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Hassan Ahmed Assiri

Speaker for dental conference - Hassan Ahmed Assiri

Title: Diagnostic efficacy of cone beam computed tomography(CBCT) in impacted maxillary canine: Systematic review

Hassan Ahmed Assiri

King Khalid University, Saudi Arabia

Biography

Biography: Dr. Hassan currently works as a lecturer in King Khalid University, Dental School which is located in Abha city, Saudi Arabia. He earned his Bachelor degree in dental surgery from that university in 2010. Shortly, he was awarded with position of teaching assistant in Oral Radiology. Dr. Hassan worked for four years in the department of Diagnostic Science and travelled in 2014 to Sweden for post-graduation study. He earned his Master Degree in Dental Science with clinical training in the field of Oral and Maxillofacial Radiology from the University of Malmo in Sweden in 2016.

Abstract

Background: The maxillary impacted canine is the second most common impaction after the mandibular 3rd molar and has the potential to causes challenge to clinicans. An accurate localization of the impacted canine and its adjacent  teeth is essential.  Traditional radiological assessment relies on the use of periapical, panoramic and lateral images and the use of parallax movement between images taken with different perspectives. The precise identification of position and associated root resorption of adjacent teeth may , however, require the use of sectional imaging. Avalaible methods are computed tomography( CT) and cone beam computed tomography (CBCT), where CBCT has been proved superior to CT with regard to radiation dose and cost.  Despite the expected advantages of CBCT, the impact on patient management, the increased radiation dose and costs compared with conventional radiography has to be considered. To seaerch for evidence that CBCT has a higher diagnostic effciacy than conventional radiography appears essential.
Objective: To systematically review the literature on diagnostic efficacy of CBCT for investigating the position of impacted maxillary canine and root resorption of adjacent teeth.
Methods: The review was planned and achieved based on the preferred reporting items for systematic reviews and meta-analysis (PRISMA) statement and guidance of Centre for Reviews and Dissemination for undertaking reviews in healthcare. Review question - what is the diagnostic efficacy of CBCT for investigating impacted maxillary canines regarding position and root resorption of adjacent teeth? Literature searches - MEDLINE, SCOPUS, WEB OF SCIENCE and COCHRANE up to December 01, 2015. Study selection - The PICO elements were used to define population as patients with impacted maxillary canines, intervention as CBCT as index test, control/reference standard as another method of diagnosis outcome as diagnostic efficacy. Data extraction and synthesis – studies were assessed according to eligibility and methodological quality.
Results: From 1361 identified records, 10 (0.73%) articles met the inclusion criteria for quality assessment. Further one article was included from the reference lists of full-text articles assigned for eligibility. A total of 10 original studies were included in the quality assessment stage in addition to two systematic reviews. Most of evidence is related to diagnostic accuracy efficacy. No studies were identified in the levels of patient outcome efficacy or societal efficacy. The quality of the studies varies with regard to bias and applicability. 
Audience take away:
The importance and rule of CBCT in addressing the position of impacted maxillary canine and potentially associated root resorption of adjacent teeth.
•    CBCT examinations must be justified on an individual basis
•    There is no strong evidence to support using CBCT as a “first line” imaging method forassessment of impacted maxillary canine.
•    Systematic review update is under progress to address the advancement in evidence.