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Transverse Diagnosis and CBCT Technology: A Systematic Review.

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Transverse discrepancies in orthodontic diagnosis are crucial and can be reliably assessed using cone-beam computed tomography (CBCT). This technology offers objective criteria for effective treatment planning.

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Area of Science:

  • Orthodontics
  • Dental Imaging
  • Biomechanical Analysis

Background:

  • Accurate orthodontic diagnosis requires assessment in all three spatial planes, not just the sagittal.
  • The transverse plane is critical for understanding patient biomechanics and treatment planning.
  • Cone-beam computed tomography (CBCT) enables comprehensive 3D imaging for evaluating all planes.

Purpose of the Study:

  • To evaluate diagnostic methods for transverse analysis in orthodontics.
  • To determine the utility of CBCT in assessing transverse discrepancies.

Main Methods:

  • Systematic review of studies published between 1965 and 2021 from PubMed, Scopus, and Cochrane databases.
  • Inclusion criteria focused on studies evaluating the transverse plane using CBCT or CT.
  • Assessment of evidence level (OCEBM) and risk of bias (QUADAS-2).

Main Results:

  • 16 studies were selected from 535 initial articles.
  • Identified limitations include the absence of a gold standard for transverse discrepancy measurement and variability in diagnostic methods.
  • Diagnostic techniques, especially CBCT, showed reliability in differentiating dental and skeletal transverse discrepancies.

Conclusions:

  • Dental and skeletal transverse discrepancies can be reliably diagnosed using current methods, particularly CBCT.
  • Transverse discrepancy diagnosis is achievable with objective, measurable criteria.
  • Accurate 3D interpretation via CBCT is vital for informed orthodontic treatment decisions.