Accuracy of cone-beam computed tomography in determining gingival thickness: a systematic review and meta-analysis.

Autor: de Freitas Silva BS; Department of Stomatologic Sciences, School of Dentistry, Federal University of Goiás, Praça Universitária s/n, Setor Universitário - CEP, Goiânia, GO, 74605-220, Brazil. brunno_santos@ufg.br.; University of Anápolis, Anápolis, GO, Brazil. brunno_santos@ufg.br., Silva JK; Department of Stomatologic Sciences, School of Dentistry, Federal University of Goiás, Praça Universitária s/n, Setor Universitário - CEP, Goiânia, GO, 74605-220, Brazil., Silva LR; Department of Stomatologic Sciences, School of Dentistry, Federal University of Goiás, Praça Universitária s/n, Setor Universitário - CEP, Goiânia, GO, 74605-220, Brazil., de Lima KL; Department of Stomatologic Sciences, School of Dentistry, Federal University of Goiás, Praça Universitária s/n, Setor Universitário - CEP, Goiânia, GO, 74605-220, Brazil., Mezaiko E; Department of Stomatologic Sciences, School of Dentistry, Federal University of Goiás, Praça Universitária s/n, Setor Universitário - CEP, Goiânia, GO, 74605-220, Brazil., Roriz VM; Department of Periodontology, School of Dentistry, Federal University of Goiás, Goiânia, Brazil., Evangelista K; Department of Stomatologic Sciences, School of Dentistry, Federal University of Goiás, Praça Universitária s/n, Setor Universitário - CEP, Goiânia, GO, 74605-220, Brazil., Yamamoto-Silva FP; Department of Stomatologic Sciences, School of Dentistry, Federal University of Goiás, Praça Universitária s/n, Setor Universitário - CEP, Goiânia, GO, 74605-220, Brazil.; University of Anápolis, Anápolis, GO, Brazil.
Jazyk: angličtina
Zdroj: Clinical oral investigations [Clin Oral Investig] 2023 May; Vol. 27 (5), pp. 1801-1814. Date of Electronic Publication: 2023 Feb 09.
DOI: 10.1007/s00784-023-04905-7
Abstrakt: Objective: To assess the accuracy of cone-beam computed tomography (CBCT) for determining gingival thickness.
Material and Methods: Searches were undertaken in PubMed/MEDLINE, EMBASE, LILACS, Web of Science, Scopus, LIVIVO, and gray literature (Google Scholar and ProQuest) for studies considered eligible according to the following criteria: cross-sectional observational studies, which compared CBCT accuracy with that of transgingival probing when determining gingival thickness, in adult patients with good periodontal health. No language or time restrictions were applied in this systematic review. The risk of bias was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for analytical cross-sectional studies.
Results: Six articles were included for qualitative synthesis, involving a pooled sample of 132 patients with a mean age of 29 years (18-51 years). Of these 6 studies, 5 were eligible for quantitative analysis. The meta-analysis showed no statistically significant difference between CBCT and transgingival probing measures of gingival tissue (mean difference of 0.10 (95% CI-0.17-0.38). No significant level of heterogeneity was detected (Tau 2 -P = 0.0662; I 2 = 0%; H 2 -P = 1.000; Q-P = 1.134). According to the GRADE criterion, confidence in the cumulative evidence was considered low.
Conclusions: CBCT is an accurate method for determining gingival tissue thickness, comparable to the reference standard (transgingival probing).
Clinical Relevance: CBCT could be considered for gingival thickness measurement when bone thickness is also needed, and thereby aid in the assessment of gingival biotype without the discomfort and anesthesia needed in transgingival probing.
Trial Registration: This protocol was registered at the PROSPERO database (International Prospective Register of Systematic Review) under registration number CRD42022326970. Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022326970 .
(© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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