{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T08:44:02Z","timestamp":1788857042144,"version":"build-2803163510"},"reference-count":133,"publisher":"Wiley","issue":"S29","license":[{"start":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T00:00:00Z","timestamp":1739318400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the diagnostic accuracy of periapical, bitewing or panoramic radiographs (standard 2D radiographs) in detecting and monitoring periodontitis (PICO 1) and to assess the clinical relevance of alternative and emerging diagnostic methods (e.g., cone\u2010beam computed tomography [CBCT], magnetic resonance imaging [MRI], ultrasound imaging [USG]) compared to standard 2D radiographs or clinical\/intra\u2010surgical examination in the diagnosis and surveillance of the disease (PICO 2).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      A systematic literature search was conducted through MEDLINE EMBASE, Scopus and Cochrane Library. When feasible (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009&gt;\u20092 comparable studies), a meta\u2010analysis of diagnostic accuracy was performed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>For PICO 1, 26 studies met the inclusion criteria. Pooled\u2010data analysis from three studies showed a sensitivity of 0.77 (95% confidence interval, CI: 0.66\u20130.85), specificity of 0.76 (95% CI: 0.64\u20130.84) and accuracy of 0.82, with a diagnostic odds ratio (DOR) of 137.99 (95% CI: 6.99\u2013368.90). For PICO 2, 51 articles were included dealing with different techniques. The meta\u2010analysis for CBCT (three studies) showed a pooled sensitivity and specificity of 0.98 (95% CI: 0.96\u20131.00) and 0.98 (95% CI: 0.95\u20131.00), respectively, and a diagnostic accuracy of 0.99 in the detection of furcation involvement compared to intra\u2010surgical measurements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Standard 2D radiographs appear to have adequate diagnostic accuracy for periodontitis, while CBCT is highly sensitive and specific to detect and classify furcation involvement. The role of non\u2010ionizing techniques (MRI and USG) in diagnosing periodontitis remains under investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpe.14137","type":"journal-article","created":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T23:04:21Z","timestamp":1739401461000},"page":"74-124","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Accuracy of Ionizing\u2010Radiation\u2010Based and Non\u2010Ionizing Imaging Assessments for the Diagnosis of Periodontitis: Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1805-2899","authenticated-orcid":false,"given":"Nicola","family":"Discepoli","sequence":"first","affiliation":[{"name":"Department of Medical Biotechnologies, Unit of Periodontology Universit\u00e0 degli Studi di Siena  Siena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8704-5813","authenticated-orcid":false,"given":"Isabella","family":"De Rubertis","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies, Unit of Periodontology Universit\u00e0 degli Studi di Siena  Siena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecile","family":"Wasielewski","sequence":"additional","affiliation":[{"name":"U.F.R. of Odontology Universit\u00e9 Paris Cit\u00e9  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5647-4414","authenticated-orcid":false,"given":"Giuseppe","family":"Troiano","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine University of Foggia  Foggia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5717-3274","authenticated-orcid":false,"given":"Maria Clotilde","family":"Carra","sequence":"additional","affiliation":[{"name":"METHODS Team, CRESS, INSERM, INRAe Universit\u00e9 Paris Cit\u00e9  Paris France"},{"name":"Department of Translational Medicine University of Ferrara  Ferrara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/JISP.JISP_518_20"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.1992.tb00654.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr.18.3.2637876"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0300\u20105712(89)90031\u20106"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.19\u20100452"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10081464"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.7759\/CUREUS.55117"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/5805776"},{"key":"e_1_2_10_10_1","first-page":"991","volume-title":"Carranza's Clinical Periodontology","author":"Ammons W. 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