Sensibilidad y Especificidad del CBCT en los Hallazgos de Fractura Vertical. Revisión Sistemática.

Abstract

The use of Cone Beam Computed Tomography (CBCT) has been very relevant in the field of Endodontics, since in addition to allowing visualization in different cuts (axial, coronal and sagittal), it facilitates the issuance of more precise diagnoses such as root and/or crown fractures, root resorptions, apical periodontitis in early stages, perforations, endodontic surgery planning, among others. Objective: To determine the sensitivity and specificity of CBCT in the detection of vertical fracture through systematic review. Methods: A systematic review was carried out, in which studies carried out between the years 2012 and 2022 were taken into account. The Pubmed and Springer databases were used, including articles in English and Spanish available in full. Articles related to the Effectiveness and Sensitivity of CBCT in the findings of vertical fracture were used. Results: In this review, 176 documents were identified. After reviewing the titles, abstracts and keywords, 78 were discarded, since they were not analyzed on the Effectiveness and Sensitivity of the CBCT or they were duplicated. Of these articles, 108 were downloaded to be examined in greater depth by reading the full text, of which 87 were discarded because they were not in vivo or in vitro studies or because they were not within the established publication year range. . Finally, the number of full-text articles evaluated for eligibility was 21. Conclusions: The use of CBCT in the diagnosis of vertical fracture is a useful tool, but knowledge of the equipment configuration must be known in order to be as accurate as possible. , use a voxel size smaller than 2 microns, to avoid loss of sensitivity and specificity.