Journal of Evidence-Based Dental Practice最新文献

{"title":"PREEMPTIVE INTRAVENOUS IBUPROFEN AND LOCAL KETAMINE IMPROVE POSTOPERATIVE ANALGESIA FOLLOWING THIRD MOLAR SURGERY: A DOUBLE-BLIND, RANDOMIZED, PLACEBO-CONTROLLED CLINICAL STUDY","authors":"CIHAN TOPAN,&nbsp;MUSTAFA KARAKAYA,&nbsp;AHMET EMIN DEMIRBAŞ,&nbsp;SUHEYB BILGE,&nbsp;DILEK GÜNAY CANPOLAT","doi":"10.1016/j.jebdp.2023.101957","DOIUrl":"10.1016/j.jebdp.2023.101957","url":null,"abstract":"<div><h3>Objective</h3><p>To compare the efficacy of preemptive ibuprofen, local ketamine, and their combination in managing postoperative pain and trismus following third molar surgery.</p></div><div><h3>Materials and Methods</h3><p>One hundred patients were randomly divided into 4 groups. The Intrafen Group had their impacted third molars surgically removed under local anesthesia after receiving intravenous (IV) ibuprofen for preemptive effect. The Ketamine Group received an IV placebo before the surgery, and the extraction process was completed with a local anesthetic-ketamine combination. The Combined Group received preemptive IV ibuprofen before the procedure, and the surgery was performed with a local anesthetic-ketamine combination. The Control Group received an IV placebo before the procedure and then had their impacted third molars removed under local anesthesia. The Visual Analogue Scale (VAS) values, corresponding to the patients' pain levels at the 2nd and 12th postoperative hours and the total amount of analgesic dose used in the first 24 hours, were recorded, and evaluated. The maximum mouth opening of the patients was measured immediately before the procedure, and on the second and seventh postoperative days. The level of patient satisfaction in all groups was assessed during the procedure.</p></div><div><h3>Results</h3><p>The mean VAS value corresponding to the second-hour pain level of the combined group was statistically significantly lower than the other groups (<em>P</em> = .003). A statistically significant difference was found in the mean VAS values corresponding to the pain levels of the groups, favoring the combined group compared to the other groups (<em>P</em> ≤ .001). A significant difference was observed between the VAS difference values corresponding to the pain levels of the Intrafen group and the Ketamine group, favoring the Intrafen group (<em>P</em> = .038). The Ketamine group consumed the most analgesic on average over the first 24 hours, whereas the Combined group consumed the least. No statistically significant difference was found between the mean trismus levels of the groups on days 0-2 (<em>P</em> = .528) and days 0-7 (<em>P</em> = .129). The intraoperative patient satisfaction level of the combined group was significantly higher than that of the other groups (<em>P</em> = .030).</p></div><div><h3>Conclusion</h3><p>Preemptive Intrafen is an effective regimen for postoperative pain management and is superior to the local anesthetic-ketamine regimen. The most effective method to reduce postoperative pain following third molar surgery is to use a combination of these 2 regimens. However, none of the treatment methods used in the study had a positive effect on postoperative trismus.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 1","pages":"Article 101957"},"PeriodicalIF":3.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139068821","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":"DENTAL PATIENT-REPORTED OUTCOMES IN GERIATRIC DENTISTRY : A call for clinical translation","authors":"Ina Nitschke ,&nbsp;Lyubov D. Slashcheva ,&nbsp;Mike T. John ,&nbsp;Julia Jockusch","doi":"10.1016/j.jebdp.2023.101958","DOIUrl":"10.1016/j.jebdp.2023.101958","url":null,"abstract":"<div><p>As the proportion of older adults in the world population increases, there is an increasing need to provide adequate dental care for this very heterogeneous group of individuals. The relationship between oral and systemic health, the impact of medication on oral health, and the influence of accessibility to dental care and other social and environmental factors shape the provision of dental care for older adults more than in children, younger, and middle-aged adults. However, while dental care for older adults is shaped by these factors and is often different from the care for other adults, what matters to older dental patients does not differ from what matters to dental patients in general. The four dimensions of oral health-related quality of life (OHRQoL)–Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact–capture dental patients’ suffering from oral disorders. OHRQoL questionnaires can be used to assess this impact and to achieve results that are compatible with adults in general. More than in other age groups, cognitive impairments or dementia limit the usefulness of questionnaires or interviews for oral health impact assessment. In these situations, family members or caregivers can assess the patient's oral health impact, and oral health care providers need to rely more on physical oral health characteristics for clinical decision-making than in other dental patients. While the tools to measure oral health impact change, the targets for dental care stay the same. Prevention and reduction of functional, painful, aesthetical, and broader psychosocial impact related to oral disorders are the central tasks for geriatric dentistry as they are for dentistry in general.</p><p>The aim of the manuscript is to highlight the importance of patient-reported outcome measures in geriatric dentistry, addressing challenges and opportunities for their application.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 1","pages":"Article 101958"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1532338223001689/pdfft?md5=e91c72be6a8ba6651c686f3416b711e3&pid=1-s2.0-S1532338223001689-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139095562","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":"THE USE OF DENTAL PATIENT-REPORTED OUTCOMES AMONG COMPARATIVE OBSERVATIONAL STUDIES IN ORTHODONTICS: A METHODOLOGICAL STUDY","authors":"Xinliang Huang ,&nbsp;Zhendong Tao ,&nbsp;Peter Ngan ,&nbsp;Danchen Qin ,&nbsp;Hong He ,&nbsp;Fang Hua","doi":"10.1016/j.jebdp.2023.101956","DOIUrl":"10.1016/j.jebdp.2023.101956","url":null,"abstract":"<div><h3>Objective</h3><p>To identify and summarize the presence and characteristics of dental patient-reported outcomes (dPROs) and dental patient-reported outcome measures (dPROMs) within comparative observational studies published in 5 leading orthodontic journals.</p></div><div><h3>Methods</h3><p>Electronic searching was performed to identify intervention (therapeutic or preventive) related comparative observational studies published in selected journals between 2015 and 2021. Two authors extracted the characteristics of each included study independently and in duplicate and summarized the dPROs and dPROMs used in these studies. All dPROs were classified into 2 general types (oral health-related quality of life<span> [OHRQoL] and others), while dPROMs were divided into 3 categories (single-item questionnaires, generic multiple-item questionnaires, and specific multiple-item questionnaires). In addition, dPROMs were examined, if they evaluated the 4 dimensions of OHRQoL (oral function, orofacial pain, orofacial appearance, and psychosocial impact).</span></p></div><div><h3>Results</h3><p><span>A total of 683 observational studies were eligible and included of which 117 (17.1%) used dPROs and dPROMs. Seven different dPROs (OHRQoL, patients’ satisfaction with treatment, preferences, concerns, compliance, duration, and unwanted events) and 33 different dPROMs (including 8 single-item questionnaires, 11 generic multiple-item questionnaires, and 14 specific multiple-item questionnaires) were identified in these studies. OHRQoL was the most commonly used dPRO (92/117, 78.6%), while Oral Health Impact Profile 14 (OHIP-14) was the most frequently used dPROM (20/92, 21.7%). In terms of study design, cross-sectional studies had the highest proportion of dPRO usage (62/148, 41.9%), followed by </span>cohort studies (63/505, 12.5%) and case-control studies (1/30, 3.3%).</p></div><div><h3>Conclusions</h3><p>Only one-sixth of comparative observational studies published in leading orthodontic journals could reflect patients’ perspectives. Observational studies in orthodontics need to provide more patient-important information through the use of dPROs and dPROMs.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 1","pages":"Article 101956"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138514969","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":"GLOSSARY FOR DENTAL PATIENT-CENTERED OUTCOMES","authors":"Danchen Qin ,&nbsp;Fang Hua ,&nbsp;Mike T. John","doi":"10.1016/j.jebdp.2023.101951","DOIUrl":"10.1016/j.jebdp.2023.101951","url":null,"abstract":"<div><p>Dental patient-centered outcomes can improve the relevance of clinical study results to dental patients and generate evidence to optimize health outcomes for dental patients. Dental patient-reported outcomes (dPROs) are of great importance to patient-centered dental care. They can be used to evaluate the health outcomes of an individual patient about the impact of oral diseases and treatment, and to assess the quality of oral health care delivery for a health care entity. dPROs are measured with dental patient-reported outcome measures (dPROMs). dPROMs should be validated and tested before wider dissemination and application to ensure that they can accurately capture the intended dPROs. Evidence suggests inadequate dPRO usage among dental trials, as well as potential flaws in some existing dPROMs. This Glossary presents a collection of main terms in dental patient-centered outcomes to help clinicians and researchers read and understand patient-centered clinical studies in dentistry.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 1","pages":"Article 101951"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1532338223001471/pdfft?md5=a3414b142e2c284e17a3ffb1a32ef07e&pid=1-s2.0-S1532338223001471-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135454973","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":"The oral health impact of dental hygiene and dental therapy populations: a systematic review","authors":"Phonsuda Chanthavisouk ,&nbsp;Aparna Ingleshwar ,&nbsp;Nicole Theis-Mahon ,&nbsp;Danna R. Paulson","doi":"10.1016/j.jebdp.2023.101949","DOIUrl":"10.1016/j.jebdp.2023.101949","url":null,"abstract":"<div><h3>Objectives</h3><p>Oral health-related quality of life<span><span> (OHRQoL) is pivotal in patient care, reflecting oral health through dental patient-reported outcomes (dPROs). This </span>systematic review<span> aims to outline the 4-dimensional (4-D) impact of OHRQoL within patient populations routinely treated by dental hygiene<span> and/or dental therapy providers, as there is limited literature present for these oral health care professionals.</span></span></span></p></div><div><h3>Methods</h3><p>The study extracted and analyzed characteristics and multidimensional impact of OHRQoL, using the Oral Health Impact Profile (OHIP) as the primary dental patient-reported outcome measure (dPROM). The search strategy spanned 7 databases: Medline via the Ovid interface (Ovid MEDLINE(R) ALL), Embase via Ovid, Cinahl, APA PsycINFO via Ovid, Dentistry and Oral Sciences Search, Scopus, and Web of Science (Core Collection). It commenced September 2, 2022, with a refinement search on July 5, 2023. English language criteria yielded 645 articles postduplication removal. A screening procedure involving 3 reviewers encompassed title, abstract, and full-text review.</p></div><div><h3>Results</h3><p>After application of inclusion and exclusion criteria, 5 articles were subjected to data extraction, capturing domain-specific information including baseline and follow-up OHRQoL data. An additional set of 13 articles containing summarized OHRQoL data underwent separate analysis. The Joanna Briggs Institute (JBI) critical appraisal tools were utilized for risk bias assessment of the included articles. The 4-D impact scores reported for baseline OHRQoL data, ranged from 3.10 to 4.20 for <em>Oral Function</em>, 0.84-2.70 for <span><em>Orofacial Pain</em></span>, 1.70-4.50 <em>for Orofacial Appearance</em>, and 0.44-2.50 <em>for Psychosocial Impact</em>. In follow-up OHRQoL data, the range for <em>Oral Function</em> was 1.52-3.60, <em>Orofacial Pain</em> 0.60-2.10, <em>Orofacial Appearance</em> 0.91-2.25, and <em>Psychosocial Impact</em> 0.10-0.60.</p></div><div><h3>Conclusions</h3><p>This review highlights a critical call for standardization in OHRQoL data collection for dental hygiene and dental therapy patient populations as only 26% of the predetermined distinct populations were found to have studies completed with 4-D impact of OHRQoL. Moreover, the presence of limited research in describing the multi-dimensional impact in patients routinely treated by these providers shows the urgency of substantive research in this area.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 1","pages":"Article 101949"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136153292","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":"DENTAL PATIENT-REPORTED OUTCOMES UPDATE 2023","authors":"Fang Hua","doi":"10.1016/j.jebdp.2023.101968","DOIUrl":"10.1016/j.jebdp.2023.101968","url":null,"abstract":"<div><p>The emergence and rapid development of disruptive innovations are quickly turning our profession into personalized dentistry, built upon evidence-based, data-oriented, and patient-centered research. In order to help improve the quality and quantity of patient-centered evidence in dentistry, further promote the wide and standard use of dental patient-reported outcomes (dPROs) and dental patient-reported outcome measures (dPROMs), the Journal of Evidence-Based Dental Practice has put together this special issue, the third of a series entitled Dental Patient-Reported Outcomes Update.</p><p>A total of 7 solicited articles are collected in this issue. To put them into a broader perspective, this review provides a concise summary of key, selected PRO and dPRO articles published during 2023. A brief introduction to those articles included in this Special Issue follows. Four main domains are covered in this Special Issue: (1) dPROs and digital dentistry, (2) standardization of dPRO-related methodology, (3) current usage of dPROs and dPROMs in published research, and (iv) the significance and relevance of dPRO usage.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 1","pages":"Article 101968"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139068930","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 3P MODEL AND ORAL HEALTH IMPACT: DEMONSTRATING THE IMPORTANCE OF BEHAVIORAL AND SOCIAL SCIENCES IN THE FUTURE OF EVIDENCE-BASED DENTISTRY","authors":"CASEY D. WRIGHT","doi":"10.1016/j.jebdp.2023.101950","DOIUrl":"10.1016/j.jebdp.2023.101950","url":null,"abstract":"<div><p><span>Oral health impact or oral health related quality of life is an increasingly important and well-known metric in </span>dental care<span> and research. There have been recent calls for greater integration of the behavioral and social sciences into oral health research<span> and practice, including the need for frameworks and theories to guide this work. One such framework for understanding the role of predisposing, precipitating, and perpetuating biopsychosocial mechanisms in health and disease is the “3P” model. Here, the 3P model is described and applied to case examples to help understand the development and maintenance of oral health impact. Additionally, this paper outlines how this conceptualization using the 3P model and oral health impact makes way for greater integration of behavioral interventions to prevent, mitigate, or treat the negative impact that oral, craniofacial, or dental disease<span> may have on individuals. Doing this allows for a broadening of what evidence-based dentistry means for the future and provides a roadmap going forward.</span></span></span></p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 1","pages":"Article 101950"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135371851","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":"DIGITAL DENTISTRY AND ITS IMPACT ON ORAL HEALTH-RELATED QUALITY OF LIFE","authors":"OLIVER SCHIERZ ,&nbsp;CHRISTIAN HIRSCH ,&nbsp;KARL-FRIEDRICH KREY ,&nbsp;CAROLINA GANSS ,&nbsp;PEER W. KÄMMERER ,&nbsp;MAXIMILIANE A. SCHLENZ","doi":"10.1016/j.jebdp.2023.101946","DOIUrl":"10.1016/j.jebdp.2023.101946","url":null,"abstract":"<div><p>Over the past 50 years, digitization has gradually taken root in dentistry, starting with computer tomography in the 1970s. The most disruptive events in digital dentistry were the introduction of digital workflow and computer-aided manufacturing, which made new procedures and materials available for dental use. While the conventional lab-based workflow requires light or chemical curing under inconsistent and suboptimal conditions, computer-aided manufacturing allows for industrial-grade material, ensuring consistently high material quality. In addition, many other innovative, less disruptive, but relevant approaches have been developed in digital dentistry. These will have or already impact prevention, diagnosis, and therapy, thus impacting patients’ oral health and, consequently, their oral health-related quality of life. Both software and hardware approaches attempt to maintain, restore, or optimize a patient's perceived oral health. This article outlines innovations in dentistry and their potential impact on patients’ oral health-related quality of life in prevention and therapy. Furthermore, possible future developments and their potential implications are characterized.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 1","pages":"Article 101946"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1532338223001422/pdfft?md5=14575d28818cb7589f9aadd96a2024fe&pid=1-s2.0-S1532338223001422-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135762745","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":"OHIP-5 FOR SCHOOL-AGED CHILDREN","authors":"CIA SOLANKE ,&nbsp;MIKE T JOHN ,&nbsp;MARKUS EBEL ,&nbsp;SARRA ALTNER ,&nbsp;KATRIN BEKES","doi":"10.1016/j.jebdp.2023.101947","DOIUrl":"10.1016/j.jebdp.2023.101947","url":null,"abstract":"<div><h3>Background</h3><p>Different dental patient-reported outcome measures (dPROMs) exist for children and adults, leading to an incompatibility in outcome assessment in these 2 age groups. However, the dental patient-reported outcomes (dPROs) Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact are the same in the 2 groups, providing an opportunity for compatible dPRO assessment if dPROMs were identical. Therefore, we adapted the 5-item Oral Health Impact Profile (OHIP-5), a recommended dPROM for adults, to school-aged children to allow a standardized dPRO assessment in individuals aged 7 years and above.</p></div><div><h3>Aim</h3><p>It was the aim of this study to develop a 5-item OHIP for school-aged children (OHIP-5_School) and to investigate the instrument's score reliability and validity.</p></div><div><h3>Methods</h3><p>German-speaking children (N = 95, mean age: 8.6 years +/- 1.3 years, 55% girls) from the Department of Pediatric Dentistry at the Medical University of Vienna, Austria and a private dental practice in Bergisch Gladbach, Germany participated. The original OHIP-5 was modified and adapted for school going children aged 7-13 years and this modified version was termed OHIP-5_School. It's score reliability was studied by determining scores’ internal consistency and temporal stability by calculating Cronbach's alpha and intraclass correlation coefficients, respectively. Construct validity was assessed comparing OHIP-5_School scores with OHIP-5 as well as Child Perceptions Questionnaire (CPQ-G_8-10) scores.</p></div><div><h3>Results</h3><p>Score reliability for the OHIP-5_School was “good” (Cronbach's alpha: 0.81) or “excellent” (Intraclass correlation coefficient: 0.92). High correlations between OHIP-5_School, OHIP-5, and CPQ-G_8-10 scores were observed and hypotheses about a pattern of these correlations were confirmed, providing evidence for score validity.</p></div><div><h3>Conclusion</h3><p>The OHIP-5_School and the original OHIP-5 are short and psychometrically sound instruments to measure the oral health related quality of life in school-aged children, providing an opportunity for a standardized oral health impact assessment with the same metric in school-aged children, adolescents, and adults.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 1","pages":"Article 101947"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1532338223001434/pdfft?md5=c13106aa039e5f20702aae0eb08937d4&pid=1-s2.0-S1532338223001434-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135850332","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":"Low certainty of evidence supports the application of (AI) for the automatic detection of cephalometric landmarks with prospects for improvements","authors":"Ziad M. Montasser, Mona A. Montasser","doi":"10.1016/j.jebdp.2023.101965","DOIUrl":"https://doi.org/10.1016/j.jebdp.2023.101965","url":null,"abstract":"<h3>Study Selection</h3><p>Electronic search used Embase, IEEE Xplore, LILACS, MedLine (via PubMed), SciELO, Scopus, Web of Science databases, as well as OpenGrey and ProQuest. The search included studies published till November 2021 in any language. Studies written in languages other than English or Portuguese were translated. After removing duplicates, the selection of the studies proceeded by two reviewers independently. Disagreements were resolved with the help of a third reviewer. A reviewer was responsible for the data extraction from the selected studies and a second reviewer did a cross-examination to test the agreement. The risk of individual bias in the eligible studies was assessed independently by two of the authors using QUADAS-2 which includes four domains: patient selection, index test, reference standard, and flow and timing; each of the four domains can be judged as \"high risk\", “uncertain risk,” or “low risk”. The reviewers resolved the conflict by discussion or by resorting to a third reviewer if the matter is not settled between them.</p><h3>Key Study Factor</h3><p>The key study factor was the identification of cephalometric landmarks' from digital images (2D and 3D) by (AI) applications (deep learning and handcrafted) compared to manual identification by experts which is the standard for cephalometric landmarks identification.</p><h3>Main Outcome Measures</h3><p>Three main outcome measures were investigated; the agreement (%) of the automatic (AI) and the manual cephalometric landmark identification (2mm and 3mm margin of error) and the divergence (mm) between the identification of the landmarks by the automatic (AI) and the manual methods.</p>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"136 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139031758","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}