Accuracy of Cone-Beam Computed Tomography Enhance the Diagnostic of Periodontal Disease: A Narrative Review
Sariyani Pancasari Audry Arifin1 Ricky Anggara Putranto2,* Alyah Heriandi2 Dika Andiana Sari Gunawan1 Febby Putri Maharani1

1 Radiology Department, Faculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia
2 Periodontics Department, Faculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia

*Corresponding author. Email: rickyanggara[at]trisakti.ac.id

Abstract

Background

Adult populations are at risk of periodontal disorders. The diagnosis is primarily based on clinical observations confirmed by radiographic analysis. Cone beam computed tomography (CBCT) was introduced to the dental sector in earlier decades. CBCT imaging diagnostic efficacy in periodontics was the focus of this study, which used the hierarchical efficacy model to analyze and explore the literature systematically.

Objective

The objective of this study is to evaluate the accuracy of cone beam computed tomography (CBCT) to diagnose periodontal disease.

Method

Narrative reviews with article searches were carried out through NCBI^s PubMed database and Scopus with the inclusion criteria articles published in 2019-2024 to identify studies of CBCT to enhance the diagnostic and treatment of periodontal disease. Two examiners performed the eligibility and quality assessment of relevant studies and consensus was reached in cases where disagreement occurred.

Result

The average diagnostic accuracy of the research included showed a low or moderate risk of bias, suggesting usage concerns about the use of CBCT. Furthermore, in comparison to other modalities, CBCT is accurate in detecting periodontal abnormalities and clinical symptom. According to research on patient outcomes, CBCT is a trustworthy method for evaluating the results of periodontal diagnostic.

Conclusion

The result of high-resolution images can provide an excellent three-dimensional image for viewing bone destruction and periodontal problems. When there is furcation involvement, infra-bony deformities, or bone loss, CBCT has been proven to be accurate and helpful.

Keywords Cone-beam computed tomography, diagnostic, narrative review, periodontal disease

Keywords: Cone-beam computed tomography, diagnostic, narrative review, periodontal disease

Topic: Periodontics