Article: Diagnostic validity of CT to assess degenerative temporomandibular joint disease: a systematic review.
Dento maxillo facial radiology
2018 Volume 47, Issue 5, Page(s) 20170389
Abstract: ... with degenerative joint disease (DJD) of the temporomandibular joint (TMJ), what is the diagnostic validity of CT or ... Objectives: The aim of this systematic review was to answer the focus question: "In subjects ... cone-beam CT (CBCT) compared with clinical protocols"?: Methods: DJD should be assessed ...
| 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. |
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| MeSH term(s) | Clinical Protocols ; Cone-Beam Computed Tomography ; Diagnosis, Differential ; Disease Progression ; Evidence-Based Dentistry ; Humans ; Temporomandibular Joint Disorders/diagnostic imaging ; Temporomandibular Joint Disorders/pathology ; Tomography, X-Ray Computed/methods | |||||
| Language | English | |||||
| Publishing date | 2018-03-02 | |||||
| Publishing country | England | |||||
| Document type | Journal Article ; Review ; Systematic Review | |||||
| ZDB-ID | 221323-0 | |||||
| ISSN | 1476-542X ; 0250-832X ; 0349-490X | |||||
| ISSN (online) | 1476-542X | |||||
| ISSN | 0250-832X ; 0349-490X | |||||
| DOI | 10.1259/dmfr.20170389 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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