Diagnostic validity of CT to assess degenerative temporomandibular joint disease: a systematic review

作者：Hilgenberg Sydney Priscila Brenner^*; Bonotto Danielle Veiga; Stechman Neto Jose; Zwir Liete Figueiredo; Pacheco Pereira Camila; Canto Graziela De Luca; Porporatti Andre Luis

来源：Dentomaxillofacial Radiology, 2018, 47(5): 20170389.

DOI：10.1259/dmfr.20170389

• cone-beam computed tomography
• diagnostic imaging
• evidence-based dentistry
• temporomandibular joint disorders
• X-ray CT

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.

• 出版日期2018