SynthesisJournal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons2017
Predictive Value of Panoramic Radiography for Injury of Inferior Alveolar Nerve After Mandibular Third Molar Surgery.
Synthesis in Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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27 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.
- Does the addition of cone-beam CT to panoral imaging reduce inferior dental nerve injuries resulting from third molar surgery? A systematic review.BMC oral health · 2022Pooled it
- Traditional vs. orthodontic extraction of impacted teeth related to the inferior alveolar nerve: a randomized control trial.BMC oral health · 2025Trial
- Diagnostic evaluation of the relationship between impacted mandibular third molars and the mandibular canal in panoramic radiographs shared via WhatsApp.Oral radiology · 2026Article
- Application of deep learning in evaluating the anatomical relationship between the mandibular third molar and inferior alveolar nerve: A scoping review.Medicina oral, patologia oral y cirugia bucal · 2026Article
- Automated assessment and detection of third molar and inferior alveolar nerve relations using UNet and transfer learning models.Scientific reports · 2025Article
- Comparison of two surgical techniques for the extraction of mandibular horizontally impacted third molars near the mandibular canal: the displacement reduction method and the away-from-nerve method.Clinical oral investigations · 2025Article
- Panoramic radiographic features for machine learning based detection of mandibular third molar root and inferior alveolar canal contact.Scientific reports · 2025Article
- Two-Dimensional Radiographic Diagnosis of Maxillary Canine Impactions.Dentistry journal · 2024Article
- Use of CBCT and panoramic radiography in the prediction of alterations in sensivity of the inferior alveolar nerve in third molars: A retrospective cross-sectional study.The Saudi dental journal · 2024Article
- Artificial Intelligence for Classifying the Relationship between Impacted Third Molar and Mandibular Canal on Panoramic Radiographs.Life (Basel, Switzerland) · 2023Article
- The Application of Deep Learning on CBCT in Dentistry.Diagnostics (Basel, Switzerland) · 2023Review
- Application of Cone Beam Computed Tomography in Risk Assessment of Lower Third Molar Surgery.Diagnostics (Basel, Switzerland) · 2023Review
- Deep learning model for analyzing the relationship between mandibular third molar and inferior alveolar nerve in panoramic radiography.Scientific reports · 2022Article
- Artificial Intelligence-Based Prediction of Oroantral Communication after Tooth Extraction Utilizing Preoperative Panoramic Radiography.Diagnostics (Basel, Switzerland) · 2022Article
- Comparison of Digital OPG and CBCT in Assessment of Risk Factors Associated with Inferior Nerve Injury during Mandibular Third Molar Surgery.Diagnostics (Basel, Switzerland) · 2021Article
- Artificial Intelligence Model to Detect Real Contact Relationship between Mandibular Third Molars and Inferior Alveolar Nerve Based on Panoramic Radiographs.Diagnostics (Basel, Switzerland) · 2021Article
- Anatomical Variations of the Bifid Mandibular Canal on Panoramic Radiographs in Citizens from Zagreb, Croatia.Acta stomatologica Croatica · 2021Article
- Lower third molar inclusion associated with paraesthesia: A case report.Experimental and therapeutic medicine · 2021Article
- Radiological risk indicators for persistent postoperative morbidity after third molar removal.Clinical oral investigations · 2021Article
- Can diagnostic changes caused by cone beam computed tomography alter the clinical decision in impacted lower third molar treatment plan?Dento maxillo facial radiology · 2021Article
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of the present systematic review was to assess the added value of panoramic radiography in predicting postoperative injury of the inferior alveolar nerve (IAN) in the decision-making before mandibular third molar (MM3) surgery. MATERIALS AND
methodsMEDLINE and EMBASE were searched electronically to identify the diagnostic accuracy of studies that had assessed the predictive value of 7 panoramic radiographic signs, including root-related signs (darkening of the root, deflection of the root, narrowing of the root, and dark and bifid apex of the root) and canal-related signs (interruption of the white line of the canal, diversion of the canal, and narrowing of the canal) for IAN injury after MM3 surgery.
resultsA total of 8 studies qualified for the meta-analysis. The pooled sensitivity and specificity of the 7 signs ranged from 0.06 to 0.49 and 0.81 to 0.97, respectively. The area under the summary area under the receiver operating characteristic curve ranged from 0.42 to 0.89. The pooled positive predictive value (PPV) and negative predictive value (NPV) ranged from 7.5 to 26.6% and 95.9 to 97.7%, respectively. The added value of a positive sign for ruling in an IAN injury (PPV minus the prior probability) ranged from 3.4 to 22.2%. The added value of a negative sign for ruling out an IAN injury (NPV minus [1 minus the prior probability]) ranged from 0.1 to 2.2%.
conclusionsFor all 7 signs, the added value of panoramic radiography is too low to consider it appropriate for ruling out postoperative IAN in the decision-making before MM3 surgery. The added value of panoramic radiography for determining the presence of diversion of the canal, interruption of the white line of the canal, and darkening of the root can be considered sufficient for ruling in the risk of postoperative IAN injury in the decision-making before MM3 surgery.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.