{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T14:40:49Z","timestamp":1792248049400,"version":"4.4.0"},"reference-count":70,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,3]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective:<\/jats:bold>\n To compare the diagnostic accuracy of cone-beam computed tomography (CBCT) and periapical radiographs (PR) for the detection of external root resorption (ERR).\n <\/jats:p>\n \n Material and Methods:<\/jats:bold>\n An electronic search in databases, including the Cochrane Central Register of Controlled Trials, PubMed, Embase, the China National Knowledge Infrastructure, and System for Information on Grey Literature in Europe (SIGLE), was performed until August 2016. A manual search of relevant journals and reference lists of enrolled studies was conducted. The studies investigating the diagnostic accuracy of CBCT or PR for ERR, with simulated ERR as the reference test, were considered eligible. The diagnostic accuracy of CBCT and PR was statistically pooled using a bivariate model. Meta-regression and subgroup analysis were performed to explore the sources of heterogeneity. Sensitivity analysis was used to test the stability of the overall results in the meta-analysis.\n <\/jats:p>\n \n Results:<\/jats:bold>\n A total of 15 studies were included in this systematic review. The pooled results showed that CBCT had significantly higher sensitivity (0.89; 95% confidence interval [CI]: 0.77\u20130.96) and area under curve (0.96; 95% CI: 0.77\u20130.96) than PR (sensitivity: 0.68; 95% CI: 0.56\u20130.78; area under curve: 0.88; 95% CI: 0.85\u20130.90). No difference in sensitivity, specificity, and area under the curve between conventional and digital PR was observed.\n <\/jats:p>\n \n Conclusions:<\/jats:bold>\n Currently available evidence suggests that CBCT could be reliable to detect the presence of ERR in clinical practice and has a higher diagnostic efficacy than PR.\n <\/jats:p>","DOI":"10.2319\/061916-481.1","type":"journal-article","created":{"date-parts":[[2016,11,4]],"date-time":"2016-11-04T11:42:50Z","timestamp":1478259770000},"page":"328-337","source":"Crossref","is-referenced-by-count":73,"title":["Cone-beam computed tomography versus periapical radiograph for diagnosing external root resorption: A systematic review and meta-analysis"],"prefix":"10.2319","volume":"87","author":[{"given":"Jianru","family":"Yi","sequence":"first","affiliation":[{"name":"PhD Candidate, Department of Orthodontics, State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yimin","family":"Sun","sequence":"additional","affiliation":[{"name":"PhD Candidate, Department of Orthodontics, State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Li","sequence":"additional","affiliation":[{"name":"Associate Professor and Vice Director, Department of Orthodontics, State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunjie","family":"Li","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Head and Neck Oncology, State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaobing","family":"Li","sequence":"additional","affiliation":[{"name":"Professor and Director, Department of Pediatric Dentistry, State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhihe","family":"Zhao","sequence":"additional","affiliation":[{"name":"Professor and Vice Dean, Department of Orthodontics, State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-87-2-328-b01","series-title":"Quintessence Int","first-page":"9","article-title":"Tooth resorption","volume":"30","author":"Ne \n RF,","year":"1999","unstructured":"Ne \n RF, \n \n \n Witherspoon \n DE, \n \n \n Gutmann \n JL. \n \n \n Tooth resorption. 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Copenhagen, Denmark: Blackwell Munksgaard;2007:444\u2013488."},{"key":"i0003-3219-87-2-328-b04","series-title":"Endod Dent Traumatol","first-page":"241","article-title":"Root resorption\u2014etiology, terminology and clinical manifestations","volume":"4","author":"Tronstad \n L.","year":"1988","unstructured":"Tronstad \n L. \n \n \n Root resorption\u2014etiology, terminology and clinical manifestations. Endod Dent Traumatol. 1988;4:241\u2013252."},{"key":"i0003-3219-87-2-328-b05","series-title":"Am J Orthod Dentofacial Orthop","first-page":"138","article-title":"Root resorption after orthodontic treatment: part 2. Literature review","volume":"103","author":"Brezniak \n N,","year":"1993","unstructured":"Brezniak \n N, \n \n \n Wasserstein \n A. \n \n \n Root resorption after orthodontic treatment: part 2. Literature review. 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J Orofac Orthop. 2016;77:9\u201315."},{"key":"i0003-3219-87-2-328-b12","series-title":"Int Endod J","first-page":"831","article-title":"The detection and management of root resorption lesions using intraoral radiography and cone beam computed tomography\u2014an in vivo investigation","volume":"42","author":"Patel \n S,","year":"2009","unstructured":"Patel \n S, \n \n \n Dawood \n A, \n \n \n Wilson \n R, \n \n \n Horner \n K, \n \n \n Mannocci \n F. \n \n \n The detection and management of root resorption lesions using intraoral radiography and cone beam computed tomography\u2014an in vivo investigation. 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Endod Dent Traumatol. 1987;3:21\u201327."},{"key":"i0003-3219-87-2-328-b18","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod","first-page":"93","article-title":"A comparative evaluation of the diagnostic efficacy of film and digital sensors for detection of simulated periapical lesions","volume":"92","author":"Wallace \n JA,","year":"2001","unstructured":"Wallace \n JA, \n \n \n Nair \n MK, \n \n \n Colaco \n MF, \n \n \n Kapa \n SF. \n \n \n A comparative evaluation of the diagnostic efficacy of film and digital sensors for detection of simulated periapical lesions. 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Angle Orthod. 2001;71:185\u2013189."},{"key":"i0003-3219-87-2-328-b33","series-title":"Ann Intern Med","first-page":"667","article-title":"Guidelines for meta-analyses evaluating diagnostic tests","volume":"120","author":"Irwig \n L,","year":"1994","unstructured":"Irwig \n L, \n \n \n Tosteson \n AN, \n \n \n Gatsonis \n C, \n \n et al. \n Guidelines for meta-analyses evaluating diagnostic tests. Ann Intern Med. 1994;120:667\u2013676."},{"key":"i0003-3219-87-2-328-b34","series-title":"Stat Med","first-page":"1237","article-title":"Properties of the summary receiver operating characteristic (SROC) curve for diagnostic test data","volume":"21","author":"Walter \n SD.","year":"2002","unstructured":"Walter \n SD. \n \n \n Properties of the summary receiver operating characteristic (SROC) curve for diagnostic test data. 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Copenhagen, Denmark: Blackwell Munksgaard;2007:444\u2013488."},{"key":"i0003-3219-87-2-328-b04","series-title":"Endod Dent Traumatol","first-page":"241","article-title":"Root resorption\u2014etiology, terminology and clinical manifestations","volume":"4","author":"Tronstad \n L.","year":"1988","unstructured":"Tronstad \n L. \n \n \n Root resorption\u2014etiology, terminology and clinical manifestations. Endod Dent Traumatol. 1988;4:241\u2013252."},{"key":"i0003-3219-87-2-328-b05","series-title":"Am J Orthod Dentofacial Orthop","first-page":"138","article-title":"Root resorption after orthodontic treatment: part 2. Literature review","volume":"103","author":"Brezniak \n N,","year":"1993","unstructured":"Brezniak \n N, \n \n \n Wasserstein \n A. \n \n \n Root resorption after orthodontic treatment: part 2. Literature review. 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Am J Orthod Dentofacial Orthop. 2010;137:462\u2013476; discussion 412A."},{"key":"i0003-3219-87-2-328-b07","series-title":"Am J Orthod Dentofacial Orthop","first-page":"28","article-title":"Prevalence and severity of apical root resorption and alveolar bone loss in orthodontically treated adults","volume":"109","author":"Lupi \n JE,","year":"1996","unstructured":"Lupi \n JE, \n \n \n Handelman \n CS, \n \n \n Sadowsky \n C. \n \n \n Prevalence and severity of apical root resorption and alveolar bone loss in orthodontically treated adults. 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