Sukeshana Srivastav, Nitesh Tewari, Mohammad Atif, Gregory S Antonarakis, Rabindra Man Shrestha, Partha Haldar
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引用次数: 0
Abstract
Purpose: To assess the global status of the knowledge, attitudes, and practices of orthodontists regarding the orthodontic treatment of traumatized teeth.
Methods: An a priori protocol was developed and registered (PROSPERO, CRD42022342038). The literature search based on the Population, Intervention, Comparator, and Outcome (PICO) elements of the research question was developed and conducted electronically in PubMed, LILACS, Web of Science, EMBASE, Scopus, and the Cochrane Library, up to 31st August 2024. Gray literature and reference searches were also performed. Titles and abstracts were screened, and later, full-text articles were identified. Data extraction and analysis were performed, and the risk of bias was analyzed via the Joanna Briggs Institute Critical Appraisal Checklist for cross-sectional analytical studies. The data was synthesized in form of tables and interpretation was performed.
Results: From a total of 1272 articles initially identified, six studies qualified for the final synthesis. The awareness of orthodontic treatment of teeth with root fractures, crown fractures, crown‒root fractures, mild and severe injury to the periodontium, and teeth managed by revascularization and root canal treatment was found to be less than 40% in most of the studies. Awareness regarding the risk of resorption in teeth with external inflammatory root resorption and avoiding forces on teeth with ankylosis was greater than 90%. The risk of bias was found to be low in three studies.
Conclusions: The knowledge of orthodontists regarding most aspects of orthodontic management of traumatized teeth was found to be low or inadequate. There are wide variations in the protocols preferred, which differ from contemporary recommendations and evidence.
目的：评估全球正畸医生对创伤牙正畸治疗的知识、态度和实践状况。方法：制定并注册先验方案（PROSPERO, CRD42022342038）。基于研究问题的人口、干预、比较器和结果（PICO）元素的文献检索在PubMed、LILACS、Web of Science、EMBASE、Scopus和Cochrane Library中进行，截止到2024年8月31日。还进行了灰色文献和参考文献检索。筛选标题和摘要，然后确定全文文章。进行数据提取和分析，并通过横截面分析研究的乔安娜布里格斯研究所关键评估清单分析偏倚风险。数据以表格的形式合成，并进行解释。结果：从最初鉴定的1272篇文章中，有6篇研究符合最终合成条件。在大多数研究中，对牙根骨折、牙冠骨折、牙冠-牙根骨折、牙周膜轻、重度损伤以及采用血管重建和根管治疗的牙齿的正畸治疗的知知率低于40%。对外炎症性牙根吸收的牙齿吸收风险的认识和避免对强直牙齿施加力的认识大于90%。三项研究发现偏倚风险较低。结论：正畸医师对创伤牙正畸治疗的大多数方面的知识水平较低或不足。不同于当前的建议和证据，首选的方案有很大的差异。
期刊介绍：
Evidence-Based Dentistry delivers the best available evidence on the latest developments in oral health. We evaluate the evidence and provide guidance concerning the value of the author''s conclusions. We keep dentistry up to date with new approaches, exploring a wide range of the latest developments through an accessible expert commentary. Original papers and relevant publications are condensed into digestible summaries, drawing attention to the current methods and findings. We are a central resource for the most cutting edge and relevant issues concerning the evidence-based approach in dentistry today. Evidence-Based Dentistry is published by Springer Nature on behalf of the British Dental Association.
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