ReviewDento maxillo facial radiology2019
Cone beam CT imaging of the mandibular third molar: a position paper prepared by the European Academy of DentoMaxilloFacial Radiology (EADMFR).
Review in Dento maxillo facial radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- American Dental Association and American Academy of Oral and Maxillofacial Radiology patient selection for dental radiography and cone-beam computed tomography: Clinical recommendations.Oral surgery, oral medicine, oral pathology and oral radiology · 2026Guideline
- American Dental Association and American Academy of Oral and Maxillofacial Radiology patient selection for dental radiography and cone-beam computed tomography: Clinical recommendations.Journal of the American Dental Association (1939) · 2026Guideline
- Incidental findings from cone-beam computed tomography in children and adolescents: a systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025Pooled it
- Prevalence of distal caries in second molar associated with impacted mandibular third molar and the position and level of impaction: a systematic review and meta-analysis.Clinical oral investigations · 2025Pooled it
- 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
- Comparison of CBCT and panoramic radiography for the assessment of bone loss and root resorption on the second molar associated with third molar impaction: a systematic review.Dento maxillo facial radiology · 2022Pooled it
- Two decades of research on CBCT imaging in DMFR - an appraisal of scientific evidence.Dento maxillo facial radiology · 2021Pooled it
- Panoramic versus CBCT used to reduce inferior alveolar nerve paresthesia after third molar extractions: a systematic review and meta-analysis.Dento maxillo facial radiology · 2020Pooled it
- CBCT does not reduce neurosensory disturbances after third molar removal compared to panoramic radiography: a systematic review and meta-analysis.Clinical oral investigations · 2020Pooled it
- Comparing standard- and low-dose CBCT in diagnosis and treatment decisions for impacted mandibular third molars: a non-inferiority randomised clinical study.Clinical oral investigations · 2024Trial
- Evaluation of 5T high-field MRI for identification of mandibular third molar and inferior alveolar nerve structures: a study compared with 3T MRI and CBCT.BMC oral health · 2026Observational
- Artificial intelligence-assisted decision-making in third molar assessment using ChatGPT: is it really a valid tool?Oral radiology · 2026Article
- Diagnostic performance of deep learning models in classifying mandibular third molar and mandibular canal contact status on panoramic radiographs: A systematic review and meta-analysis.Imaging science in dentistry · 2025Review
- Dental-dedicated magnetic resonance imaging in the follow-up of lower third molar removal.Oral radiology · 2025Article
- Is cone beam computed tomography accurate in predicting inferior alveolar nerve exposure during mandibular third molar extraction?BMC oral health · 2025Article
- Panoramic radiographic features for machine learning based detection of mandibular third molar root and inferior alveolar canal contact.Scientific reports · 2025Article
- Article
- Risk factors for impacted lower third molar root perforation through the undercut-shaped lingual plate: preoperative insights from panoramic radiography.Odontology · 2024Article
- The use of CBCT in orthodontics with special focus on upper airway analysis in patients with sleep-disordered breathing.Dento maxillo facial radiology · 2024Article
- Is it possible to predict neurosensory alterations in impacted lower third molar removal based on preoperative imaging procedures? A prospective cohort study.Medicina oral, patologia oral y cirugia bucal · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesLack of evidence on the use of CBCT for management of mandibular third molars in Radiation Protection guideline no. 172 of the European Commission made the European Academy of DentoMaxilloFacial Radiology (EADMFR) decide to update the recommendations of the guideline. METHODS AND MATERIALS: A literature search was performed addressing the following questions: (1) does CBCT change the treatment of the patient?; (2) does CBCT reduce the number of post-operative sensory disturbances of the inferior alveolar nerve?; and (3) can CBCT predict the risk for a post-operative sensory disturbance of the inferior alveolar nerve?
results: Since the European Commission published the guideline in 2012 several high-evidence studies on the use of CBCT before removal of mandibular third molars have been conducted including five randomized controlled clinical trials and one meta-analysis. Present literature allows to propose recommendations with highest level of evidence.
conclusionNew and up-to-date evidence-based recommendations advocate that CBCT imaging of the mandibular third molar should not be applied as a routine method before removal of mandibular third molars and therefore, CBCT imaging should only be applied when the surgeon has a very specific clinical question in an individual patient case that cannot be answered by conventional (panoramic and/or intraoral) imaging.
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Registered trials
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.