Volumetric Assessment of Apical Periodontitis Using Cone-Beam Computed Tomography—A Systematic Review

Ewa Mackiewicz, Tobias Bonsmann, Kinga Kaczor-Wiankowska and Alicja Nowicka ()
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Ewa Mackiewicz: Student Scientific Circle at the Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, Powstancow Wielkopolskich 72, 70-111 Szczecin, Poland
Tobias Bonsmann: Student Scientific Circle at the Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, Powstancow Wielkopolskich 72, 70-111 Szczecin, Poland
Kinga Kaczor-Wiankowska: Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, Powstancow Wielkopolskich 72, 70-111 Szczecin, Poland
Alicja Nowicka: Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, Powstancow Wielkopolskich 72, 70-111 Szczecin, Poland

IJERPH, 2023, vol. 20, issue 4, 1-17

Abstract: This systematic review aimed to investigate the scientific literature on volumetric studies concerning the diagnosis and treatment of apical periodontitis using CBCT. A systematic review protocol was written following the preferred reporting items for the systematic reviews and meta-analyses (PRISMA) checklist. Four electronic databases were searched for relevant publications in English, which were published up to 21 January 2023. The inclusion criteria and corresponding search keys were applied. The risk of bias was assessed using the Joanna Briggs Institute Meta-Analysis of Statistic Assessment and Review Instrument. The search strategy identified 202 studies, with 123 studies excluded during the title and abstract screening and 47 studies left for full text screening. A total of 17 studies met the inclusion criteria. The lesion volume was measured and classified according to different indices which compared the effectiveness of their diagnostics. Moreover, the volume of AP lesions increased with the thickness of the maxillary sinus mucosa in primary and secondary infections and decreased due to endodontic treatment. Volumetric measurements using CBCT are useful in the correct definition of periapical tissue pathosis using a CBCT periapical volume index and assessment of the dynamics of the treatment of apical lesions.

Keywords: apical periodontitis; cone-beam computed tomography; systematic review; volumetric studies (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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