Journal of Evidence-Based Dental Practice最新文献

{"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":"2024-12-07","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":"Information for Authors","authors":"","doi":"10.1016/S1532-3382(24)00115-5","DOIUrl":"10.1016/S1532-3382(24)00115-5","url":null,"abstract":"","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 4","pages":"Article 102065"},"PeriodicalIF":4.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758784","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":"Statement of Purpose/Levels of Evidence","authors":"","doi":"10.1016/S1532-3382(24)00113-1","DOIUrl":"10.1016/S1532-3382(24)00113-1","url":null,"abstract":"","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 4","pages":"Article 102063"},"PeriodicalIF":4.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758805","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":"RESIN INFILTRATION MAY HELP MASK ENAMEL WHITE SPOT LESIONS OR FLUOROSIS","authors":"LINDA L. CHENG (REVIEWER)","doi":"10.1016/j.jebdp.2022.101716","DOIUrl":"10.1016/j.jebdp.2022.101716","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><div><span><span>Bourouni S, Dritsas K, Kloukos D, Wierichs RJ. Efficacy of resin infiltration to mask post-orthodontic or non-post-orthodontic white spot lesions or fluorosis - a </span>systematic review<span> and meta-analysis. Clin Oral Investig. 2021 Aug;25(8):4711-4719. doi:</span></span><span><span>10.1007/s00784-021-03931-7</span><svg><path></path></svg></span>. Epub 2021 Jun 9. PMID: 34106348.</div></div><div><h3>Source of Funding</h3><div>Open Access funding provided by Universit.±t Bern.</div></div><div><h3>Type of Study/Design</h3><div>Systematic review with meta-analysis.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 4","pages":"Article 101716"},"PeriodicalIF":4.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44889758","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(24)00114-3","DOIUrl":"10.1016/S1532-3382(24)00114-3","url":null,"abstract":"","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 4","pages":"Article 102064"},"PeriodicalIF":4.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758783","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":"Levels of Evidence—Grading System","authors":"","doi":"10.1016/S1532-3382(24)00116-7","DOIUrl":"10.1016/S1532-3382(24)00116-7","url":null,"abstract":"","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 4","pages":"Article 102066"},"PeriodicalIF":4.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758785","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":"IMPACT OF PULPECTOMY VERSUS EXTRACTION OF PRIMARY TEETH ON PATIENT-CENTERED OUTCOMES: A SYSTEMATIC REVIEW OF CLINICAL STUDIES","authors":"FILIPE COLOMBO VITALI PhD ,&nbsp;PAULA AKEMI ALBUQUERQUE KOMINAMI MS ,&nbsp;ANA CRISTINA ANDRADA DMSc ,&nbsp;ELIANA MITSUE TAKESHITA PhD ,&nbsp;CARLA MASSIGNAN PhD","doi":"10.1016/j.jebdp.2024.102072","DOIUrl":"10.1016/j.jebdp.2024.102072","url":null,"abstract":"<div><h3>Objectives</h3><div>Although pulpectomy is recommended as the choice treatment for primary teeth with pulpal involvement, some clinicians and parents consider tooth extraction a viable option. This systematic review aimed to assess the impact of pulpectomy versus extraction of primary teeth on patient-centered outcomes.</div></div><div><h3>Methods</h3><div>Seven electronic databases and grey literature were searched on April 05, 2024. Two independent reviewers selected clinical trials comparing the impact of pulpectomy versus extraction of primary teeth on patient-centered outcomes. Studies not directly comparing pulpectomy versus tooth extraction were excluded. Critical data were summarized following the Synthesis Without Meta-analysis guideline. The risk of bias was assessed using the Version 2 Cochrane risk-of-bias tool for randomized clinical trials and the Risk Of Bias In Nonrandomized Studies of Interventions tool for nonrandomized clinical trials. The certainty of evidence was assessed using the GRADE approach.</div></div><div><h3>Results</h3><div>A total of 1228 studies were retrieved in the search. After the screening process, two studies were included. The outcomes evaluated were oral health-related quality of life (OHRQoL), dental anxiety, postoperative pain, and behavior. Qualitative synthesis indicated that children treated with pulpectomy exhibited improved OHRQoL and lower dental anxiety than those treated with tooth extraction. The treatment modality did not influence behavior and postoperative pain. Included studies present potential bias in specific domains. The certainty of evidence was low.</div></div><div><h3>Conclusion</h3><div>Pulpectomy demonstrated superior patient-centered outcomes, suggesting that it is a more favorable choice for treating primary teeth than tooth extraction.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102072"},"PeriodicalIF":4.1,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141630","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":"OXIDATIVE STRESS AND ANTIOXIDANT MARKERS IN ORAL SUBMUCOUS FIBROSIS: A SYSTEMATIC REVIEW AND META-ANALYSIS OF CASE-CONTROL STUDIES","authors":"JINCAI GUO MD ,&nbsp;HUI XIE PhD ,&nbsp;XUERU CHEN MD","doi":"10.1016/j.jebdp.2024.102073","DOIUrl":"10.1016/j.jebdp.2024.102073","url":null,"abstract":"<div><h3>Objective</h3><div>This meta-analysis systematically investigates the markers of oxidative stress (OS) and antioxidant systems in the saliva and serum of patients with oral submucous fibrosis (OSF) and healthy controls.</div></div><div><h3>Methods</h3><div>Using a comprehensive search of databases from their inception period to December 31, 2023, articles related to OS or antioxidant markers in patients with OSF and healthy controls were retrieved. Literature screening and data extraction were performed by two reviewers according to the set criteria, and a third evaluator was involved in case of disagreements. The included studies were assessed with the Newcastle–Ottawa Scale, and the results were analyzed using Review Manager 5.4 software.</div></div><div><h3>Results</h3><div>A total of 14 studies were included. Patients with OSF exhibited significantly higher levels of malondialdehyde (serum: SMD: 7.65, 95% confidence interval [CI]: 5.14–10.17, <em>P</em> &lt; .00001, saliva: SMD: 3.07, 95% CI: 0.6–5.54, <em>P</em> &lt; .00001) and 8-hydroxy-deoxyguanosine (saliva: SMD: 4.84, 95% CI: 3.49–6.18, <em>P</em> &lt; .00001) than healthy controls. Levels of vitamin C (serum: SMD: −3.54, 95% CI: −4.10 to −2.99, <em>P</em> &lt; .00001, saliva: SMD: −1.10, 95% CI: −1.39 to −0.80, <em>P</em> &lt; .00001), vitamin E (saliva: SMD: −1.78, 95% CI: −2.1 to −1.45, <em>P</em> &lt; .00001), and superoxide dismutase (serum: SMD: −9.77, 95% CI: −13.79 to −5.74, <em>P</em> &lt; .00001) were significantly lower in patients with OSF than in healthy controls.</div></div><div><h3>Conclusions</h3><div>The results showed increased levels of OS markers and decreased levels of antioxidant markers in patients with OSF, providing valuable indicators that may aid in clinical diagnosis and management.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102073"},"PeriodicalIF":4.1,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141753","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":"ALVEOLAR RIDGE PRESERVATION AT MOLAR EXTRACTION SITES: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"Yi-ping Wei ,&nbsp;Zi-yao Han ,&nbsp;Wen-jie Hu ,&nbsp;Hao-yun Zhang ,&nbsp;Yu-ying Ren ,&nbsp;Tao Xu ,&nbsp;Kwok-Hung Chung","doi":"10.1016/j.jebdp.2024.102074","DOIUrl":"10.1016/j.jebdp.2024.102074","url":null,"abstract":"<div><h3>Background</h3><div>Alveolar ridge preservation (ARP) in molar areas might be effective in minimizing ridge resorption and facilitated implant treatment. The purpose of the systematic review was to evaluate the outcomes of the ARP procedure at molar extraction sites in comparison to spontaneous healing through meta-analysis.</div></div><div><h3>Material and methods</h3><div>Studies published in PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials, and the System for Information on Grey Literature in Europe were searched. Primary outcomes were changes in alveolar ridge width and height. Secondary outcomes included sinus pneumatization and need for additional augmentation at the time of implant placement.</div></div><div><h3>Results</h3><div>A total of 7 studies composing of 4 randomized controlled trials (RCTs), 2 prospective non-randomized clinical trials, and 1 prospective case control study were included. They involved a total of 237 molar extraction sockets from 236 participants. This review revealed that ARP resulted in statistically significant reductions for horizontal changes {mean difference (MD) = 2.21 mm, 95% confidence interval (CI) [0.02, 4.39]}, vertical mid-buccal changes (MD = 1.34 mm, 95% CI [0.85, 1.83]), and vertical mid-lingual changes (MD = 0.96 mm, 95% CI [0.54, 1.38]) when compared with spontaneous healing. The difference in ridge width changes between the two groups was not statistically significant (MD = 1.94 mm, 95% CI [-1.67, 5.55], <em>P</em> = .29) and with substantial heterogeneity (I² = 92%, <em>P</em> &lt; .001) when restricted to RCTs. ARP decreased the necessity for additional augmentation during implant placement in comparison to extraction alone (Risk ratio: 0.41; 95% CI: 0.26 to 0.65; <em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>ARP is efficacious in reducing socket bone and ridge changes, and minimizing the need for additional augmentation procedures in the molar region. Further well-designed multicenter randomized controlled studies with larger sample size and longer follow-up periods are still needed to further confirm the findings of the current review.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102074"},"PeriodicalIF":4.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141766","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":"DEEP LEARNING-DRIVEN SEGMENTATION OF DENTAL IMPLANTS AND PERI-IMPLANTITIS DETECTION IN ORTHOPANTOMOGRAPHS: A NOVEL DIAGNOSTIC TOOL","authors":"ERDOĞAN KIBCAK DDS ,&nbsp;OĞUZ BUHARA DDS, PHD ,&nbsp;ALI TEMELCI DDS, PHD ,&nbsp;NURULLAH AKKAYA MSc ,&nbsp;GÜRKAN ÜNSAL DDS, PHD ,&nbsp;GIUSEPPE MINERVINI DDS, PHD","doi":"10.1016/j.jebdp.2024.102058","DOIUrl":"10.1016/j.jebdp.2024.102058","url":null,"abstract":"<div><h3>Introduction and Objective</h3><div>Dental implants are well-established for restoring partial or complete tooth loss, with osseointegration being essential for their long-term success. Peri-implantitis, marked by inflammation and bone loss, compromises implant longevity. Current diagnostic methods for peri-implantitis face challenges such as subjective interpretation and time consumption. Our deep learning-based approach aims to address these limitations by providing a more accurate and efficient solution. This study aims to develop a deep learning-based approach for segmenting dental implants and detecting peri-implantitis in orthopantomographs (OPGs), enhancing diagnostic accuracy and efficiency.</div></div><div><h3>Materials and Methods</h3><div>After applying exclusion criteria, 7696 OPGs were used in the study, which was ethically authorized by the Near East University Ethics Review Board. Using the Python-implemented U-Net architecture, the DICOM-formatted images were segmented and converted into PNG files. The classification model used a convolutional neural network (CNN) for distinguishing between healthy implants and those affected by peri-implantitis, leveraging features extracted from the segmented regions to enhance diagnostic accuracy. The model was trained for 500 epochs using the Adam optimizer, with the dataset split into training (70%), validation (15%), and test (15%) sets. Dice similarity coefficient (DSC) and accuracy were used to assess segmentation performance. Three medical professionals used precision, recall, and F1-score to assess the classification model after segmentation, which determined whether implants were showing signs of peri-implantitis.</div></div><div><h3>Results</h3><div>The segmentation model achieved a test accuracy of 0.999, Dice Similarity Coefficient (DSC) of 0.986, and Intersection over Union (IoU) of 0.974. For classification, out of 3693 implants, 638 were clinically identified as having peri-implantitis. The model correctly identified 576 of these, with 165 false positives. Performance metrics included a precision of 0.777, recall of 0.903, and F1-score of 0.835.</div></div><div><h3>Conclusion</h3><div>The deep learning-based approach for segmentation and classification of dental implants and peri-implantitis in OPGs is highly effective, providing reliable tools for enhancing clinical diagnosis and treatment planning.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102058"},"PeriodicalIF":4.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141638","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}