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AuthorRobbins, James
AuthorSmalley, Katelyn Rene
AuthorRay, Pamela
AuthorAli, Kamran
Available date2022-11-07T05:23:15Z
Publication Date2022-11-03
Publication NameBMC Oral Health
Identifierhttp://dx.doi.org/10.1186/s12903-022-02490-x
CitationRobbins, J., Smalley, K.R., Ray, P. et al. Does the addition of cone-beam CT to panoral imaging reduce inferior dental nerve injuries resulting from third molar surgery? A systematic review. BMC Oral Health 22, 466 (2022). https://doi.org/10.1186/s12903-022-02490-x
ISSN1472-6831
URIhttp://hdl.handle.net/10576/35863
AbstractThis systematic review aims to examine whether cone-beam CT (CBCT) assessment influences the incidence of nerve injury following high-risk mandibular third molar (MTM) surgery. Randomised controlled trials comparing two and three-dimensional imaging for assessing high-risk MTMs were included. MEDLINE, EMBASE, CENTRAL and the Dentistry and Oral Science Source (DOSS) were systematically searched along with extensive grey literature searches, hand searching of web sites, and detailed citation searching up to 3 September 2022. Risk of bias was assessed against the Cochrane Risk of Bias Tool (RoB 2.0). Certainty of the evidence was assessed using GRADE. Two authors independently screened 402 abstracts prior to full text screening of 27 articles, which culminated in seven RCTs for inclusion. Two studies were assessed as high risk of bias overall. The other five raised some concerns largely due to unblinded patients and lack of prior trial registration. Just one study reported significantly less nerve injuries following CBCT. The remaining six articles found no significant difference. The seven RCTs included in this systematic review offered moderate quality evidence that CBCT does not routinely translate to reduced incidence of nerve injury in MTM removal. A single study provided low quality evidence for a consequent change in the surgical approach. Low quality evidence from 3 studies suggested CBCT does not influence the duration of third molar surgery.
SponsorThis research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Open access funding was provided by the Qatar National Library.
Languageen
PublisherBMC
SubjectCBCT
Computed tomography
Dental nerve
Nerve injury
Third molar
TitleDoes the addition of cone-beam CT to panoral imaging reduce inferior dental nerve injuries resulting from third molar surgery? A systematic review.
TypeArticle
Issue Number1
Volume Number22
dc.accessType Open Access


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