is the diagnostic validity of CT or cone-beam CT (CBCT) compared with clinical protocols"? METHODS: DJD should be assessed through clinical diagnosis according to RDC/TMD or DC/TMD. Search strategies were specifically developed to the following electronic databases: Cochrane, Latin American And Caribbean Health Sciences (LILACS), PubMed (including Medline), Scopus and Web of Science. Furthermore, partial grey literature search through Google Scholar, OpenGrey and ProQuest was performed. The risk of bias was evaluated using the second version of Quality Assessment Tool for Diagnostic Accuracy Studies (QUADAS-2). RESULTS: The databases search revealed 454 records. After applying the eligibility criteria, four studies were included in this review. All studies were methodologically acceptable, although none of the them fulfilled all criteria of risk of bias according to QUADAS-2. Despite there were some high values for sensitivity and specificity, they were not homogeneous between studies. Regarding specificity outcomes, there were three studies with poor values and only one considered as excellent. CONCLUSIONS: CBCT could be a good image to evaluate DJD progression over time, but should not be used as a screening tool in healthy individuals.
OBJECTIVES: The aim of this systematic review was to answer the focus question: "In subjects with degenerative joint disease (DJD) of the temporomandibular joint (TMJ), what is the diagnostic validity of CT or cone-beam CT (CBCT) compared with clinical protocols"? METHODS: DJD should be assessed through clinical diagnosis according to RDC/TMD or DC/TMD. Search strategies were specifically developed to the following electronic databases: Cochrane, Latin American And Caribbean Health Sciences (LILACS), PubMed (including Medline), Scopus and Web of Science. Furthermore, partial grey literature search through Google Scholar, OpenGrey and ProQuest was performed. The risk of bias was evaluated using the second version of Quality Assessment Tool for Diagnostic Accuracy Studies (QUADAS-2). RESULTS: The databases search revealed 454 records. After applying the eligibility criteria, four studies were included in this review. All studies were methodologically acceptable, although none of the them fulfilled all criteria of risk of bias according to QUADAS-2. Despite there were some high values for sensitivity and specificity, they were not homogeneous between studies. Regarding specificity outcomes, there were three studies with poor values and only one considered as excellent. CONCLUSIONS: CBCT could be a good image to evaluate DJD progression over time, but should not be used as a screening tool in healthy individuals.
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