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Diagnosis of TMJ degenerative diseases by panoramic radiography: is it possible? A systematic review and meta-analysis

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Abstract

Objective

The objective of this work was to determine the diagnostic accuracy of panoramic radiography in detecting degenerative diseases of the temporomandibular joint.

Method

The protocol was registered at the PROSPERO website. To consider the eligibility of studies to be included/excluded from this review, the acronym “PIRDS” was used and appropriate word combinations and truncations were adapted in the following electronic databases: PubMed/Medline, EMBASE, Latin American and Caribbean Literature on Health Sciences, Web of Science, Scopus, and Cochrane Library.

Results

A total of 2572 references, after the removal of duplicates, were retrieved from the eight electronic databases. After reading the titles and abstracts, a total of 26 articles were selected for full reading, of which ten were excluded, resulting in 16 articles included for qualitative synthesis. All in vivo studies were classified as having a low risk of bias. Regarding in vitro studies none of the included studies scored below 80% in the overall evaluation.

Conclusions

Both in vitro and in vivo studies consistently report a low accuracy in detecting degenerative diseases of the temporomandibular joint using panoramic radiography.

Clinical relevance

Cone-beam computed tomography offers a superior image quality without overlapping structures and a higher accuracy compared to panoramic radiography. However, panoramic radiography can still serve as an initial examination when combined with a clinical assessment. CBCT should be reserved for cases where there are evident clinical and/or radiographic alterations that recommend its use. This approach ensures a judicious and cost-effective use of CBCT resources.

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Data availability

The data that support the fndings of this study are available from the corresponding authors upon reasonable request.

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Authors and Affiliations

  1. Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Center for Advanced Studies in Systematic Review and Meta-Analysis – NARSM, R. Padre Ladislau Kula, 395 - Santo Inácio–, Curitiba, PR, 82010-210, Brazil

    Ângela Graciela Deliga Schroder, Flávio Magno Gonçalves, Julia da Silva Germiniani, Cristiano Miranda de Araujo, Rosane Sampaio Santos & José Stechman-Neto

  2. Universidade José do Rosário Vellano, UNIFENAS, Belo Horizonte, Brazil

    Lucas Deliga Schroder

  3. Laboratoire de Neurobiologie OroFaciale, Université de Paris, France and GHPS Assitance Publique Hopitaux, de Paris, France

    André Luiz Porporatti

  4. Post-graduate Program in Communication Disorders, University Tuiuti do Paraná, Curitiba, Paraná, Brazil

    Bianca Simone Zeigelboim

Authors
  1. Ângela Graciela Deliga Schroder
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Contributions

A.G.D.S. reviewer 1, wrote the main manuscript text, reviewed the manuscript.

F.M.G. reviewer 2, wrote the main manuscript text, reviewed the manuscript.

J.G. reviewer 3, reviewed the manuscript.

L.D.S. prepared figures, reviewed the manuscript.

A.L.P. expert and reviewer the manuscript.

B.S.Z. reviewer the manuscript.

C.M.A. initial search, search, heatmap, meta-analysis, reviewed the manuscript.

R.S.S. reviewer the manuscript.

J.S.N. wrote the main manuscript text, reviewed the manuscript.

Corresponding author

Correspondence to Ângela Graciela Deliga Schroder.

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The authors declare no competing interests.

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Appendix

Appendix

Table 2 Database search strategy
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Table 3 Excluded articles and reasons for exclusion (n=7)
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Schroder, Â.G.D., Gonçalves, F.M., Germiniani, J.d.S. et al. Diagnosis of TMJ degenerative diseases by panoramic radiography: is it possible? A systematic review and meta-analysis. Clin Oral Invest 27, 6395–6412 (2023). https://doi.org/10.1007/s00784-023-05293-8

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