Panoramic versus CBCT used to reduce inferior alveolar nerve paresthesia after third molar extractions: a systematic review and meta-analysis

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dc.creatorNathalia Calzavara Del Lhano
dc.creatorRosangela Almeida Ribeiro
dc.creatorCarolina de Castro Martins
dc.creatorNeuza Maria Souza Picorelli Assis
dc.creatorKarina Lopes Devito
dc.date.accessioned2024-04-09T19:14:20Z
dc.date.accessioned2025-09-09T00:48:05Z
dc.date.available2024-04-09T19:14:20Z
dc.date.issued2020-05
dc.identifier.doihttps://doi.org/10.1259/dmfr.20190265
dc.identifier.issn1476-542X
dc.identifier.urihttps://hdl.handle.net/1843/66980
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofDentomaxillofacial Radiology
dc.rightsAcesso Restrito
dc.subjectParesthesia
dc.subjectMandibular nerve
dc.subjectMolar, third
dc.subjectCone-beam computed tomography
dc.subjectRadiography, panoramic
dc.subject.otherParesthesia
dc.subject.otherInferior alveolar nerve
dc.subject.otherThird molar
dc.subject.otherCBCT
dc.subject.otherPanoramic radiography
dc.titlePanoramic versus CBCT used to reduce inferior alveolar nerve paresthesia after third molar extractions: a systematic review and meta-analysis
dc.typeArtigo de periódico
local.citation.issue4
local.citation.spage20190265
local.citation.volume49
local.description.resumoObjectives: The aim of this systematic review was to verify whether CBCT in comparison with panoramic radiography reduced the cases of temporary paresthesias of the inferior alveolar nerve (IAN) associated with third molar extractions. Methods: The literature search included five databases (PubMed, Scopus, Web of Science, Cochrane, SciELO), in addition to gray literature and hand search of reference list of included studies. Two reviewers independently screened titles/abstracts, and full texts according to eligibility criteria, extracted data and evaluated risk of bias through Revised Cochrane Risk of Bias Tool for Randomized Trials (RoB 2.0). Data were meta-analyzed by comparing CBCT versus panoramic radiographs for number of events (temporary paresthesia after third molar surgery). Fixed effect model was used for non-significant heterogeneity; relative risk (RR) and 95% CI were calculated. The certainty of evidence was evaluated by Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Results: Four randomized controlled trials (RCTs) were included in meta-analysis, and for the majority of domains they presented low risk of bias. RR was 1.23 (95% IC: 0.75–2.02; I2: 0%; p = 0.43) favouring panoramic radiography, but without significant effect, and with moderate certainty of evidence. Conclusions: We concluded that both interventions had a similar ability to reduce temporary paresthesia of the IAN after third molar surgery with moderate certainty of evidence.
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
local.publisher.initialsUFMG
local.url.externahttps://academic.oup.com/dmfr/article/49/4/20190265/7262829

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