冠状切除术去除与下颌管接触的下第三磨牙的并发症-临床试验的系统回顾和荟萃分析。

IF 1.9 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Rivelli Maria de Oliveira Lira, Pedryna Maria Oliveira Veras, Giselly Dos Santos Gomes, Bárbara Albuquerque Azevedo, Ana Thamires de Paulo Loiola, Antônio Asriel Dos Santos Almeida, Paulo Goberlânio de Barros Silva, Edson Luiz Cetira Filho
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引用次数: 0

摘要

目的:探讨下颌管接触下三磨牙冠切除术对术后并发症的影响。研究设计:对索引数据库和灰色文献进行电子检索。采用Rayyan软件对3名研究人员进行研究选择。使用RoB 2.0工具评估偏倚风险。meta分析认为在RevMan中P < 0.05为显著性。结果:在分析疼痛结局时,干预组有1037个事件,对照组有1054个事件,疼痛评分显著降低(-0.25 [95% CI: -0.46, -0.04], P = 0.020)。两组患者的痛觉差异无统计学意义(P = 0.140, I²= 0%)。观察到感觉异常的相对风险显著降低(0.09 [95% CI: 0.03, 0.25], P < .001),异质性低(I²= 0%)。然而,感染(P = 0.370, I²= 56%)或干槽(P = 0.230, I²= 27%)的风险没有显著降低。尽管偏倚风险较低,但异质性(I²= 0%-56%)和样本量将GRADE证据的确定性从极低降低到中等。结论:本研究表明冠状切除术能有效预防神经损伤,控制疼痛和水肿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Complications in coronectomy procedures for removal of lower third molars in contact with the mandibular canal-systematic review and meta-analysis of clinical trials.

Objective: This systematic review (SR) investigated whether the coronectomy of lower third molars in contact with the mandibular canal influences complications.

Study design: An electronic search was conducted in indexed databases and grey literature. The study selection was performed using the Rayyan software among three researchers. The risk of bias was assessed using the RoB 2.0 tool. The meta-analysis considered P < .05 as significant in RevMan.

Results: The analysis included 1,037 events in the intervention group and 1,054 in the control group for pain outcomes, showing a significant reduction in pain scores (-0.25 [95% CI: -0.46, -0.04], P = .020). There was no significant difference in pain perception between the groups (P = .140, I² = 0%). A significant reduction in the relative risk of paresthesia was observed (0.09 [95% CI: 0.03, 0.25], P < .001) with low heterogeneity (I² = 0%). However, there was no significant reduction in the risk of infection (P = .370, I² = 56%) or dry socket (P = .230, I² = 27%). Despite the low risk of bias, the heterogeneity (I² = 0%-56%) and sample sizes reduced the certainty of the GRADE evidence from very low to moderate.

Conclusions: This SR demonstrated that coronectomy is effective in preventing nerve damage and controlling pain and edema.

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来源期刊
Oral Surgery Oral Medicine Oral Pathology Oral Radiology
Oral Surgery Oral Medicine Oral Pathology Oral Radiology DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.80
自引率
6.90%
发文量
1217
审稿时长
2-4 weeks
期刊介绍: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology is required reading for anyone in the fields of oral surgery, oral medicine, oral pathology, oral radiology or advanced general practice dentistry. It is the only major dental journal that provides a practical and complete overview of the medical and surgical techniques of dental practice in four areas. Topics covered include such current issues as dental implants, treatment of HIV-infected patients, and evaluation and treatment of TMJ disorders. The official publication for nine societies, the Journal is recommended for initial purchase in the Brandon Hill study, Selected List of Books and Journals for the Small Medical Library.
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