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November 22, 2025Australian Endodontic JournalOpen Access

Diagnostic Accuracy of Cone‐Beam Computed Tomography and Periapical Radiography in Detecting External Cervical Resorption: A Systematic Review and Meta‐Analysis

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Authors

SSSérgio Emilio Miranda de SousaLMLaise Pena Braga MonteiroRCRoberta Fonseca de Castro

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Overview

Systematic review finds cone-beam computed tomography demonstrates superior diagnostic accuracy over periapical radiography, indicating a need for further studies.

Key Points

  • Cone-beam computed tomography showed superior diagnostic accuracy in detecting external cervical resorption, indicating an advantage over periapical radiography.
  • Specificity values were 0.93 for periapical radiography and 1.00 for cone-beam computed tomography, while sensitivity values were 0.85 and 1.00, respectively.
  • The analysis was a meta-analysis of retrospective studies using human dental images, highlighting potential risks of bias in the patient selection process.
  • The overall certainty of evidence was rated as 'very low', suggesting the need for additional research to confirm findings.

Cite This Study

Sousa et al. (2025) studied this question.

synapsesocial.com/papers/6924e3ddc0ce034ddc34e965https://doi.org/10.1111/aej.70035
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Diagnostic Accuracy of Cone Beam Computed Tomography and Periapical Radiography for Detecting Apical Root Resorption in Retention Phase of Orthodontic Patients: A Cross-Sectional Study2024 · 18 citations
  2. 2Diagnostic Accuracy of <scp>CBCT</scp> Versus <scp>2D</scp> Radiography for Various Dental Pathologies: A Systematic Review and Meta‐Analysis2026
  3. 3A in vitro study comparing Digital Periapical Radiography and Cone Beam Computed Tomography for detecting root resorption in primary molars: a pediatric dentistry perspective2024
  4. 4Assessment of 3D Cone Beam Computed Tomography in Early Detection of Periapical Lesions: A Prospective Clinical Study2025
  5. 5Diagnostic Comparison of Cone Beam Computed Tomography and Panoramic Radiography in Evaluating Endodontic Complications and Anatomy: Retrospective study2026