Diagnóstico de reabsorción radicular externa en ortodoncia. Una revisión sistemática.

José Fernando Márquez, Jorge Mario Castaño, Zulma Vanessa Rueda, Jaime Rendón

Resumen


Introducción: esta revisión sistemática evaluó los métodos radiográficos que permiten detectar la reabsorción radicular externa (rre) en  ortodoncia, determinar el tiempo indicado para la toma de radiografías de control e identificar las características radiográficas de la rre.  Materiales y métodos: se realizaron búsquedas sistemáticas en bases de datos electrónicas y búsquedas manuales, sin restricciones de  año, en español e ingles. Se seleccionaron cohortes y ensayos clínicos aleatorios en seres humanos que evaluaran movimiento ortodóncico  con aparatología fija, y registrarán rre durante o después del tratamiento. Dos autores evaluaron los artículos de forma independiente  y extrajeron los datos en un formato estandarizado. Resultados: la búsqueda arrojó un total de 285 citas. Luego, por título y resumen,  se identificaron 40 artículos que podían estar relacionados. Después de aplicar los criterios de inclusión, quedaron 26 artículos. Debido  a la heterogeneidad de estos, no fue posible estimar una medida global para las preguntas planteadas. Conclusión: el método ideal para  la detección de rre por ortodoncia es la tomografía Cone Beam; sin embargo, la radiografía periapical es muy útil en nuestro medio  para la detección de RRE. Cuando se utilizan las radiografías periapicales como método diagnóstico, estas se deben tomar cada 6 meses.


Palabras clave


diagnóstico; ortodoncia; radiografía periapical; reabsorción radicular externa.

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Referencias


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