Journal of Evidence-Based Dental Practice最新文献

{"title":"TWIN-MIX INJECTION REDUCES POSTOPERATIVE COMPLICATIONS AFTER LOWER THIRD MOLAR REMOVAL—A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS","authors":"ESZTER HARDI ,&nbsp;ANNA TAKÁCS ,&nbsp;BIANCA GOLZIO  NAVARRO  CAVALCANTE ,&nbsp;BENCE SZABÓ ,&nbsp;ANDREA HARNOS ,&nbsp;PÉTER HEGYI ,&nbsp;Gábor Varga ,&nbsp;ORSOLYA NÉMETH ,&nbsp;ÁRPÁD JOÓB-FANCSALY","doi":"10.1016/j.jebdp.2025.102098","DOIUrl":"10.1016/j.jebdp.2025.102098","url":null,"abstract":"<div><h3>Background</h3><div>The aim of this systematic review and meta-analysis was to assess whether pain, swelling and trismus following surgical removal of the lower third molar could be reduced by twin-mix injection.</div></div><div><h3>Materials and Methods</h3><div>MEDLINE, Embase and Cochrane Trials were searched for randomized controlled trials (RCTs) until 17th November 2022. Eight RCTs were included in the systematic review, and 7 in the meta-analysis. In this study, the twin-mix was compared with the conventional anesthetic solution. Outcomes were assessed on postoperative days 1, 3 and 7. Primary outcomes were swelling and trismus. Secondary outcomes were postoperative pain, pain score on local anesthetic injection, duration of soft tissue anesthesia, and latency of anesthesia. Risk of bias was assessed using the Cochrane ROB2 tool. Certainty of evidence was evaluated with the GRADE tool.</div></div><div><h3>Results</h3><div>On postoperative day 1, the twin-mix group showed significant reductions in facial swelling (MD: −3.51 mm; [−5.04 to −1.97]), trismus (MD: −1.7 mm; [−2.48 to −0.92]) and pain (MD: −1.07; [−1.49 to −0.65]). On day 3, swelling (MD: −4.64 mm; [−6.34 to −2.94]), trismus (MD: −1.08 mm; [−1.55 to −0.61]) and pain (MD: −0.62; [−1.09 to −0.15]) remained significantly reduced. On day 7, differences persisted for swelling (MD: −0.58 mm; [−0.76 to −0.40]) and trismus (MD: −0.42 mm; [−0.72 to −0.12]), but no significant difference was found in pain (MD: −0.29; [−0.65 to 0.07]). The twin-mix also significantly reduced pain under local anesthesia, shortened latency and prolonged duration of anesthesia.</div></div><div><h3>Conclusion</h3><div>In conclusion, the use of twin-mix is highly beneficial for pain relief, facial swelling and trismus following mandibular third molar surgical removal.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102098"},"PeriodicalIF":4.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EFFECTS OF LOW-LEVEL LIGHT THERAPY ON PAIN AND RELATED LESIONS IN PATIENTS WITH ORAL LICHEN PLANUS: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"CHENGHUI LU M.Med ,&nbsp;LANQING MO M.B.B.S ,&nbsp;XIN LI M.Sc ,&nbsp;GUANHUAN DU Ph.D ,&nbsp;ZHENGQUAN CHEN M.Sc ,&nbsp;FAN WU B.M ,&nbsp;LILI CAI B.M ,&nbsp;QING DU Ph.D ,&nbsp;GUOYAO TANG Ph.D","doi":"10.1016/j.jebdp.2025.102126","DOIUrl":"10.1016/j.jebdp.2025.102126","url":null,"abstract":"<div><h3>BACKGROUND</h3><div>Oral lichen planus (OLP) is a relatively common immunological mucocutaneous disease that causes pain, burning sensations and poor quality of life. The use of low-level light therapy (LLLT) to treat OLP is still debated. This systematic review and meta-analysis aimed to systematically and quantitatively assess the efficacy of LLLT in the treatment of OLP.</div></div><div><h3>METHODS</h3><div>The PubMed, Embase, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Cochrane Library, and Web of Science electronic databases were searched up to February 28, 2023, to identify randomized controlled trials (RCTs) examining the use of LLLT in OLP patients reporting pain or other outcomes. The mean difference (MD) or <em>log</em> risk ratio (<em>log</em> RR) with 95% confidence intervals (<em>CI</em>s) were estimated separately for each outcome to determine the effect sizes. Subgroup analysis was used to detect the sources of heterogeneity. Sensitivity analysis was used to test the robustness of the pooled results. Funnel plots, Egger's test, and Begg's test were used to test publication bias. All the statistical analyses were performed using Stata 16.0 software. A graph of risk of bias was drawn using RevMan 5.4.1 software for the assessment of bias.</div></div><div><h3>RESULTS</h3><div>A total of twelve RCTs were included in this systematic review, 7 of which were also included in the meta-analysis. Among the included studies, 1 had a low risk of bias, whereas 7 had an unclear risk of bias. The meta-analysis results indicated that LLLT significantly improved long-term analgesic efficacy (over 12 weeks posttreatment, measured by the visual analogue scale; MD = -1.20, 95% <em>CI</em> -2.01 to -0.38, <em>P</em> &lt; .001), whereas no significant changes were observed in either the short term (MD = -0.68, 95% <em>CI</em> -1.38 to 0.01, <em>P</em> = .05) or the medium term (MD = -0.89, 95% <em>CI</em> -1.96 to 0.17, <em>P</em> = .10). Furthermore, LLLT improved the clinical severity of lesions (as assessed by the biopsy sign scores or reticular atrophic erosive scores; MD = -1.13, 95% <em>CI</em> -1.62 to -0.63, <em>P</em> &lt; .001) and reduced the recurrence rate (<em>log</em> RR = -1.34, 95% <em>CI</em> -2.30 to -0.37, <em>P</em> = .01). Additionally, there were no statistically significant differences in the clinical response rate (measured by efficacy indices; <em>log</em> RR = -0.12, 95% <em>CI</em> -0.37 to 0.13, <em>P</em> = .35). No adverse events related to LLLT were reported.</div></div><div><h3>CONCLUSION</h3><div>LLLT appears to alleviate pain, enhance the clinical outcomes of OLP lesions, and lower the likelihood of relapse in OLP patients. Future research should focus on longer intervention courses, larger sample sizes, and multidisciplinary intervention designs.</div></div><div><h3>SYSTEMATIC REVIEW REGISTRATION</h3><div>This meta-analysis was registered on PROSPERO (CRD42023384852).</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102126"},"PeriodicalIF":4.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143621183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for Readers","authors":"","doi":"10.1016/S1532-3382(25)00029-6","DOIUrl":"10.1016/S1532-3382(25)00029-6","url":null,"abstract":"","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102114"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PAIN, OEDEMA AND TRISMUS RESPONSES FOLLOWING PHOTOBIOMODULATION THERAPY IMMEDIATELY AFTER LOWER THIRD MOLAR EXTRACTION: RESULTS OF A RANDOMIZED, DOBLE-BLIND AND SPLIT MOUTH CLINICAL TRIAL","authors":"GISELA CRISTINA VIANNA CAMOLESI ,&nbsp;AHMED SAMIR EL KATTAN ,&nbsp;JOSÉ LOPEZ-LOPEZ ,&nbsp;ANDRÉS BLANCO-CARRIÓN ,&nbsp;ABEL GARCÍA-GARCÍA ,&nbsp;PILAR GÁNDARA-VILA ,&nbsp;MARIO PÉREZ-SAYÁNS","doi":"10.1016/j.jebdp.2024.102080","DOIUrl":"10.1016/j.jebdp.2024.102080","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the impact of photobiomodulation therapy in pain, facial oedema, and trismus mitigation in the postoperative period after lower third molar extractions.</div></div><div><h3>Methods</h3><div>We conducted a comparison between active photobiomodulation and simulated photobiomodulation after both lower third molars extraction in the same patients, within a double-center clinical trial. The role of photobiomodulation was evaluated based on pain, measured using the VAS scale. Oedema and trismus, assessed through millimetric measurements. Additionally, analgesic consumption was monitored during the 7-day's postoperative period. The study adhered to the CONSORT checklist and was registered on the ClinicalTrials (NCT05255731). The Levene test was used to assess precision (α=0.05), and statistical analysis was performed using Jamovi software. Paired t-tests or the Wilcoxon test were employed to analyze the primary and secondary outcomes.</div></div><div><h3>Results</h3><div>The study included 83 patients and 166 randomization units. The study group showed a significant reduction in pain at all evaluation times (<em>P &lt; .</em>01), as well as reductions in facial oedema and trismus on postoperative days 2 and 7 (<em>P &lt; .</em>01). A significant difference in analgesic use was observed on all days, except on the seventh postoperative day.</div></div><div><h3>Conclusion</h3><div>The photobiomodulation protocol, using an 808 nm, 100 mW Ga-Al-As diode laser, applied both intraorally and extraorally in a single 30 seconds (3 Joules/per point) postoperative session, significantly reduced pain, oedema, and trismus following mandibular third molar extraction, particularly on postoperative days 2 and 7.</div></div><div><h3>Clinical Significance</h3><div>Photobiomodulation can be an effective complementary therapy for reducing pain, facial oedema, and trismus in patients after lower third molar extraction.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102080"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LIMITED EVIDENCE SUGGESTS ARTIFICIAL INTELLIGENCE SHOWS PROMISING PERFORMANCE IN OUTCOMES RELEVANT TO REMOVABLE AND FIXED PROSTHODONTIC FIELDS","authors":"IMAN ABD-ELWAHAB RADI (REVIEWERS),&nbsp;YOUSSEF ATEF SHAKER IBRAHIM SAID","doi":"10.1016/j.jebdp.2025.102086","DOIUrl":"10.1016/j.jebdp.2025.102086","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><div>Revilla-León M, Gómez-Polo M, Vyas S, Barmak AB, Gallucci GO, Att W, Özcan M, Krishnamurthy VR. Artificial intelligence models for tooth-supported fixed and removable prosthodontics: A systematic review. J Prosthet Dent. 2023;129:276-92.</div></div><div><h3>Source of Funding</h3><div>This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.</div></div><div><h3>Type of Study/Design</h3><div>Systematic review with meta-analysis of data.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102086"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"INTEGRATION OF DENTAL PATIENT-REPORTED OUTCOMES (dPROs) IN TELEDENTISTRY TO ENHANCE PATIENT-CENTERED CARE: A SCOPING REVIEW","authors":"KASTURI SHUKLA ,&nbsp;ASIYA M. ATTAR","doi":"10.1016/j.jebdp.2024.102084","DOIUrl":"10.1016/j.jebdp.2024.102084","url":null,"abstract":"<div><h3>Introduction</h3><div>Teledentistry offers an opportunity to improve Patient-Centered Care (PCC) for dental patients. Evaluation of PCC in conventional and teledentistry requires the use of Dental Patient-Reported Outcome Measures (dPROMs). However, there is limited literature on the integration of dPROMs in teledentistry, and a need arises for the synthesis of existing knowledge, comprehending it and identifying the gaps. Hence, conducting a scoping review would systematically map out the key themes, provide insights into the trends and highlight knowledge gaps in the currently published literature.</div></div><div><h3>Methods</h3><div>Google Scholar, Scopus, and Web of Science databases were searched using a combination of keywords such as “Teledentistry,” “dental patient-reported outcome measures,” and “dPROMs.” Using established eligibility criteria, suitable records were exported and organized on an Excel sheet. Original research and review articles in English where dPROMs or its dimensions were used after a teledentistry session were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping review (PRISMA-ScR) criteria was followed to report the results.</div></div><div><h3>Results</h3><div>Out of the 28 reviewed studies, majority were cross-sectional and were largely conducted in the UK, the USA, India, and Indonesia. Studies predominantly had adult population and female participants. Most studies highlighted dPROMs dimensions such as patient satisfaction, communication, and travel convenience, suggesting that dPROMs in teledentistry may enhance PCC.</div></div><div><h3>Conclusion</h3><div>Distinction between the indicators of PCC, like patient satisfaction and patient experience, is necessary. Future studies should concentrate on longitudinal studies across various demographic groups with standardized measurement and equal gender representation.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102084"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EFFECTIVENESS OF CLEAR ORTHODONTIC ALIGNERS IN CORRECTING MALOCCLUSIONS: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"MARYAM BANESHI MDS ,&nbsp;LUCY O'MALLEY PhD ,&nbsp;AHMED EL-ANGBAWI PhD ,&nbsp;BADRI THIRUVENKATACHARI PhD","doi":"10.1016/j.jebdp.2024.102081","DOIUrl":"10.1016/j.jebdp.2024.102081","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;The purpose of this research was to assess the effectiveness of clear aligners in treating various types of malocclusions when compared to fixed orthodontic appliances.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods and Quality&lt;/h3&gt;&lt;div&gt;The following databases were searched: EMBASE (Ovid), Medline (Ovid), the Cochrane Library, Latin America and the Caribbean Literature on Health Sciences (Lilacs), Web of Science and EBMR review until October 2024. Additionally, Google scholar, PubMed were also searched for completion for including all relevant articles. No restrictions were placed on language or publication date, and only randomized controlled trials (RCTs) were included in this review. Evaluation of the potential for bias in randomized controlled trials (RCTs) was carried out with the use of the revised Cochrane Risk of Bias instrument (ROB tool 2). The primary outcome was the treatment accuracy of clear aligners vs fixed appliances and included orthodontic tooth movement in terms of anteroposterior discrepancy, transverse discrepancy, vertical discrepancy and overjet. The secondary outcomes included the effectiveness of treatment, such as duration of treatment, periodontal health, root resorption and patient satisfaction. Available data was meta-synthesized using Review Manager 5.4.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;About 21 RCT studies were selected from a total of 600 records and involved 970 participants. All 21 studies included a comparison of the effectiveness of clear aligners vs fixed appliances. About 3 of the studies were assessed to be at high risk of bias, whilst 14 of the studies were assessed to be at unclear risk of bias, and only 1 study was found to be at low risk of bias. Based on the primary outcome, there was no significant difference in the ABO objective grading scores, Little Irregularity Index and PAR scores between the fixed appliances and clear aligner treatments. Meta-analysis was only possible for secondary outcomes. The scores for plaque index (MD = -0.76, 95% CI, -1.14 to - 0.38, &lt;em&gt;P =&lt;/em&gt; .00001), gingival index (MD = -0.61, 95% CI, -0.78 to - 0.44, &lt;em&gt;P =&lt;/em&gt; .00001) and bleeding index (MD = -0.71, 95% CI, -0.92 to - 0.49, &lt;em&gt;P &lt; .&lt;/em&gt;0001) were significantly lower in clear aligners when compared to the fixed appliances. The patients quality of life at 6 months was significantly better for clear aligners compared with fixed appliances (MD = -4.37, 95% CI, -6.93 to -1.80, &lt;em&gt;P&lt;/em&gt; &lt; .0001). Clear aligners also appeared to have a better outcome for chairside time, pain and root resorption.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The overall quality of evidence from the included studies was low. Both clear aligners and fixed appliances worked well in treating simple malocclusions treated on a nonextraction basis. There was no significant difference in the ABO Objective Grading System, Little Irregularity index and PAR scores between the clear aligner and fixed appliance groups. There was low","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102081"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE CORRELATION BETWEEN ORAL AND GENERAL HEALTH-RELATED QUALITY OF LIFE IN ADULTS: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"DANNA R. PAULSON ,&nbsp;APARNA INGLESHWAR ,&nbsp;NICOLE THEIS-MAHON ,&nbsp;LIFENG LIN ,&nbsp;MIKE T. JOHN","doi":"10.1016/j.jebdp.2024.102078","DOIUrl":"10.1016/j.jebdp.2024.102078","url":null,"abstract":"<div><h3>Objective</h3><div>The relationship between general health and oral health is critical for understanding the broader implications of oral health on overall well-being and vice versa. The impact of oral and general health on individuals can be comprehensively captured by the concepts oral and general health-related quality of life (OHRQoL and HRQoL), respectively. This systematic review and meta-analysis aimed to synthesize existing evidence on the correlation between OHRQoL and HRQoL across different adult populations.</div></div><div><h3>Methods</h3><div>A comprehensive search strategy was executed across 6 databases (Ovid MEDLINE(R), Embase, CINAHL, APA PsycINFO, Web of Science Core Collection, and Scopus). The search included studies measuring OHRQoL with the Oral Health Impact Profile (OHIP) and HRQoL with a variety of generic patient-reported outcome measures (PROMs). Studies were included if they reported correlations between OHRQoL and HRQoL summary scores in adult populations across dental, medical, or nonpatient settings. If a study examined more than one population, each correlation was included for independent analysis. Data extraction and quality assessment were conducted by independent reviewers, with disagreements resolved by a third reviewer. Random effects meta-analysis was used to summarize the OHRQoL-HRQoL correlations.</div></div><div><h3>Results</h3><div>From 10 studies, 13 populations (N=6,053 participants) were included in the analysis. The correlation between general health and oral health-related quality of life was of medium size (r=0.41, 95% CI: 0.32–0.50) with high heterogeneity across populations (I²=95%). Results were not unduly influenced by individual populations, study quality, or publication bias.</div></div><div><h3>Conclusions</h3><div>The correlation between oral health and general health is of medium size, highlighting the potential for medical-dental integration to enhance patient and community health outcomes.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102078"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"POSTOPERATIVE STABILITY OF AESTHETIC OUTCOMES FOLLOWING RESIN INFILTRATION OF HYPOMINERALISED AND DEMINERALISED ENAMEL LESIONS: A SYSTEMATIC REVIEW","authors":"Marie Véguer ,&nbsp;Elsa Garot ,&nbsp;David J Manton ,&nbsp;Olivia Kérourédan","doi":"10.1016/j.jebdp.2024.102052","DOIUrl":"10.1016/j.jebdp.2024.102052","url":null,"abstract":"<div><h3>Objectives</h3><div>As the need for efficient and minimally invasive strategies for the aesthetic management of hypomineralised and demineralised enamel lesions is critical, this systematic review aimed to assess the postoperative stability of aesthetic outcomes achieved after resin infiltration in permanent incisors, canines and premolars.</div></div><div><h3>Data/Sources</h3><div>This systematic review was conducted according to the PRISMA guidelines. The search strategy was based on PICO reporting system. Publications (up to September 2024) investigating the postoperative stability of aesthetic outcomes following resin infiltration of hypomineralised and demineralised enamel lesions were identified in a systematic search using MEDLINE/PubMed, Scopus and DOSS electronic databases. Only clinical studies were included. Additionally, science mapping analysis and quality assessment of selected full-text articles were performed using keyword co-occurrence networking on VOSviewer and the NIH Before-After Cohort Study assessment tool or Rob 2 tool, respectively.</div></div><div><h3>Study selection</h3><div>From an initial total of 664 studies, 15 were included in the final analysis, based on inclusion/exclusion criteria. A total number of 1518 teeth from 374 patients were included. All studies showed that the outcome obtained after resin infiltration of hypomineralised and demineralised lesions remained aesthetically stable over short, medium and long periods. However, this review highlighted that most of these studies: i/ exclusively focused on a single criterion, colourimetry, ii/ were restricted to short follow-up periods, and iii/ displayed a moderate risk of bias.</div></div><div><h3>Conclusions</h3><div>This systematic literature review highlights good stability of postoperative aesthetic outcomes following resin infiltration of hypomineralised and demineralised enamel lesions in permanent teeth. However, additional clinical studies are needed in order to achieve a higher level of scientific evidence regarding the longevity of this therapeutic intervention.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102052"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ORAL HEALTH IMPACT AMONG CHILDREN: A SYSTEMATIC REVIEW UPDATE IN 2024","authors":"FOLAKE B. LAWAL ,&nbsp;MIKE T. JOHN ,&nbsp;ABIMBOLA M OLADAYO ,&nbsp;DANNA R. PAULSON ,&nbsp;NICOLE THEIS-MAHON ,&nbsp;APARNA INGLESHWAR","doi":"10.1016/j.jebdp.2024.102082","DOIUrl":"10.1016/j.jebdp.2024.102082","url":null,"abstract":"<div><h3>Introduction</h3><div>The project “Mapping Oral Disease Impact with a Common Metric” (MOM) characterizes the functional, pain-related, aesthetic, and broader psychosocial impacts of oral diseases and conditions using the 4 oral health-related quality of life (OHRQoL) dimensions: Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact. MOM's 4-dimensional oral health impact information in children was provided by Omara et al. in 2021. We aimed to update this information in 2024 by performing a new systematic review.</div></div><div><h3>Methods</h3><div>We performed a systematic review following PRISMA guidelines to identify original studies assessing the OHRQoL of children &lt;18 years using the Oral Health Impact Profile (OHIP). OHIP publications were retrieved from 2 sources: (i) articles identified by Omara et al., 2021 (search date: 9 January 2019) and (ii) newly identified articles published from 2019 to 2024 in the following databases: Embase+Embase Classic (via Ovid), CINAHL, APA PsycINFO (via Ovid), Scopus, and Web of Science (Core Collection). Abstracts of 1128 articles were screened. The full-text of 199 articles was reviewed, and 24 articles were included. Their OHIP information was mapped into the 4-dimensional OHRQoL framework.</div></div><div><h3>Results</h3><div>Across 3 settings (general population subjects, dental patients, and medical patients) we identified 24 publications. They provided four-dimensional OHRQoL information for 49 populations in 55 samples (N = 8307 study participants). The Orofacial Appearance dimension had the highest impact, while the Psychosocial Impact dimension had the lowest. Functional impact scores were higher than pain-related impact scores. Among dental patients, those with anterior tooth extraction without replacement had the highest impact score within the Orofacial Appearance dimension.</div></div><div><h3>Conclusion</h3><div>Children's 4-dimensional oral health impact information in the “Mapping Oral Disease Impact with a Common Metric” (MOM) project was updated in 2024 with a systematic review. The findings for Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact in children are aligned with findings in adults using the same 4-dimensional impact measurements.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102082"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}