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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 Q1 DENTISTRY, ORAL SURGERY & MEDICINE 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

Objective

The aim of the study was to investigate the efficacy of ammonium fluoride solution (AFS) combined with nano sol calcium fluoride (nano-CaF2) for the treatment of active buccal white spot lesions (WSLs) in permanent dentition.

Materials and Methods

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-) and nano-CaF2 (41,400 ppmF-) 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-, 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.

Results

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 (P = .001) at 6 and 12 months compared to baseline, whereas no significant difference was found in control group (P > .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 (P = .05). Qualitatively assessed regression rate was higher in test group compared to control group at 6 and 12-months (P < .05).

Conclusion

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.

Clinical Relevance

Two-step treatment with high level of AFS and nano sol CaF2 might be a better option compared to 1-step AFV treatment for the management of WSLs.
目的观察氟化铵溶液(AFS)联合纳米溶胶氟化钙(nano- caf2)治疗恒牙列活动性颊白斑病变的疗效。材料与方法在不同象限至少有2例wsl的受试者纳入裂口随机临床试验。将符合纳入标准的wsl (n = 60)随机分为试验组和对照组。试验组(n = 30)采用AFS (25,000 ppmF-)和纳米caf2 (41,400 ppmF-)两步处理(实验产品,Ivoclar Vivadent AG, Schaan,列支敦士登),对照组(n = 30)采用一步氟化铵清漆(AFV, 7700 ppmF-, fluprotector S, Ivoclar Vivadent AG)处理。在基线、随访1个月、6个月和12个月时,采用QLF (QrayCam, AIOBIO, Seoul, Korea)对wsl进行定量评估,并采用国际龋齿检测和评估系统(ICDAS-II)和Nyvad标准对wsl进行定性评估。分析各组内(Friedman检验)和组间(Wilcoxon检验)QLF参数的差异。在定性评价的基础上,采用二元logistic回归模型比较各组间wsl出现回归的几率。结果21例患者(年龄14 ~ 40岁)共56例wsl得到评价。在数量上,与基线相比,试验组在6个月和12个月时矿物质损失(ΔF平均和ΔF最大)、病变大小(WS面积)和体积(ΔQ)显著下降(P = .001),而对照组无显著差异(P >;. 05)。组间比较显示,随访6个月时,试验组的ΔF平均值和ΔF最大值较对照组降低幅度更大(P = .05)。在6个月和12个月时,试验组的定性评估回归率高于对照组(P <;. 05)。结论通过定量和定性评价,AFS + 纳米cf2对高龋青少年和青壮年的预防效果均优于AFV。与一步AFV治疗相比,高水平AFS和纳米溶胶CaF2两步治疗可能是治疗wsl的更好选择。
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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 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-14 DOI: 10.1016/j.jebdp.2025.102091
Carlos Flores-Mir (REVIEWER)

Article Title and Bibliographic Information

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. doi.org/10.1186/s4-510-024-00520-8.

Source of Funding

None.

Type of Study/Design

Systematic review with meta-analysis.
文章标题与书目信息。在固定矫治器正畸治疗中,弹性结扎和钢结扎对牙周健康的影响:一项系统回顾和荟萃分析。Prog Orthod 2024;25日:24。doi.org/10.1186/s4-510-024-00520-8.Source of FundingNone。研究类型/设计:采用荟萃分析的系统评价。
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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 Q1 DENTISTRY, ORAL SURGERY & MEDICINE 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

Objective

To assess the evidence about the correlation between objective and subjective methods for evaluating dental anxiety.

Methods

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.

Results

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], P < .001, I2 = 56%) and alpha-amylase (r 0.25 [0.11, 0.38], P < .001, I2 = 43%. Subjective methods showed a moderate correlation with cortisol analysis (r 0.40 [0.33, 0.47] P < .001, I2 = 72%). No other objective method displayed a significant correlation with subjective methods. The certainty of evidence was very low.

Conclusion

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.

Registration

PROSPERO database registration number CRD42022298589.
目的评价客观方法与主观方法评价牙病焦虑的相关性。方法入选标准如下:患者(P):有牙科护理背景的个体;指标检验(一):主观方法;参考检验(R):客观方法;结果(O):牙科焦虑评估方法之间的相关性。在截至2023年11月的7个数据库和灰色文献中进行了检索,没有语言或日期限制。采用QUADAS-2工具评价偏倚风险。在客观方法分析的基础上,进行随机效应荟萃分析,计算方法间的合并相关系数。GRADE方法用于评估证据的确定性。结果共纳入29项研究,1891名年龄在3至82岁之间的受试者,其中22项研究参与了meta分析。由于方法学细节不足,偏倚风险大多是“不明确的”。主观方法与心率之间存在弱相关性(r = 0.15 [0.08, 0.21], P = <; )。001年,I2 =阿尔法 56%)和(r 0.25 [0.11, 0.38], P & lt; 。001年,I2 = 43%。主观方法与皮质醇分析呈正相关(r = 0.40 [0.33, 0.47] P = <; )。001年,I2 = 72%)。其他客观方法与主观方法均无显著相关性。证据的确定性很低。结论ACDAS、DAS、MCDAS、MDAS与皮质醇的主客观指标存在相关性;CFSS-DS、DAS、MCDAS、MDAS和α -淀粉酶;DAS、DAS- r、MDAS、S-DAI、Venham图片焦虑、Venham图片测试和心率。尽管如此,由于证据的确定性非常低,这些结果缺乏结论性。RegistrationPROSPERO数据库注册号CRD42022298589。
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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 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-14 DOI: 10.1016/j.jebdp.2025.102090
IMAN ABD-ELWAHAB RADI (REVIEWERS), MARIAM TAHER ABDELFATTAH ABOUMOSALLAM

Article Title and Bibliographic Information

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).

Source of Funding

Information not available.

Type of Study/Design

Systematic review with meta-analysis of data (SRMA).
bagde H, Dhopte A, Alam MK, Basri R. ChatGPT及其在医学和牙科研究中的应用的系统回顾和meta分析。太阳。2023年12月1日;资金来源信息不可用。研究类型/设计采用数据荟萃分析(SRMA)进行系统评价。
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引用次数: 0
THE EFFECTS OF PREVENTIVE INTERVENTIONS FOR ORTHODONTICALLY INDUCED WHITE SPOT LESIONS: AN UMBRELLA REVIEW AND EVIDENCE MAPPING 预防干预对正畸引起的白斑病变的影响:一个概括性的回顾和证据映射
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-13 DOI: 10.1016/j.jebdp.2025.102089
JINGJING YU , DANCHEN QIN , FEIYANG GUO , TINGTING ZHAO , HONG HE , FANG HUA

Objectives

To summarize and evaluate systematic reviews (SRs) regarding preventive interventions for orthodontically induced white spot lesions (WSLs) and map currently available evidence in this field.

Materials and methods

An electronic search was conducted up to 20 June 2024 in the following 7 databases with no restrictions: PubMed, Embase, Web of Science, Cochrane Reviews, Scopus, WanFang, and CNKI. Screening, data extraction, and quality assessment (using AMSTAR 2 and ROBIS) were performed by 2 authors independently and in duplicate. Results were summarized and analyzed qualitatively. Evidence mapping was applied to display current evidence and research gaps.

Results

A total of 24 SRs were included. Only a few SRs were of ‘low’ risk of bias (n = 4) according to ROBIS, or of ‘high’ (n = 1) or ‘moderate’ overall confidence (n = 2) according to AMSTAR 2. The evidence mapping depicted the diversity of interventions, and 27 different comparisons in included SRs were identified. Remineralizing agents were the most frequently assessed types of interventions, while self-applied antibacterial agents and mechanical cleaning procedures were studied in few SRs. Topical fluoride applications, oral hygiene-related reminders and sealants were effective in preventing WSLs compared to control/placebo. No sufficient evidence supported the effectiveness of other interventions.

Conclusion

The number of high-quality SRs regarding the preventive intervention of WSLs is limited. Various preventive interventions for WSLs exist, but most current SRs focus on remineralizing agents. More high-quality randomized controlled trials are required to increase the certainty of evidence and to guide clinical practice.

Registration

PROSPERO (CRD42023428516).
目的总结和评价有关正畸诱导白斑病变预防干预措施的系统综述(SRs),并绘制该领域现有证据图谱。材料与方法截止到2024年6月20日,我们在PubMed、Embase、Web of Science、Cochrane Reviews、Scopus、万方、CNKI等7个数据库中进行了电子检索,没有任何限制。筛选、数据提取和质量评估(使用AMSTAR 2和ROBIS)由2位作者独立完成,一式两份。对结果进行总结和定性分析。应用证据映射来显示当前的证据和研究差距。结果共纳入24例SRs。根据ROBIS,只有少数SRs具有“低”偏倚风险(n = 4),或根据AMSTAR 2具有“高”(n = 1)或“中等”总体置信度(n = 2)。证据图谱描述了干预措施的多样性,并在纳入的SRs中确定了27种不同的比较。再矿化剂是最常评估的干预措施类型,而在少数SRs中研究了自行应用的抗菌剂和机械清洁程序。与对照组/安慰剂相比,局部氟化物应用、与口腔卫生相关的提醒剂和密封剂在预防wsl方面有效。没有足够的证据支持其他干预措施的有效性。结论关于wsl预防干预的高质量SRs数量有限。针对wsl存在多种预防干预措施,但目前大多数SRs侧重于再矿化剂。需要更多高质量的随机对照试验来增加证据的确定性并指导临床实践。RegistrationPROSPERO (CRD42023428516)。
{"title":"THE EFFECTS OF PREVENTIVE INTERVENTIONS FOR ORTHODONTICALLY INDUCED WHITE SPOT LESIONS: AN UMBRELLA REVIEW AND EVIDENCE MAPPING","authors":"JINGJING YU ,&nbsp;DANCHEN QIN ,&nbsp;FEIYANG GUO ,&nbsp;TINGTING ZHAO ,&nbsp;HONG HE ,&nbsp;FANG HUA","doi":"10.1016/j.jebdp.2025.102089","DOIUrl":"10.1016/j.jebdp.2025.102089","url":null,"abstract":"<div><h3>Objectives</h3><div>To summarize and evaluate systematic reviews (SRs) regarding preventive interventions for orthodontically induced white spot lesions (WSLs) and map currently available evidence in this field.</div></div><div><h3>Materials and methods</h3><div>An electronic search was conducted up to 20 June 2024 in the following 7 databases with no restrictions: PubMed, Embase, Web of Science, Cochrane Reviews, Scopus, WanFang, and CNKI. Screening, data extraction, and quality assessment (using AMSTAR 2 and ROBIS) were performed by 2 authors independently and in duplicate. Results were summarized and analyzed qualitatively. Evidence mapping was applied to display current evidence and research gaps.</div></div><div><h3>Results</h3><div>A total of 24 SRs were included. Only a few SRs were of ‘low’ risk of bias (<em>n</em> = 4) according to ROBIS, or of ‘high’ (<em>n</em> = 1) or ‘moderate’ overall confidence (<em>n</em> = 2) according to AMSTAR 2. The evidence mapping depicted the diversity of interventions, and 27 different comparisons in included SRs were identified. Remineralizing agents were the most frequently assessed types of interventions, while self-applied antibacterial agents and mechanical cleaning procedures were studied in few SRs. Topical fluoride applications, oral hygiene-related reminders and sealants were effective in preventing WSLs compared to control/placebo. No sufficient evidence supported the effectiveness of other interventions.</div></div><div><h3>Conclusion</h3><div>The number of high-quality SRs regarding the preventive intervention of WSLs is limited. Various preventive interventions for WSLs exist, but most current SRs focus on remineralizing agents. More high-quality randomized controlled trials are required to increase the certainty of evidence and to guide clinical practice.</div></div><div><h3>Registration</h3><div>PROSPERO (CRD42023428516).</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102089"},"PeriodicalIF":4.1,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550596","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
ARTIFICIAL INTELLIGENCE DEMONSTRATES POTENTIAL IN DETECTING CARIES ON BITEWING RADIOGRAPHS, BUT FURTHER HIGH-QUALITY STUDIES ARE REQUIRED 人工智能显示了在咬牙x线片上检测龋齿的潜力,但需要进一步的高质量研究
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-04 DOI: 10.1016/j.jebdp.2025.102087
AHMED YASEEN ALQUTAIBI (REVIEWERS), ANAS SAEED AL-ZAGHRURI

Article Title and Bibliographic Information

Diagnostic performance of artificial intelligence-aided caries detection on bitewing radiographs: A systematic review and meta-analysis. Ammar, N. & Kühnisch, J. Japanese Dental Science Review, 60(2024): 128-136.

Source of Funding

Nonprofit foundation: Förderprogramm der Forschungsgemeinschaft Dental e.V. (FGD) with grant number 01/2023 to NA.

Type of Study/Design

Systematic review with meta-analysis.
人工智能辅助咬合x线片龋病检测的诊断性能:系统综述和荟萃分析。阿马尔,N. &;李建军,李建军,李建军,等。中华口腔医学杂志,2016,30(4):344 - 344。资助来源:非营利基金会:Förderprogramm der Forschungsgemeinschaft Dental e.V (FGD),批准号01/2023给NA。研究类型/设计:采用荟萃分析的系统评价。
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引用次数: 0
LIMITED EVIDENCE SUGGESTS ARTIFICIAL INTELLIGENCE SHOWS PROMISING PERFORMANCE IN OUTCOMES RELEVANT TO REMOVABLE AND FIXED PROSTHODONTIC FIELDS 有限的证据表明,人工智能在与活动和固定义齿领域相关的结果中显示出有希望的表现
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-03 DOI: 10.1016/j.jebdp.2025.102086
IMAN ABD-ELWAHAB RADI (REVIEWERS), YOUSSEF ATEF SHAKER IBRAHIM SAID

Article Title and Bibliographic Information

Revilla-León M, Gómez-Polo M, Vyas S, Barmak AB, Gallucci GO, Att W, Özcan M, Krishnamurthy VR. Artificial intelligence models for tooth-supported fixed and removable prosthodontics: A systematic review. J Prosthet Dent. 2023;129:276-92.

Source of Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Type of Study/Design

Systematic review with meta-analysis of data.
文章标题和参考书目InformationRevilla-León M, Gómez-Polo M, Vyas S, Barmak AB, Gallucci GO, Att W, Özcan M, Krishnamurthy VR。人工智能模型用于牙齿支持的固定和可移动修复:系统综述。[J]中华口腔医学杂志,2009;29(3):391 - 391。资金来源本研究未获得公共、商业或非营利部门资助机构的任何具体资助。研究类型/设计系统评价,数据荟萃分析。
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引用次数: 0
POLISHED MONOLITHIC ZIRCONIA CROWNS MAY CAUSE LESS ANTAGONIST ENAMEL WEAR COMPARED TO METAL-CERAMIC RESTORATIONS 与金属陶瓷修复体相比,抛光的整体氧化锆冠可能导致较少的拮抗牙釉质磨损
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-02 DOI: 10.1016/j.jebdp.2025.102088
AHMED YASEEN ALQUTAIBI (Reviewers), RAMY MOUSTAFA MOUSTAFA ALI

Article Title and Bibliographic Information

Flores-Ferreyra, B. I., Argueta-Figueroa, L., Torres-Rosas, R., Carrasco-Gutiérrez, R. G., Casillas-Santana, M. A., & de los Angeles Moyaho-Bernal, M. (2024). Dental human enamel wear caused by ceramic antagonists: A systematic review and network meta-analysis. Journal of Prosthodontic Research, JPR_D_23_00263." Journal of Prosthodontic Research. Flores-Ferreyra, B.I., et al. (2024). DOI: 10.2186/jpr.JPR_D_23_00263.

Source of Funding

Information is not available.

Type of Study/Design

Systematic review and network meta-analysis of clinical studies.

Conflict of interest

None.
flores - ferreyra, b.i ., Argueta-Figueroa, L., Torres-Rosas, R., carrasco - gutisamrrez, r.g ., Casillas-Santana, m.a., &;de los Angeles Moyaho-Bernal M.(2024)。陶瓷拮抗剂引起的牙釉质磨损:系统回顾和网络荟萃分析。口腔修复研究杂志,JPR_D_23_00263。口腔修复研究杂志。陈晓明,等。(2009)。DOI: 10.2186 / jpr.JPR_D_23_00263。资金来源信息不可用。研究类型/设计临床研究的系统回顾和网络荟萃分析。利益冲突无。
{"title":"POLISHED MONOLITHIC ZIRCONIA CROWNS MAY CAUSE LESS ANTAGONIST ENAMEL WEAR COMPARED TO METAL-CERAMIC RESTORATIONS","authors":"AHMED YASEEN ALQUTAIBI (Reviewers),&nbsp;RAMY MOUSTAFA MOUSTAFA ALI","doi":"10.1016/j.jebdp.2025.102088","DOIUrl":"10.1016/j.jebdp.2025.102088","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><div>Flores-Ferreyra, B. I., Argueta-Figueroa, L., Torres-Rosas, R., Carrasco-Gutiérrez, R. G., Casillas-Santana, M. A., &amp; de los Angeles Moyaho-Bernal, M. (2024). Dental human enamel wear caused by ceramic antagonists: A systematic review and network meta-analysis. Journal of Prosthodontic Research, JPR_D_23_00263.\" Journal of Prosthodontic Research. Flores-Ferreyra, B.I., et al. (2024). DOI: <span><span>10.2186/jpr.JPR_D_23_00263</span><svg><path></path></svg></span>.</div></div><div><h3>Source of Funding</h3><div>Information is not available.</div></div><div><h3>Type of Study/Design</h3><div>Systematic review and network meta-analysis of clinical studies.</div></div><div><h3>Conflict of interest</h3><div>None.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102088"},"PeriodicalIF":4.1,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141615","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
INTEGRATION OF DENTAL PATIENT-REPORTED OUTCOMES (dPROs) IN TELEDENTISTRY TO ENHANCE PATIENT-CENTERED CARE: A SCOPING REVIEW 整合牙科病人报告的结果(dPROs)在远程牙科以加强病人为中心的护理:一项范围回顾
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-30 DOI: 10.1016/j.jebdp.2024.102084
KASTURI SHUKLA , ASIYA M. ATTAR

Introduction

Teledentistry offers an opportunity to improve Patient-Centered Care (PCC) for dental patients. Evaluation of PCC in conventional and teledentistry requires the use of Dental Patient-Reported Outcome Measures (dPROMs). However, there is limited literature on the integration of dPROMs in teledentistry, and a need arises for the synthesis of existing knowledge, comprehending it and identifying the gaps. Hence, conducting a scoping review would systematically map out the key themes, provide insights into the trends and highlight knowledge gaps in the currently published literature.

Methods

Google Scholar, Scopus, and Web of Science databases were searched using a combination of keywords such as “Teledentistry,” “dental patient-reported outcome measures,” and “dPROMs.” Using established eligibility criteria, suitable records were exported and organized on an Excel sheet. Original research and review articles in English where dPROMs or its dimensions were used after a teledentistry session were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping review (PRISMA-ScR) criteria was followed to report the results.

Results

Out of the 28 reviewed studies, majority were cross-sectional and were largely conducted in the UK, the USA, India, and Indonesia. Studies predominantly had adult population and female participants. Most studies highlighted dPROMs dimensions such as patient satisfaction, communication, and travel convenience, suggesting that dPROMs in teledentistry may enhance PCC.

Conclusion

Distinction between the indicators of PCC, like patient satisfaction and patient experience, is necessary. Future studies should concentrate on longitudinal studies across various demographic groups with standardized measurement and equal gender representation.
远程牙科为牙科患者提供了一个改善以患者为中心的护理(PCC)的机会。评估PCC在传统和远程牙科需要使用牙科患者报告的结果测量(dPROMs)。然而,关于dprom在远程医学中的整合的文献有限,因此需要综合现有知识,理解它并确定差距。因此,进行范围审查将系统地绘制出关键主题,提供对趋势的见解,并突出当前已发表文献中的知识差距。方法使用“远程牙科”、“牙科患者报告的结果测量”和“dprom”等关键词组合搜索google Scholar、Scopus和Web of Science数据库。使用已建立的资格标准,导出合适的记录并将其组织到Excel表格中。包括在远程医学会议后使用dprom或其维度的英文原始研究和评论文章。按照系统评价和荟萃分析扩展范围评价的首选报告项目(PRISMA-ScR)标准报告结果。结果在回顾的28项研究中,大多数是横断面研究,主要在英国、美国、印度和印度尼西亚进行。研究对象主要是成年人和女性。大多数研究强调了dPROMs的维度,如患者满意度、沟通和旅行便利,表明远程牙科中的dPROMs可能会提高PCC。结论对PCC的患者满意度和患者体验等指标进行区分是必要的。今后的研究应集中在各种人口群体的纵向研究,采用标准化的测量方法和平等的性别代表性。
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引用次数: 0
COMPARATIVE EVALUATION OF RETENTION AND CARIES PREVENTIVE EFFECT OF HYDROPHILIC AND HYDROPHOBIC PIT AND FISSURE SEALANTS: A SYSTEMATIC REVIEW AND META ANALYSIS 亲水与疏水沟沟密封剂的固位与防龋效果比较:系统回顾与meta分析
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-30 DOI: 10.1016/j.jebdp.2024.102085
JADHAV SACHIN KUMAR, ZAINAB AKRAM, PG NAVEEN KUMAR, MAHESH R. KHAIRNAR, NEHA SHUKLA

Background

Dental sealants are critical in preventing caries by protecting pits and fissures from food and microorganism accumulation. Sealants are categorized as hydrophobic and hydrophilic. Hydrophobic sealants exhibit higher retention but less effective in moist environments, hydrophilic sealants perform better under such conditions. Evaluating retention and caries prevention efficacy of these sealants is essential for optimizing dental care practices. This review evaluates retention and caries preventive efficacy of both sealants.

Materials and Methods

Data on study design, sample size, sealant type, follow-up duration, retention rates, and secondary caries incidence were extracted. The risk of bias assessed using RevMan 5.4, and meta-analyses were conducted with both random-effects model and fixed-effects model based on heterogeneity and nature of included studies.

Results

Adhering to PRISMA guidelines, 15 Randomized Controlled Trials (RCTs) and 3 Non-Randomized Controlled Trials (NRCTs) met with inclusion criteria. Hydrophilic sealants showed significantly higher retention rates at 3 months (OR: 3.00, 95 % CI: 1.46-6.16) and 12 months (OR: 2.00, 95 % CI: 1.35-2.96). However, no significant differences observed at 6, 9, and 18 months. Caries prevention efficacy was similar for both sealant types across all follow-up periods, with low heterogeneity indicating consistent results.

Discussion

Hydrophilic sealants initially provide better retention due to moisture-resistant properties but do not sustain this advantage in long run. Both sealant types are equally effective in preventing caries. These findings align with prior studies, emphasizing importance of moisture control in sealant application.

Conclusion

Hydrophilic sealants exhibit superior short-term retention and similar caries prevention efficacy compared to hydrophobic sealants.
牙科密封剂通过保护牙槽和牙缝免受食物和微生物积聚的影响,对预防龋齿至关重要。密封剂分为疏水性和亲水性。疏水密封胶在潮湿环境中表现出较高的保持性,但效果较差,亲水密封胶在这种条件下表现更好。评估这些密封剂的固位和预防龋齿的功效是优化牙科保健实践的必要条件。这篇综述评价了两种密封剂的固位和龋齿预防效果。材料与方法提取研究设计、样本量、密封剂类型、随访时间、保留率、继发龋发病率等数据。采用RevMan 5.4评估偏倚风险,并根据纳入研究的异质性和性质,采用随机效应模型和固定效应模型进行meta分析。结果15项随机对照试验(rct)和3项非随机对照试验(NRCTs)符合PRISMA指南的纳入标准。亲水性密封剂在3个月(OR: 3.00, 95 % CI: 1.46-6.16)和12个月(OR: 2.00, 95 % CI: 1.35-2.96)时的保留率显著较高。然而,在6、9和18个月时没有观察到显著差异。在所有随访期间,两种类型的密封剂预防龋齿的效果相似,异质性低,表明结果一致。亲水密封胶最初提供更好的保持性,由于防潮性能,但不能长期保持这种优势。两种类型的密封剂在预防龋齿方面同样有效。这些发现与先前的研究一致,强调了密封胶应用中湿度控制的重要性。结论与疏水密封剂相比,亲水密封剂具有较好的短期固位性和相似的防龋效果。
{"title":"COMPARATIVE EVALUATION OF RETENTION AND CARIES PREVENTIVE EFFECT OF HYDROPHILIC AND HYDROPHOBIC PIT AND FISSURE SEALANTS: A SYSTEMATIC REVIEW AND META ANALYSIS","authors":"JADHAV SACHIN KUMAR,&nbsp;ZAINAB AKRAM,&nbsp;PG NAVEEN KUMAR,&nbsp;MAHESH R. KHAIRNAR,&nbsp;NEHA SHUKLA","doi":"10.1016/j.jebdp.2024.102085","DOIUrl":"10.1016/j.jebdp.2024.102085","url":null,"abstract":"<div><h3>Background</h3><div>Dental sealants are critical in preventing caries by protecting pits and fissures from food and microorganism accumulation. Sealants are categorized as hydrophobic and hydrophilic. Hydrophobic sealants exhibit higher retention but less effective in moist environments, hydrophilic sealants perform better under such conditions. Evaluating retention and caries prevention efficacy of these sealants is essential for optimizing dental care practices. This review evaluates retention and caries preventive efficacy of both sealants.</div></div><div><h3>Materials and Methods</h3><div>Data on study design, sample size, sealant type, follow-up duration, retention rates, and secondary caries incidence were extracted. The risk of bias assessed using RevMan 5.4, and meta-analyses were conducted with both random-effects model and fixed-effects model based on heterogeneity and nature of included studies.</div></div><div><h3>Results</h3><div>Adhering to PRISMA guidelines, 15 Randomized Controlled Trials (RCTs) and 3 Non-Randomized Controlled Trials (NRCTs) met with inclusion criteria. Hydrophilic sealants showed significantly higher retention rates at 3 months (OR: 3.00, 95 % CI: 1.46-6.16) and 12 months (OR: 2.00, 95 % CI: 1.35-2.96). However, no significant differences observed at 6, 9, and 18 months. Caries prevention efficacy was similar for both sealant types across all follow-up periods, with low heterogeneity indicating consistent results.</div></div><div><h3>Discussion</h3><div>Hydrophilic sealants initially provide better retention due to moisture-resistant properties but do not sustain this advantage in long run. Both sealant types are equally effective in preventing caries. These findings align with prior studies, emphasizing importance of moisture control in sealant application.</div></div><div><h3>Conclusion</h3><div>Hydrophilic sealants exhibit superior short-term retention and similar caries prevention efficacy compared to hydrophobic sealants.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102085"},"PeriodicalIF":4.1,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141780","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}
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Journal of Evidence-Based Dental Practice
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