Journal of Evidence-Based Dental Practice最新文献

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THE MANAGEMENT OF TEETH IN ODONTOGENIC KERATOCYST AND AMELOBLASTOMA AND ITS PROGNOSTIC ROLE IN RECURRENCE: A SYSTEMATIC REVIEW AND META-ANALYSIS WITH TRIAL SEQUENTIAL ANALYSIS 牙源性角化囊肿和成釉细胞瘤的牙齿处理及其在复发中的预后作用:一项系统回顾和荟萃分析与试验序列分析
IF 4.1 4区 医学
Journal of Evidence-Based Dental Practice Pub Date : 2025-02-07 DOI: 10.1016/j.jebdp.2025.102121
PIERLUIGI MARIANI DDS , DIANA RUSSO DDS, PhD , MARCO CICCIÙ DDS, PhD , LUIGI LAINO DDS, PhD
{"title":"THE MANAGEMENT OF TEETH IN ODONTOGENIC KERATOCYST AND AMELOBLASTOMA AND ITS PROGNOSTIC ROLE IN RECURRENCE: A SYSTEMATIC REVIEW AND META-ANALYSIS WITH TRIAL SEQUENTIAL ANALYSIS","authors":"PIERLUIGI MARIANI DDS ,&nbsp;DIANA RUSSO DDS, PhD ,&nbsp;MARCO CICCIÙ DDS, PhD ,&nbsp;LUIGI LAINO DDS, PhD","doi":"10.1016/j.jebdp.2025.102121","DOIUrl":"10.1016/j.jebdp.2025.102121","url":null,"abstract":"<div><h3>Introduction</h3><div>Odontogenic Keratocystic (OKC) and Ameloblastoma (AB) are pathological entities characterized by aggressive behavior, slow growth, local invasiveness, and high recurrence rates. The aim of this systematic review with meta-analysis and trial sequential analysis (TSA) is to assess the prognostic role of extracting involved teeth during the surgical enucleation of OKCs and ABs in terms of recurrence risk.</div></div><div><h3>Materials and Methods</h3><div>A search was conducted in PubMed/Medline, Scopus, and Web of Science databases for studies reporting data on teeth extraction and recurrence rates. This systematic review was performed according to guidelines in the Cochrane Handbook and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Meta-analysis was performed using the Mantel-Haenszel method with a random-effects model due to heterogeneity. The TSA was conducted to control and reduce for type I and II errors of statistical analysis.</div></div><div><h3>Results</h3><div>Six studies were identified and analyzed qualitatively and quantitatively. A total of 737 lesions (674 OKCs and 64 ABs) were included, of which 508 had involved teeth. The meta-analysis included 451 OKCs; 367 lesions were treated with teeth extraction, and in 141 cases, the teeth were preserved. The overall Risk Ratio was 0.17 (95% CI: [0.04, 0.74]; <em>P</em> &lt; .0001) for OKCs. Quantitative analysis could not be performed for ABs.</div></div><div><h3>Conclusion</h3><div>The analysis revealed that tooth extraction contextually to the enucleation of the lesion reduces the risk of recurrence by approximately 83% in the OKCs; this appears to have the same trend for ABs, but more evidence is needed.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102121"},"PeriodicalIF":4.1,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577589","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}
引用次数: 0
AI-AIDED VOLUMETRIC ROOT RESORPTION ASSESSMENT FOLLOWING PERSONALIZED FORCES IN ORTHODONTICS: PRELIMINARY RESULTS OF A RANDOMIZED CLINICAL TRIAL 人工智能辅助量测牙根吸收评估:一项随机临床试验的初步结果
IF 4.1 4区 医学
Journal of Evidence-Based Dental Practice Pub Date : 2025-01-31 DOI: 10.1016/j.jebdp.2025.102095
NAVARRO-FRAILE ESTRELLA , DEHESA-SANTOS ALEXANDRA , CHEN YUN , JUAN CARLOS PALMA-FERNÁNDEZ , IGLESIAS-LINARES ALEJANDRO
{"title":"AI-AIDED VOLUMETRIC ROOT RESORPTION ASSESSMENT FOLLOWING PERSONALIZED FORCES IN ORTHODONTICS: PRELIMINARY RESULTS OF A RANDOMIZED CLINICAL TRIAL","authors":"NAVARRO-FRAILE ESTRELLA ,&nbsp;DEHESA-SANTOS ALEXANDRA ,&nbsp;CHEN YUN ,&nbsp;JUAN CARLOS PALMA-FERNÁNDEZ ,&nbsp;IGLESIAS-LINARES ALEJANDRO","doi":"10.1016/j.jebdp.2025.102095","DOIUrl":"10.1016/j.jebdp.2025.102095","url":null,"abstract":"<div><h3>Introduction</h3><div>External apical root resorption (EARR) is an undesirable loss of hard tissues of the tooth root frequently affecting to the maxillary incisors. The magnitude of orthodontic forces is a major treatment-related factor associated with EARR occurrence in orthodontics. The primary aim of the present randomized clinical trial was (i) to quantify the impact of a sequence of personalized force archwires on EARR compared to the conventional standard of care and (ii) compare the 3D-quantification of EARR using two quantification methods (manual or automated AI-aided segmentation).</div></div><div><h3>Material and Methods</h3><div>A superiority two arms-parallel-randomized clinical trial (RCT) was conducted to quantify the EARR of two regime forces [CONSORT-guidelines]. A total of 18/43 patients were randomly assigned [block-size: 4] to C<em>ontrol Group</em> [Ni-Ti archwires sequence] or E<em>xperimental Group</em> [selective <em>individualized</em> force archwires]. After 142 days sectorial CBCT were obtained; upper incisors were segmented manually and with AI and the volume/length of root quantified. Method error/descriptive statistics (mean; SD; range) and Student <em>t</em>-test were used to assess the differences between groups (<em>Post hoc</em> adjustment for confounders [95% CI; <em>P</em> &lt; .05]).</div></div><div><h3>Results</h3><div>The total root volume loss detected by AI was 2.44 ± 6.59 mm<sup>3</sup> / 2.42 ± 4.75 mm<sup>3</sup> (<em>P</em> &gt; .05) and the mean root length loss was 0.20± 0.23mm/0.42 ± 0.43 mm (<em>P</em> = .045) for control/test group, respectively. Despite length loss showed similar changes when it was quantified with both methods, manual and automatic segmentations (<em>P</em> &gt; .05), differences are observed at volume loss. The results demonstrated greater volume loss detection with manual segmentation than with AI-aided segmentation at the global level, volume by thirds, and 4 mm from the apex. However, as we approached apically, the differences equalized and even diminished, resulting in a greater loss with automatic segmentation 1 mm from the apex in the EG (<em>P</em> = .011).</div></div><div><h3>Conclusions</h3><div>A non direct-force-dependent effect over EARR (6 months) was observed. Individualized force induces slightly higher root resorption at the apical third at 1-2 mm.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102095"},"PeriodicalIF":4.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464297","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}
引用次数: 0
TWIN-MIX INJECTION REDUCES POSTOPERATIVE COMPLICATIONS AFTER LOWER THIRD MOLAR REMOVAL—A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS 双混合注射减少下第三磨牙拔除术后并发症——随机对照试验的系统回顾和荟萃分析
IF 4.1 4区 医学
Journal of Evidence-Based Dental Practice Pub Date : 2025-01-30 DOI: 10.1016/j.jebdp.2025.102098
ESZTER HARDI , ANNA TAKÁCS , BIANCA GOLZIO  NAVARRO  CAVALCANTE , BENCE SZABÓ , ANDREA HARNOS , PÉTER HEGYI , Gábor Varga , ORSOLYA NÉMETH , ÁRPÁD JOÓB-FANCSALY
{"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":"2025-01-30","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}
引用次数: 0
EFFICACY AND SAFETY OF LIDOCAINE WITH CLONIDINE FOR MAXILLARY INFILTRATION ANESTHESIA IN PATIENTS WITH DIABETES MELLITUS TYPE 2: DOUBLE-BLIND, RANDOMIZED CLINICAL TRIAL 利多卡因联合可乐定用于2型糖尿病患者上颌浸润麻醉的有效性和安全性:双盲、随机临床试验
IF 4.1 4区 医学
Journal of Evidence-Based Dental Practice Pub Date : 2025-01-25 DOI: 10.1016/j.jebdp.2025.102097
MARIJA S. MILIC , BOZIDAR BRKOVIC , MILAN VUCETIC , VLADIMIR S. TODOROVIC , DRAGICA STOJIC
{"title":"EFFICACY AND SAFETY OF LIDOCAINE WITH CLONIDINE FOR MAXILLARY INFILTRATION ANESTHESIA IN PATIENTS WITH DIABETES MELLITUS TYPE 2: DOUBLE-BLIND, RANDOMIZED CLINICAL TRIAL","authors":"MARIJA S. MILIC ,&nbsp;BOZIDAR BRKOVIC ,&nbsp;MILAN VUCETIC ,&nbsp;VLADIMIR S. TODOROVIC ,&nbsp;DRAGICA STOJIC","doi":"10.1016/j.jebdp.2025.102097","DOIUrl":"10.1016/j.jebdp.2025.102097","url":null,"abstract":"<div><h3>Objectives</h3><div>This clinical trial aimed to evaluate and compare parameters of intraoral soft tissue anesthesia and cardiovascular function, and prevalence of local side effects in patients with and without diabetes mellitus type 2 (DMT2), after maxillary infiltration anesthesia obtained with 2% lidocaine with either clonidine (15mcg/ml) or epinephrine (1:100.000).</div></div><div><h3>Methods</h3><div>Sixty-three DMT2 and 52 nondiabetic (H) patients scheduled for tooth extraction were randomly assigned to receive one of the local anesthetic solutions for maxillary infiltration anesthesia: 2 mL of lidocaine with clonidine (LC) or 2 mL of lidocaine with epinephrine (LE). Parameters of soft tissue anesthesia (onset, duration and width of anesthetic field) were evaluated by <em>pinprick</em> test. Systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) were monitored with patient monitor, before and until 30 minutes after anesthesia application. Presence of postoperative hyperalgesia and paresthesia during 7 postoperative days was tested with ethylene-chloride spray and monofilaments set for quantitative sensory testing, respectively. Requests for rescue analgesic were recorded for 24 hours after tooth extraction.</div></div><div><h3>Results</h3><div>Onset of maxillary infiltration anesthesia was significantly shorter in DMT2 vs. H groups (<em>P</em> &lt; .05), regardless of local anesthetic solution used. Duration of anesthesia was 59% longer in DMT2-LE vs. H-LE (<em>P</em> &lt; .05), and 28% longer in DMT2-LC vs. H-LC groups (<em>P</em> &lt; .05). Maxillary infiltration anesthesia lasted 37,9% longer in DMT2-LE vs. DMT2-LC (182.09 ± 57.86 min vs. 139.48 ± 21.86 min) (<em>P</em> &lt; .05). Width of anesthetic field was significantly increased in diabetic vs. nondiabetic participants (<em>P</em> &lt; .05), as well as in DMT2-LE vs. DMT2-LC (35.19 ± 1.67mm vs. 27.07 ± 1.06 mm) (<em>P</em> &lt; .05). SBP was significantly decreased within DM-LC and H-LC groups from 15th to 30th minute, in comparison with baseline values. Significant increase in HR was observed from 5th to 30th minute in diabetic and nondiabetic patients who received LE, compared to baseline values. Postoperative paresthesia was significantly more present in DMT2-LE vs. DMT2-LC (<em>P</em> &lt; .05), while it was not observed in nondiabetic patients.</div></div><div><h3>Conclusions</h3><div>Shorter onset and prolonged duration of maxillary infiltration anesthesia are present in DMT2 setting. Clonidine appears to be a safe alternative to epinephrine for intraoral anesthesia in DMT2, with respect to anesthetic efficacy, cardiovascular safety and prevalence of local side effects.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102097"},"PeriodicalIF":4.1,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429092","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}
引用次数: 0
TRANSLATIONAL APPLICATION OF COLD ATMOSPHERIC PLASMA IN PERIODONTOLOGY AND IMPLANTOLOGY: WHERE ARE WE? A SYSTEMATIC REVIEW OF IN VIVO STUDIES IN HUMAN AND ANIMAL MODELS 低温大气等离子体在牙周学和种植学中的转化应用:进展如何?系统回顾了人类和动物模型的体内研究
IF 4.1 4区 医学
Journal of Evidence-Based Dental Practice Pub Date : 2025-01-23 DOI: 10.1016/j.jebdp.2025.102096
GIORGIA STORNELLI , GIULIA PETRUCCI , VITO CARLO ALBERTO CAPONIO , ELOISA SARDELLA , GIUSEPPE BALICE , BEATRICE FEMMINELLA , MICHELE PAOLANTONIO , ILARIA CELA , TIRTHA RAJ ACHARYA , NAYANSI JHA , NAGENDRA KUMAR KAUSHIK , EUN HA CHOI , VALENTINA PUCA , ROSSELLA GRANDE , VITTORIA PERROTTI
{"title":"TRANSLATIONAL APPLICATION OF COLD ATMOSPHERIC PLASMA IN PERIODONTOLOGY AND IMPLANTOLOGY: WHERE ARE WE? A SYSTEMATIC REVIEW OF IN VIVO STUDIES IN HUMAN AND ANIMAL MODELS","authors":"GIORGIA STORNELLI ,&nbsp;GIULIA PETRUCCI ,&nbsp;VITO CARLO ALBERTO CAPONIO ,&nbsp;ELOISA SARDELLA ,&nbsp;GIUSEPPE BALICE ,&nbsp;BEATRICE FEMMINELLA ,&nbsp;MICHELE PAOLANTONIO ,&nbsp;ILARIA CELA ,&nbsp;TIRTHA RAJ ACHARYA ,&nbsp;NAYANSI JHA ,&nbsp;NAGENDRA KUMAR KAUSHIK ,&nbsp;EUN HA CHOI ,&nbsp;VALENTINA PUCA ,&nbsp;ROSSELLA GRANDE ,&nbsp;VITTORIA PERROTTI","doi":"10.1016/j.jebdp.2025.102096","DOIUrl":"10.1016/j.jebdp.2025.102096","url":null,"abstract":"<div><h3>Aim</h3><div>The utilization of cold atmospheric plasma (CAP) in dentistry presents a promising avenue for novel therapeutic interventions. This systematic review of in vivo studies aimed at summarizing the existing evidence regarding the efficacy of CAP as a treatment for biofilms associated with periodontitis and peri-implantitis. The objective was to advance the definition and standardization of protocols and facilitate the integration of CAP treatment as a chair-side practice.</div></div><div><h3>Materials and Methods</h3><div>This review was registered in PROSPERO database (CRD42023404757), and a comprehensive search was conducted following PRISMA guidelines and using PubMed, Scopus, Web of Science, and Embase databases.</div></div><div><h3>Results</h3><div>In total, 9 in vivo studies were included, 1 on humans and 8 on animal models. A notable reduction in residual bacteria when CAP was combined with conventional therapies in both periodontitis and peri-implantitis models was observed. Biochemical and histological assays demonstrated a decrease in inflammatory cytokines within crevicular fluid and oral tissues.</div></div><div><h3>Conclusions</h3><div>Current evidence suggests that CAP shows promise for periodontitis and peri-implantitis treatment, but further clinical trials with larger cohorts and standardized protocols are needed to confirm its efficacy and safety.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102096"},"PeriodicalIF":4.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422713","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}
引用次数: 0
PERIODONTITIS AS A RISK FACTOR FOR DEMENTIA: A SYSTEMATIC REVIEW AND META-ANALYSIS 牙周炎是痴呆的危险因素:一项系统回顾和荟萃分析
IF 4.1 4区 医学
Journal of Evidence-Based Dental Practice Pub Date : 2025-01-23 DOI: 10.1016/j.jebdp.2025.102094
DONG-HEE KIM, GYEONG-SOON HAN
{"title":"PERIODONTITIS AS A RISK FACTOR FOR DEMENTIA: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"DONG-HEE KIM,&nbsp;GYEONG-SOON HAN","doi":"10.1016/j.jebdp.2025.102094","DOIUrl":"10.1016/j.jebdp.2025.102094","url":null,"abstract":"<div><h3>Introduction</h3><div>The association between periodontitis and dementia remains controversial. Therefore, we analyzed this association focusing on the severity of periodontitis and type of dementia.</div></div><div><h3>Methods</h3><div>We searched the PubMed, Embase, Web of Science, and gray literature (OpenGrey, ProQuest) databases from inception to June 30, 2021, and pooled the data for meta-analysis. Fixed- or random-effects models were employed to calculate odds ratios (ORs), hazard ratios (HRs), and 95% confidence intervals (CIs) to evaluate the strength of the associations between periodontitis and dementia.</div></div><div><h3>Results</h3><div>Thirteen case-control and 11 cohort studies were selected. The analysis of entire studies indicated an association between periodontitis and dementia, with an OR of 2.26 (95% CI, 1.65−3.09; <em>P</em> &lt; .0001) and HR of 1.15 (95% CI, 1.04−1.27; <em>P</em> = .0006). According to periodontitis severity, the risk of dementia was significantly associated with severe periodontitis (OR = 2.85; 95% CI, 2.16−3.74; <em>P</em> = .038), but not with less-than-moderate periodontitis (OR = 0.94; 95% CI, 0.64−1.40; <em>P</em> = .66). In particular, patients with severe periodontitis had a 6.87-fold higher risk of Alzheimer's dementia (OR = 6.87; 95% CI, 2.55−18.54; <em>P</em> = .04) and 2.92-fold higher risk of cognitive impairment (OR = 2.92, 95% CI, 2.15−3.96; <em>P</em> = .36).</div></div><div><h3>Conclusions</h3><div>We found a strong association between periodontitis and dementia, with severe periodontitis identified as a potential risk factor for Alzheimer's dementia. Therefore, timely management of periodontitis to prevent its progression may help prevent dementia.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102094"},"PeriodicalIF":4.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429091","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}
引用次数: 0
EFFICACY OF A REMINERALIZATION AGENT CONTAINING AMMONIUM FLUORIDE SOLUTION AND NANO SOL CALCIUM FLUORIDE FOR TREATMENT OF INITIAL BUCCAL CARIES LESIONS: A SPLIT-MOUTH RANDOMIZED CONTROLLED CLINICAL TRIAL 含氟化铵溶液和纳米溶胶氟化钙的再矿化剂治疗初期口腔龋病变的疗效:一项裂口随机对照临床试验
IF 4.1 4区 医学
Journal of Evidence-Based Dental Practice Pub Date : 2025-01-22 DOI: 10.1016/j.jebdp.2025.102093
BURCU GÖZETİCİ-ÇİL DDS, PhD , SAFİYE SELİN KÖYMEN DDS, PhD , AYŞE TAŞ DDS, PhD , HİLAL YILANCI DDS, PhD , MUTLU ÖZCAN DDS, DMD, PhD
{"title":"EFFICACY OF A REMINERALIZATION AGENT CONTAINING AMMONIUM FLUORIDE SOLUTION AND NANO SOL CALCIUM FLUORIDE FOR TREATMENT OF INITIAL BUCCAL CARIES LESIONS: A SPLIT-MOUTH RANDOMIZED CONTROLLED CLINICAL TRIAL","authors":"BURCU GÖZETİCİ-ÇİL DDS, PhD ,&nbsp;SAFİYE SELİN KÖYMEN DDS, PhD ,&nbsp;AYŞE TAŞ DDS, PhD ,&nbsp;HİLAL YILANCI DDS, PhD ,&nbsp;MUTLU ÖZCAN DDS, DMD, PhD","doi":"10.1016/j.jebdp.2025.102093","DOIUrl":"10.1016/j.jebdp.2025.102093","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of the study was to investigate the efficacy of ammonium fluoride solution (AFS) combined with nano sol calcium fluoride (nano-CaF<sub>2</sub>) for the treatment of active buccal white spot lesions (WSLs) in permanent dentition.</div></div><div><h3>Materials and Methods</h3><div>Participants with at least 2 WSLs in different quadrants were included in the splitmouth randomized clinical trial. The WSLs meeting the inclusion criteria (n = 60) were randomly assigned into test and control groups. The WSLs in test group (n = 30) received AFS (25,000 ppmF<sup>-</sup>) and nano-CaF<sub>2</sub> (41,400 ppmF<sup>-</sup>) as a 2-step treatment (Experimental product, Ivoclar Vivadent AG, Schaan, Liechtenstein), while the WSLs in control group (n = 30) received 1-step ammonium fluoride varnish (AFV, 7700 ppmF<sup>-</sup>, Fluor Protector S, Ivoclar Vivadent AG) treatment. The WSLs were quantitatively assessed using QLF (QrayCam, AIOBIO, Seoul, Republic of Korea) and qualitatively assessed using International Caries Detection and Assessment System (ICDAS-II) and Nyvad criteria at baseline, 1, 6 and 12-months follow-ups. The difference in QLF parameters within each group (Friedman test) and between groups (Wilcoxon test) was analyzed. Binary logistic regression model was used to compare the odds of the WSLs showed regression between the groups based on qualitative assessment.</div></div><div><h3>Results</h3><div>Overall, 56 WSLs in 21 participants (ages ranged from 14 to 40 years) could be evaluated. Quantitatively, mineral loss (ΔF average and ΔF max), lesion size (WS area) and volume (ΔQ) decreased significantly in test group (<em>P</em> = .001) at 6 and 12 months compared to baseline, whereas no significant difference was found in control group (<em>P</em> &gt; .05). Intergroup comparison showed greater reduction in ΔF average and ΔF max values in the test group compared to control group at 6-month`s follow-up (<em>P</em> = .05). Qualitatively assessed regression rate was higher in test group compared to control group at 6 and 12-months (<em>P</em> &lt; .05).</div></div><div><h3>Conclusion</h3><div>Caries preventive efficacy of AFS + nano-CF2 was found to be superior to AFV based on both quantitative and qualitative assessment in high caries risk adolescents and young adults.</div></div><div><h3>Clinical Relevance</h3><div>Two-step treatment with high level of AFS and nano sol CaF<sub>2</sub> might be a better option compared to 1-step AFV treatment for the management of WSLs.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102093"},"PeriodicalIF":4.1,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550597","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}
引用次数: 0
THE TYPE OF ORTHODONTIC LIGATURE DOES NOT INFLUENCE PERIODONTAL HEALTH TO A CLINICALLY RELEVANT DEGREE 正畸结扎方式对牙周健康的影响不具有临床相关性
IF 4.1 4区 医学
Journal of Evidence-Based Dental Practice Pub Date : 2025-01-14 DOI: 10.1016/j.jebdp.2025.102091
Carlos Flores-Mir (REVIEWER)
{"title":"THE TYPE OF ORTHODONTIC LIGATURE DOES NOT INFLUENCE PERIODONTAL HEALTH TO A CLINICALLY RELEVANT DEGREE","authors":"Carlos Flores-Mir (REVIEWER)","doi":"10.1016/j.jebdp.2025.102091","DOIUrl":"10.1016/j.jebdp.2025.102091","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><div>Hussain U et al. Influence of elastomeric and steel ligatures on periodontal health during fixed appliance orthodontic treatment: a systematic review and meta-analysis. Prog Orthod 2024; 25: 24. <span><span>doi.org/10.1186/s4-510-024-00520-8</span><svg><path></path></svg></span>.</div></div><div><h3>Source of Funding</h3><div><em>None</em>.</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":"25 2","pages":"Article 102091"},"PeriodicalIF":4.1,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550593","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}
引用次数: 0
IS THERE A CORRELATION BETWEEN OBJECTIVE AND SUBJECTIVE METHODS TO ASSESS DENTAL ANXIETY? A SYSTEMATIC REVIEW AND META-ANALYSIS 评估牙齿焦虑的客观方法和主观方法之间是否存在相关性?系统回顾和荟萃分析
IF 4.1 4区 医学
Journal of Evidence-Based Dental Practice Pub Date : 2025-01-14 DOI: 10.1016/j.jebdp.2025.102092
CAMILA SILVA DE AMORIM MsC , LARISSA SOARES LIMA DA SILVA MsC , GUIDO ARTEMIO MARAÑÓN-VÁSQUEZ PhD , MARCELA BARAÚNA MAGNO PhD , ANDRÉA VAZ BRAGA PINTOR PhD , PEDRO PAULO PIRES PhD , LUCIANNE COPLE MAIA PhD , MATHEUS MELO PITHON PhD
{"title":"IS THERE A CORRELATION BETWEEN OBJECTIVE AND SUBJECTIVE METHODS TO ASSESS DENTAL ANXIETY? A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"CAMILA SILVA DE AMORIM MsC ,&nbsp;LARISSA SOARES LIMA DA SILVA MsC ,&nbsp;GUIDO ARTEMIO MARAÑÓN-VÁSQUEZ PhD ,&nbsp;MARCELA BARAÚNA MAGNO PhD ,&nbsp;ANDRÉA VAZ BRAGA PINTOR PhD ,&nbsp;PEDRO PAULO PIRES PhD ,&nbsp;LUCIANNE COPLE MAIA PhD ,&nbsp;MATHEUS MELO PITHON PhD","doi":"10.1016/j.jebdp.2025.102092","DOIUrl":"10.1016/j.jebdp.2025.102092","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the evidence about the correlation between objective and subjective methods for evaluating dental anxiety.</div></div><div><h3>Methods</h3><div>Eligibility criteria were defined as follows: Patients (P): individuals in the dental care context; Index test (I): subjective methods; Reference test (R): objective methods; Outcome (O): correlation between methods to dental anxiety evaluation. Searches were conducted in 7 databases and grey literature up to November 2023, without language or date restrictions. The QUADAS-2 tool was employed to evaluate Risk of bias. A random-effects meta-analysis was performed to calculate pooled correlation coefficients between methods on the basis of the objective method analyzed. The GRADE approach was utilized to assess evidence certainty.</div></div><div><h3>Results</h3><div>A total of 29 studies, with 1891 participants aged 3 to 82 years, were included, with 22 studies participating in the meta-analysis. The Risk of bias was mostly “unclear” due to inadequate methodology detail. Weak correlations were observed between subjective methods and heart rate (r 0.15 [0.08, 0.21], <em>P</em> &lt; .001, I<sup>2</sup> = 56%) and alpha-amylase (r 0.25 [0.11, 0.38], <em>P</em> &lt; .001, I<sup>2</sup> = 43%. Subjective methods showed a moderate correlation with cortisol analysis (r 0.40 [0.33, 0.47] <em>P</em> &lt; .001, I<sup>2</sup> = 72%). No other objective method displayed a significant correlation with subjective methods. The certainty of evidence was very low.</div></div><div><h3>Conclusion</h3><div>The findings can suggest a correlation between the following subjective and objective methods: ACDAS, DAS, MCDAS, MDAS and Cortisol; CFSS-DS, DAS, MCDAS, MDAS and Alpha-amylase; and DAS, DAS-R, MDAS, S-DAI, Venham Picture Anxiety, Venham Picture Test and Heart rate. Nonetheless, these results lack conclusiveness due to their very low certainty of evidence.</div></div><div><h3>Registration</h3><div>PROSPERO database registration number CRD42022298589.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102092"},"PeriodicalIF":4.1,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534829","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}
引用次数: 0
LIMITED EVIDENCE SUGGESTS THAT CHATGPT MAY HAVE ACCURATE RESPONSES IN MEDICAL AND DENTAL RESEARCH 有限的证据表明,聊天可能在医学和牙科研究中有准确的反应
IF 4.1 4区 医学
Journal of Evidence-Based Dental Practice Pub Date : 2025-01-14 DOI: 10.1016/j.jebdp.2025.102090
IMAN ABD-ELWAHAB RADI (REVIEWERS), MARIAM TAHER ABDELFATTAH ABOUMOSALLAM
{"title":"LIMITED EVIDENCE SUGGESTS THAT CHATGPT MAY HAVE ACCURATE RESPONSES IN MEDICAL AND DENTAL RESEARCH","authors":"IMAN ABD-ELWAHAB RADI (REVIEWERS),&nbsp;MARIAM TAHER ABDELFATTAH ABOUMOSALLAM","doi":"10.1016/j.jebdp.2025.102090","DOIUrl":"10.1016/j.jebdp.2025.102090","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><div>Bagde H, Dhopte A, Alam MK, Basri R. A systematic review and meta-analysis on ChatGPT and its utilization in medical and dental research. Heliyon. 2023 Dec 1;9(12).</div></div><div><h3>Source of Funding</h3><div>Information not available.</div></div><div><h3>Type of Study/Design</h3><div>Systematic review with meta-analysis of data (SRMA).</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102090"},"PeriodicalIF":4.1,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550592","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}
引用次数: 0
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