Appropriate Terminology for the Time Elapsed From Avulsion of a Permanent Tooth to Replantation: A Scoping Review and Delphi Consensus.

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology Pub Date : 2024-11-02 DOI:10.1111/edt.12993

Nitesh Tewari, Jhunjhunwala Garima, Anne O'Connell, Nidhi Sharawat, Morankar Rahul, Vijay Prakash Mathur, Partha Haldar

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Abstract

Background: The prognosis of an avulsed permanent tooth depends on the time elapsed from injury to replantation in the injured socket. Wide variability exists in the terminologies used to describe this period. Hence, the aim of this study was to identify and categorize the terminologies related to this aspect of tooth avulsion, grade the explanations provided by the authors, and develop a consensus about the most appropriate terminology through a Delphi approach.

Methods: This study involved a scoping review to identify and analyze the terminologies. It was performed according to PRISMA-ScR with a systematic search performed in PubMed, Scopus, EMBASE, LILACS, and Web of Science. The terminologies were extracted, categorized, and evaluated for correctness. On the basis of the results of the review and expert group discussion, an ideal terminology was proposed. A Delphi study with 20 global experts in dental traumatology was conducted to develop a consensus for the proposed terminology and its description.

Results: A total of 92 studies were included. They were distributed into five categories according to the terminology used: (a) dry period alone, (b) total period with dry and/or wet times, (c) extra-alveolar period, (d) extraoral period, and (e) miscellaneous. The explanations provided were correct in 37.5% of the studies that used an extraoral period. In the Delphi study, the lowest scores were given to the term dry period. There was an agreement of 95% for the proposed terminology.

Conclusion: A wide variation in terminologies was observed that could be distributed into five categories. The correctness of explanations was highest in the studies that described total periods with dry and wet times. The Delphi study revealed excellent agreement for the proposed term "total extra-alveolar period," with precise and clear recordings of both nonphysiologic (dry) periods and physiologic (wet) periods.

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从恒牙脱落到植牙所需时间的适当术语：范围审查和德尔菲共识》。

背景：恒牙脱落的预后取决于从受伤到重新镶入受伤牙槽窝的时间。用于描述这段时间的术语存在很大差异。因此，本研究的目的是对与牙齿脱落相关的术语进行识别和分类，对作者提供的解释进行分级，并通过德尔菲法就最合适的术语达成共识：本研究通过范围审查来确定和分析术语。研究按照 PRISMA-ScR 标准进行，在 PubMed、Scopus、EMBASE、LILACS 和 Web of Science 中进行了系统检索。对术语进行了提取、分类和正确性评估。根据审查和专家组讨论的结果，提出了理想的术语。为了就提议的术语及其描述达成共识，20 位全球牙科创伤学专家进行了德尔菲研究：结果：共纳入 92 项研究。结果：共纳入 92 项研究，根据使用的术语将其分为五类：(a) 单纯干燥期，(b) 包含干燥和/或湿润期的总期，(c) 牙槽外期，(d) 口腔外期，(e) 其他。在使用口外期的研究中，37.5% 提供的解释是正确的。在德尔菲研究中，"干燥期 "一词的得分最低。结论：结论：术语差异很大，可分为五类。解释正确性最高的是那些描述了干湿期总和的研究。德尔菲研究表明，对 "总肺泡外期 "这一术语的建议非常一致，对非生理期（干燥期）和生理期（潮湿期）的记录都非常准确和清晰。

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来源期刊

Dental Traumatology 医学-牙科与口腔外科

CiteScore

6.40

自引率

32.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.