A utilização da tomografia computadorizada de feixe cônico altera o diagnóstico e plano de tratamento em endodontia em comparação à radiografia periapical? uma revisão sistemática

Abstract

The aim of the study was to evaluate the impact of Cone Beam Computed Tomography (CBCT) on the diagnosis and treatment plan in endodontics, comparing it to Periapical Radiography. The methodology involved formulating the study question based on PECOS (Population, Exposure, Comparison, Outcome, Study design). Relevant descriptors were selected, including indexed terms from MeSH, Emtree, and DeCS databases and free-text descriptors, to ensure comprehensive coverage. Boolean operators (OR and AND) were used to combine the descriptors and create the search query. Multiple databases were searched, including MEDLINE via PubMed, SciELO, Scopus, Cochrane Library, Web of Science, and EMBASE. In addition, a manual search of the reference lists of eligible studies was conducted. After the search, the studies were evaluated for eligibility criteria, and 24 articles were included in this review. The results showed that, except for 8% of the studies, all the other 92% reported changes in diagnosis or treatment plan when CBCT was used compared to periapical radiography. Even evaluators with less knowledge and experience in endodontic treatments can achieve better results using CBCT for the assessment of complex cases. It can be concluded that the use of CBCT does lead to changes in the diagnosis and treatment plan in endodontic cases, especially in more challenging scenarios, and it can improve outcomes even for less experienced evaluators.