SynthesisLa Radiologia medica2024
Diagnostic accuracy of periapical radiography and panoramic radiography in the detection of apical periodontitis: a systematic review and meta-analysis.
Synthesis in La Radiologia medica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Radiographic diagnosis of periodontitis using artificial intelligence: a meta-analysis comparing binary and staging classifications across imaging modalities.BMC oral health · 2025Pooled it
- Deep Learning in Dental Imaging: Advances, Challenges, and Future.Oral radiology · 2026Review
- Comparative assessment of CBCT and digital radiography in quantifying periapical pathology (in vitro study).BMC oral health · 2026Article
- Photon-Counting Detector CT-Based Virtual Monoenergetic Imaging With Metal Artifact Reduction for Endodontic Diagnostics.International dental journal · 2026Article
- Towards accurate occlusal plane positioning in panoramic radiographs: a deep learning-assisted study.Oral radiology · 2026Article
- Automated periapical lesion segmentation and area-based PAI indexing: a comparative deep learning study on periapical radiographs.BMC oral health · 2026Article
- Do Laser-Activated Irrigation Protocols Improve Endodontic Success? A Prospective Clinical Comparison of 1-Year Periapical Healing with Sonic, Ultrasonic, Manual Dynamic and Conventional Techniques.Diagnostics (Basel, Switzerland) · 2026Article
- Deep learning-based assessment of periapical radiographic image quality.Scientific reports · 2026Article
- A preliminary study on quantitative assessment of apical lesion area.American journal of translational research · 2026Article
- The Potential Association Between Betel Nut Consumption and Apical Periodontitis: A Multicenter Cross-Sectional Study.International journal of dentistry · 2026Article
- Applicability and performance of convolutional neural networks for the identification of periodontal bone loss in periapical radiographs: a scoping review.Oral radiology · 2026Article
- Assessment of marginal bone loss, distal caries, and external root resorption in second molars adjacent to impacted third molars: a retrospective CBCT and panoramic study.BMC oral health · 2025Article
- Evaluation of Apical Closure in Panoramic Radiographs Using Vision Transformer Architectures ViT-Based Apical Closure Classification.Diagnostics (Basel, Switzerland) · 2025Article
- A Retrospective Study of CBCT-Based Detection of Endodontic Failures and Periapical Lesions in a Romanian Cohort.Journal of clinical medicine · 2025Article
- Automated Detection of Periodontal Bone Loss in Two-Dimensional (2D) Radiographs Using Artificial Intelligence: A Systematic Review.Dentistry journal · 2025Review
- Artificial intelligence-assisted identification of condensing osteitis and idiopathic osteosclerosis on panoramic radiographs.Scientific reports · 2025Article
- Evaluation of preoperative apical periodontitis, treatment indications, and methods in endodontically treated teeth: a retrospective study.BMC oral health · 2025Article
- Deep Learning-Based Periapical Lesion Detection on Panoramic Radiographs.Diagnostics (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveApical periodontitis (AP) is one of the most common pathologies of the oral cavity. An early and accurate diagnosis of AP lesions is crucial for proper management and planning of endodontic treatments. This study investigated the diagnostic accuracy of periapical radiography (PR) and panoramic radiography (PAN) in the detection of clinically/surgically/histopathologically confirmed AP lesions.
methodA systematic literature review was conducted in accordance with the PRISMA guidelines. The search strategy was limited to English language articles via PubMed, Embase and Web of Science databases up to June 30, 2023. Such articles provided diagnostic accuracy values of PR and/or PAN in the detection of AP lesions or alternatively data needed to calculate them.
resultsTwelve studies met inclusion criteria and were considered for the analysis. The average value of diagnostic accuracy in assessing AP lesions was 71% for PR and 66% for PAN. According to different accuracy for specific anatomical areas, it is recommended to use PR in the analysis of AP lesions located in the upper arch and lower incisor area, whereas lower premolar and molar areas may be investigated with the same accuracy with PR or PAN.
conclusionsTwo-dimensional imaging must be considered the first-level examination for the diagnosis of AP lesions. PR had an overall slightly higher diagnostic accuracy than PAN. Evidence from this review provided a useful tool to support radiologists and dentists in their decision-making when inflammatory periapical bone lesions are suspected to achieve the best clinical outcome for patients, improving the quality of clinical practice.
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