In horses with secondary sinusitis caused by dental disease, is computed tomography more accurate than radiography for the identification of apical dental pathology?
PICO question In adult horses with secondary sinusitis caused by dental disease, is computed tomography more accurate than radiography for the identification of apical dental pathology? Clinical bottom line Category of research question Diagnosis The number and type of study desi...
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| Format: | Article |
| Language: | English |
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RCVS Knowledge
2022-04-01
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| Series: | Veterinary Evidence |
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| Online Access: | https://veterinaryevidence.org/index.php/ve/article/view/491 |
| _version_ | 1827974060908216320 |
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| author | Rebecca Gill-Parsons Emma Shipman Kirstie Pickles |
| author_facet | Rebecca Gill-Parsons Emma Shipman Kirstie Pickles |
| author_sort | Rebecca Gill-Parsons |
| collection | DOAJ |
| description | PICO question
In adult horses with secondary sinusitis caused by dental disease, is computed tomography more accurate than radiography for the identification of apical dental pathology?
Clinical bottom line
Category of research question
Diagnosis
The number and type of study designs reviewed
The literature search identified four papers that were critically reviewed. The publications consist of two retrospective case-controlled studies, one clinical study and one descriptive study
Strength of evidence
Weak
Outcomes reported
Four studies reported the sensitivity of computed tomography (CT) for the diagnosis of apical dental pathology in horses presented for evaluation of clinical signs of sinus disease with histopathological evidence of apical dental pathology. All studies reported the radiographic changes present in these horses or used absence of definitive radiographic changes consistent with apical dental disease as a reason to undertake further CT evaluation. All four papers found that CT identified teeth with apical pathology that radiography had not
Conclusion
CT is more accurate than radiography for the diagnosis of equine maxillary apical dental pathology; however, clear guidelines on the CT changes associated with apical dental pathology are required. Loss of the lamina dura, infundibular changes or pulpal gas as singular findings on CT imaging can be seen in teeth with no underlying histopathological evidence of apical disease, and in maxillary teeth imaged in horses without clinical signs of maxillary cheek tooth pathology
How to apply this evidence in practice
The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources.
Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care. |
| first_indexed | 2024-04-09T19:48:44Z |
| format | Article |
| id | doaj.art-6f84e53b73174f2b8ce2f2974ecbb53f |
| institution | Directory Open Access Journal |
| issn | 2396-9776 |
| language | English |
| last_indexed | 2024-04-09T19:48:44Z |
| publishDate | 2022-04-01 |
| publisher | RCVS Knowledge |
| record_format | Article |
| series | Veterinary Evidence |
| spelling | doaj.art-6f84e53b73174f2b8ce2f2974ecbb53f2023-04-03T11:04:05ZengRCVS KnowledgeVeterinary Evidence2396-97762022-04-017210.18849/ve.v7i2.491361In horses with secondary sinusitis caused by dental disease, is computed tomography more accurate than radiography for the identification of apical dental pathology?Rebecca Gill-Parsons0https://orcid.org/0000-0001-8709-6129Emma Shipmanhttps://orcid.org/0000-0002-5022-9001Kirstie Pickleshttps://orcid.org/0000-0003-2154-3138University of NottinghamPICO question In adult horses with secondary sinusitis caused by dental disease, is computed tomography more accurate than radiography for the identification of apical dental pathology? Clinical bottom line Category of research question Diagnosis The number and type of study designs reviewed The literature search identified four papers that were critically reviewed. The publications consist of two retrospective case-controlled studies, one clinical study and one descriptive study Strength of evidence Weak Outcomes reported Four studies reported the sensitivity of computed tomography (CT) for the diagnosis of apical dental pathology in horses presented for evaluation of clinical signs of sinus disease with histopathological evidence of apical dental pathology. All studies reported the radiographic changes present in these horses or used absence of definitive radiographic changes consistent with apical dental disease as a reason to undertake further CT evaluation. All four papers found that CT identified teeth with apical pathology that radiography had not Conclusion CT is more accurate than radiography for the diagnosis of equine maxillary apical dental pathology; however, clear guidelines on the CT changes associated with apical dental pathology are required. Loss of the lamina dura, infundibular changes or pulpal gas as singular findings on CT imaging can be seen in teeth with no underlying histopathological evidence of apical disease, and in maxillary teeth imaged in horses without clinical signs of maxillary cheek tooth pathology How to apply this evidence in practice The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources. Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.https://veterinaryevidence.org/index.php/ve/article/view/491equinehorsecomputed tomographyradiographyapical dental pathologydental disease |
| spellingShingle | Rebecca Gill-Parsons Emma Shipman Kirstie Pickles In horses with secondary sinusitis caused by dental disease, is computed tomography more accurate than radiography for the identification of apical dental pathology? Veterinary Evidence equine horse computed tomography radiography apical dental pathology dental disease |
| title | In horses with secondary sinusitis caused by dental disease, is computed tomography more accurate than radiography for the identification of apical dental pathology? |
| title_full | In horses with secondary sinusitis caused by dental disease, is computed tomography more accurate than radiography for the identification of apical dental pathology? |
| title_fullStr | In horses with secondary sinusitis caused by dental disease, is computed tomography more accurate than radiography for the identification of apical dental pathology? |
| title_full_unstemmed | In horses with secondary sinusitis caused by dental disease, is computed tomography more accurate than radiography for the identification of apical dental pathology? |
| title_short | In horses with secondary sinusitis caused by dental disease, is computed tomography more accurate than radiography for the identification of apical dental pathology? |
| title_sort | in horses with secondary sinusitis caused by dental disease is computed tomography more accurate than radiography for the identification of apical dental pathology |
| topic | equine horse computed tomography radiography apical dental pathology dental disease |
| url | https://veterinaryevidence.org/index.php/ve/article/view/491 |
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