Dental imaging methods for early caries detection and diagnosis

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This Cochrane review of the diagnostic accuracy of different dental imaging methods for early enamel lesions included 104 datasets from 77 studies. Low-certainty evidence suggests that imaging for the detection or diagnosis of early tooth decay may result in a relatively high proportion of false-negative results.

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Root caries: detection and diagnosis

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This Cochrane review assessing the diagnostic test accuracy of index tests for the detection and diagnosis of root caries in adults included 4 studies and 4997 root surfaces. The studies were all at high risk of bias meaning the available evidence is of very low certainty

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Interproximal caries detection: near-infrared light transillumination (NILT) compared to bitewing radiograph

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This review of the accuracy of the near-infrared light transillumination (NILT) for the detection of interproximal dental caries in permanent dentition included 13 studies with 6 contributing to a meta-analasis. Findings suggest that NILT is reasonably comparable to bitewings.

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Radioprotective measures in children undergoing dental radiography

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In this blog Manas Dave looks at a systematic review of radioprotective measures for children undergoing dental radiography. The review was conducted to assist the the European Academy of Paediatric Dentistry update of radioprotective guidelines for dental radiography in children.

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Impacted canines: localisation with conventional or cone beam radiographs?

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This review comparing cone-beam computed tomography (CBCT) and conventional radiography (CR) for localising impacted canines included 8 mainly cross-sectional studies and suggests that CBCT is more accurate. However the quality of the studies is low and further research is needed.

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External root resorption diagnosis: cone-beam computed tomography or periapical radiographs?

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15 in-vitro studies were included in this review of CBCT & periapical radiographs for the diagnosis of external root resorption. It suggests that CBCT performs better however further research is needed the clinical an cost -effectiveness of its use.

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Radiographic caries detection is highly accurate for cavitated proximal lesions

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This review of 117 studies, which were mainly in vitro studies (93), found radiographic caries detection to be highly accurate for cavitated proximal lesions and also suitable to detect dentine caries lesions.

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Electronic Apex Locators may perform better than radiography alone

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When performing root canal treatment determining the position of the apical constriction of the tooth in order to gauge the ‘working length’ of the root canal is an important step. Traditional this has been performed with radiographs although electronic apex locators (EALs) have been available for may years and are becoming increasingly popular. The aim [read the full story…]

Limited evidence for the role of lateral cephalometric radiographs in orthodontic treatment

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Lateral cephalometric radiographs were introduced in the 1930s and together with their related analysis have been a standard element of orthodontic treatment planning.  However their role in assessment and treatment planning has been questioned.    The aims of this review were to evaluate the existing evidence about the validation of lateral cephalometric radiograph in orthodontics and [read the full story…]