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
{"title":"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。","authors":"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","doi":"10.1016/j.oooo.2025.05.004","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This systematic review (SR) investigated whether the coronectomy of lower third molars in contact with the mandibular canal influences complications.</p><p><strong>Study design: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>This SR demonstrated that coronectomy is effective in preventing nerve damage and controlling pain and edema.</p>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Complications in coronectomy procedures for removal of lower third molars in contact with the mandibular canal-systematic review and meta-analysis of clinical trials.\",\"authors\":\"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\",\"doi\":\"10.1016/j.oooo.2025.05.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This systematic review (SR) investigated whether the coronectomy of lower third molars in contact with the mandibular canal influences complications.</p><p><strong>Study design: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>This SR demonstrated that coronectomy is effective in preventing nerve damage and controlling pain and edema.</p>\",\"PeriodicalId\":49010,\"journal\":{\"name\":\"Oral Surgery Oral Medicine Oral Pathology Oral Radiology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-05-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Oral Surgery Oral Medicine Oral Pathology Oral Radiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.oooo.2025.05.004\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.oooo.2025.05.004","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
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.
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.