传统的二维和数字三维成像在正牙科的比较:一个系统的审查和元分析
Ana-Maria Haude1, Thomas Lehmann2, Christoph-Ludwig Hennig3
1Department of Orthodontics, Friedrich-Schiller-Universität Jena, An der alten Post 4, 07743, Jena, Germany. anahaude@gmail.com.
概括
三维 (3D) 成像提供了可比或优于二维 (2D) 成像在正的结果. 这次系统性审查和元分析发现,3D成像对于特定应用,如根吸收和受影响的犬类,是有利的.
科学领域:
- 牙科成像和诊断牙科成像和诊断
- ортодонтика 技术评估 评估 技术评估
背景情况:
- 数字成像对于牙科诊断和正牙治疗计划至关重要.
- 评估二维 (2D) 与三维 (3D) 成像在正学中的有效性对于临床实践至关重要.
研究的目的:
- 系统地审查和对2D和3D成像用于临床正牙问题的科学文献进行元分析.
- 将3D成像的诊断准确性和临床实用性与传统的2D方法进行比较.
主要方法:
- 在主要电子数据库中使用PRISMA指南进行系统的文献搜索.
- 关键词包括CBCT,光学成像,正牙,3D成像,2D成像和脑图的组合.
- 使用随机效应模型进行的元分析,以评估脑角测量角度 (SNA,SNB,ANB) 的标准化平均差异 (SMD),通过I2值和Q测试评估异质性.
主要成果:
- 41篇文章 (1987-2023) 符合纳入标准,涵盖小型植入物安置,根吸收,受影响的狗和头脑测量测量.
- 虽然2D成像足以进行小型植入物放置,但3D成像 (CBCT) 显示了对根吸收检测和受影响犬的灵敏度的提高准确性.
- 对10项关于头脑测量测量 (SNA,SNB,ANB) 的研究的元分析显示,尽管有很高的异质性,但2D和3D成像之间没有显著差异.
结论:
- 三维成像在各种正牙应用中与传统的2D成像相当或可能优于传统的2D成像.
- 特定的临床场景,如根吸收和受影响的狗评估,从3D成像中获益更多.
- 需要进一步的研究,以充分阐明3D成像在正学的优势和最佳应用.
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