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 pathology?
 
 Clinical bottom line
 Category research Diagnosis
 The number and type study designs reviewed
 literature search identified four papers that were critically reviewed. publications consist two retrospective case-controlled studies, one clinical descriptive study
 Strength evidence
 Weak
 Outcomes reported
 Four studies reported sensitivity (CT) diagnosis pathology in presented evaluation signs sinus disease histopathological evidence pathology. All radiographic changes present these or used absence definitive consistent as a reason to undertake further CT evaluation. found teeth had not
 Conclusion
 equine maxillary pathology; however, clear guidelines on associated are required. Loss lamina dura, infundibular pulpal gas singular findings imaging can be seen no underlying imaged without cheek tooth pathology
 How apply this practice
 application into practice should take account multiple factors, not limited to: individual expertise, patient’s circumstances owners’ values, country, location clinic where you work, case front you, availability therapies resources.
 Knowledge Summaries resource help reinforce inform decision making. They do override responsibility judgement practitioner what best animal their care.