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Journal of Evidence-Based Dental Practice最新文献

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INTEGRATING ORAL MAXILLOFACIAL SURGERY EDUCATION INTO UK MEDICAL CURRICULA IS A KEY TO ADDRESS KNOWLEDGE GAPS AND IMPROVE EARLY DIAGNOSIS 将口腔颌面外科教育纳入英国医学课程是解决知识差距和改善早期诊断的关键
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-05-08 DOI: 10.1016/j.jebdp.2025.102165
IMAN ABD-ELWAHAB RADI (Reviewer), ABDULRAHMAN HISHAM MOHAMED EL  GARHY (Reviewer)

Article Title and Bibliographic Information

Glossop S, Duffaydar H, Jones H, Peters E, Ryan T, Saleh F, Scourfield L, Poacher A. Oral and maxillofacial surgery and dental health education in undergraduate medicine: a systematic review. B J Oral Maxillofac Surg. 2024:62;882-888.1

Source of Funding

Not applicable.

Type of Study/Design

Systematic review (SR).
lossop S, Duffaydar H, Jones H, Peters E, Ryan T, Saleh F, Scourfield L, Poacher a .口腔颌面外科与口腔健康教育的系统回顾。中华口腔颌面外科杂志,2014:62;882-888.1。研究类型/设计系统评价(SR)。
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引用次数: 0
Levels of Evidence—Grading System 证据分级系统的等级
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-05-05 DOI: 10.1016/S1532-3382(25)00067-3
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引用次数: 0
Statement of Purpose/Levels of Evidence 目的陈述/证据水平
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-05-05 DOI: 10.1016/S1532-3382(25)00064-8
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引用次数: 0
Information for Readers 读者资讯
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-05-05 DOI: 10.1016/S1532-3382(25)00065-X
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引用次数: 0
Information for Authors 作者信息
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-05-05 DOI: 10.1016/S1532-3382(25)00066-1
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引用次数: 0
THE UTILITY OF DEEP LEARNING MODEL IN CLINICAL TREATMENT DECISION-MAKING OF MANDIBULAR THIRD MOLAR: A SYSTEMATIC REVIEW AND META-ANALYSIS 深度学习模型在下颌第三磨牙临床治疗决策中的应用:系统回顾和荟萃分析
IF 4 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-05-02 DOI: 10.1016/j.jebdp.2025.102164
CHENJIE ZHAO , XUESHAN BAI , ZIYANG LIU , WENJIE CHENG , SONGXIA XIA , LI TENG , LIYA YANG

Objectives

To evaluate the effectiveness of deep learning (DL) in medical imaging for improving clinical procedures related to the mandibular third molar (MM3).

Methods

Our systematic search included databases such as PubMed, EMBASE, Web of Science, and the Cochrane Library, up to April 10, 2024. The Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool was used to assess the potential bias and clinical relevance of the studies. To examine the interaction between MM3 and the inferior alveolar nerve (IAN), we conducted a meta-analysis using a bivariate mixed-effects model to compare the performance of DL methods with that of human experts.

Results

In this comprehensive review, a total of 33 scholarly works involving 45,029 imaging instances were analyzed. Among these, 15 studies specifically focused on evaluating the performance of DL methods in identifying the spatial relationship between MM3 and IAN. The aggregated results showed that DL achieved a diagnostic sensitivity of 0.89 (95% CI, 0.85-0.93) and a specificity of 0.88 (95% CI, 0.80-0.93). In parallel, a comparative meta-analysis that included assessments from 16 clinical experts revealed slightly lower sensitivity (0.76; 95% CI, 0.65-0.85) and specificity (0.86; 95% CI, 0.70-0.94). Additionally, the review explored the utility of DL in predictive modeling of MM3 eruption, assessing the complexity of extraction procedures, and identifying MM3 characteristics. The 18 studies in this area demonstrated diagnostic sensitivity ranging from 0.80 to 0.94 and specificity from 0.75 to 0.97, collectively highlighting the strong prognostic capabilities of DL in these clinical applications.

Conclusions

DL has demonstrated remarkable efficacy, especially in precisely identifying the anatomical connections between MM3 and IAN. Moreover, DL excels in identifying, categorizing, and assessing the complexity associated with MM3 extractions. This study confirms the substantial value of DL, particularly when utilized through image-based methods, in improving clinical management strategies for MM3. The creation of intelligent diagnostic tools using oral panoramic radiographs (OPGs) is strongly encouraged to assist physicians, especially those with limited clinical experience, in enhancing their diagnostic accuracy. These advancements in DL applications are expected to significantly improve the accuracy and efficiency of clinical diagnoses in oral and maxillofacial surgeries.
目的评价深度学习(DL)在医学影像学中改进下颌第三磨牙(MM3)临床操作的有效性。方法系统检索截至2024年4月10日的PubMed、EMBASE、Web of Science、Cochrane Library等数据库。使用诊断准确性研究质量评估-2 (QUADAS-2)工具评估研究的潜在偏倚和临床相关性。为了研究MM3与下肺泡神经(IAN)之间的相互作用,我们使用双变量混合效应模型进行了荟萃分析,以比较DL方法与人类专家的性能。结果本综述共分析了33篇学术论文,涉及45,029例影像学病例。其中,有15项研究专门评估了DL方法在识别MM3和IAN之间空间关系方面的性能。综合结果显示,DL的诊断敏感性为0.89 (95% CI, 0.85-0.93),特异性为0.88 (95% CI, 0.80-0.93)。与此同时,一项包括16位临床专家评估的比较荟萃分析显示,敏感性(0.76;95% CI, 0.65-0.85)和特异性(0.86,95% CI, 0.70-0.94)略低。此外,本文还探讨了DL在MM3喷发预测建模中的应用,评估提取程序的复杂性,并确定MM3特征。该领域的18项研究表明,DL的诊断敏感性为0.80 ~ 0.94,特异性为0.75 ~ 0.97,共同强调了DL在这些临床应用中的强大预后能力。结论sdl具有显著的疗效,特别是在精确识别MM3与IAN之间的解剖联系方面。此外,DL在识别、分类和评估与MM3提取相关的复杂性方面表现出色。本研究证实了DL在改善MM3临床管理策略方面的巨大价值,特别是通过基于图像的方法加以利用时。强烈鼓励使用口腔全景x线片(OPGs)创建智能诊断工具,以帮助医生,特别是那些临床经验有限的医生,提高他们的诊断准确性。DL应用的这些进步有望显著提高口腔颌面外科临床诊断的准确性和效率。
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引用次数: 0
REMINERALIZATION OF WHITE SPOT LESIONS IN PRIMARY TEETH USING AN INTENSIVE APPLICATION PROTOCOL OF CURODONT REPAIR FLUORIDE PLUS, MI VARNISH OR DURAPHAT VARNISH (RANDOMIZED CONTROLLED CLINICAL TRIAL) 牙齿修复加氟、mi清漆或duraphat清漆强化应用方案对乳牙白斑病变再矿化(随机对照临床试验)
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-04-30 DOI: 10.1016/j.jebdp.2025.102163
SARAH M. KHAIRY, DALIA M. TALAAT, KARIN M.L. DOWIDAR

Objectives

To evaluate the efficacy of intensive application of Curodont Repair Fluoride Plus (CRFP), MI varnish or Duraphat in treating white spot lesions (WSLs) of primary teeth over 12-months follow-up.

Methods

Sixty-six high-caries-risk preschooler children with active WSLs in their primary anterior teeth, were randomly allocated to receive intensive application of CRFP, MI varnish, or Duraphat. Lesions were assessed using ICDAS-II criteria and DIAGNOdent laser fluorescence at baseline and after 3, 6, 9, and 12 months. lesion size changes were evaluated using standardized photographs after 3, 6, and 12 months. Visual analogue scale was used for assessing esthetic improvement after 6 and 12 months.

Results

Multivariable logistic regression models addressing caries arrest (using ICDAS-II severity scores) and reducing lesion activity revealed that CRFP achieved significantly higher odds of caries arrest (AOR=6.46, P = .011) and decreasing number of active lesions (AOR=19.86, P = .003) when compared to Duraphat. No significant difference was found between MI varnish and Duraphat regarding caries arrest (AOR=2.07, P = .242) or reducing lesion activity (AOR=4.11, P = .064). All study materials resulted in significant percent reduction in DIAGNOdent readings across time (P < .001). CRFP reduced DIAGNOdent readings significantly when compared to Duraphat at all time intervals while a significant difference appeared between CRFP and MI varnish groups only after 9 and 12 months. All the materials reduced lesion size significantly, with the greatest reduction achieved by CRFP, resulting in moderate to exceptional esthetic improvement.

Conclusion

Intensive application of CRFP exhibited superior remineralization and esthetic improvement of WSLs compared to MI varnish or Duraphat.
目的通过12个月的随访,评价密集应用currodon Repair Fluoride Plus (CRFP)、MI清漆或Duraphat治疗乳牙白斑病变(WSLs)的疗效。方法对66例乳牙前牙有活跃的高龋风险学龄前儿童进行随机分组,分别应用CRFP、MI清漆和Duraphat进行强化治疗。在基线和3、6、9和12个月后,使用ICDAS-II标准和诊断激光荧光评估病变。3个月、6个月和12个月后使用标准化照片评估病变大小变化。采用视觉模拟量表评估6个月和12个月后的审美改善情况。结果采用ICDAS-II严重程度评分和降低病变活跃性的多变量logistic回归模型显示,与Duraphat相比,CRFP实现了更高的龋齿抑制几率(AOR=6.46, P = .011)和减少活跃性病变数量(AOR=19.86, P = .003)。MI清漆与Duraphat在阻龋(AOR=2.07, P = .242)或降低病变活跃性(AOR=4.11, P = .064)方面无显著差异。所有的研究材料都导致诊断读数随时间的显著降低(P <;措施)。与Duraphat相比,CRFP在所有时间间隔内都显著降低了诊断读数,而CRFP和MI清漆组仅在9个月和12个月后才出现显著差异。所有的材料都显著减小了病变的大小,CRFP达到了最大的减小,导致中度到特殊的美学改善。结论与MI清漆或Duraphat相比,强化应用CRFP具有更好的再矿化效果和美观性。
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引用次数: 0
LASER-MICROTEXTURED ABUTMENTS MAY HELP REDUCE INFLAMMATION AND PERI‑IMPLANT TISSUE REMODELING FOLLOWING IMPLANT PLACEMENT 激光微纹理基台可以帮助减少种植体植入后的炎症和种植体周围组织重塑
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-04-29 DOI: 10.1016/j.jebdp.2025.102162
YU-HSUAN PI (Reviewers), WEI-CHUN LIN, CHIA-YU CHEN, CHIN-WEI WANG

Article Title and Bibliographic Information

Aldrin Huamán‐Mendoza, Renata Bommarito, Marcos Hideki Hagy, Nathalia Vilela, Marcelo Munhóes Romano, Mariana Minatel Braga, Claudio Mendes Pannuti, Marinella Holzhausen. Effect of laser‐microtextured abutments on peri‐implant outcomes: a systematic review and meta‐analysis. Clinical Oral Investigations (2024) 28:388 https://doi.org/10.1007/s00784-024-05785-1

Source of Funding

This research received no specific grant from any funding agency.

Type of Study/Design

Systematic review with meta-analysis.
文章标题和文献信息aldrin Huamán‐Mendoza, Renata Bommarito, Marcos Hideki Hagy, Nathalia Vilela, Marcelo Munhóes Romano, Mariana Minatel Braga, Claudio Mendes Pannuti, Marinella Holzhausen。激光微织构基台对种植体周围结果的影响:一项系统回顾和荟萃分析。临床口腔调查(2024)28:388 https://doi.org/10.1007/s00784-024-05785-1Source资助本研究未获得任何资助机构的特定资助。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
SILVER DIAMINE FLUORIDE MAY REDUCE DENTINE HYPERSENSITIVITY IN ADULTS 氟化二胺银可减轻成人牙本质过敏
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-04-24 DOI: 10.1016/j.jebdp.2025.102161
LINDA L. CHENG (Reviewer)

Article Title and Bibliographic Information

Clinical evidence for silver diamine fluoride to reduce dentine hypersensitivity: A systematic review. Chan AKY, Tsang YC, Yu OY, Lo ECM, Leung KCM, Chu CH. J Dent. 2024 Mar; 142:104868. doi: 10.1016/j.jdent.2024.104868.

Source of Funding

None reported. The authors declare no conflicts of interest.

Type of Study/Design

Systematic review and meta-analysis.
文章标题和文献资料氟化二胺银减少牙本质过敏的临床证据:一项系统综述。陈阿奇,曾玉成,余玉英,卢志明,梁建明,朱长丹。2024年3月;142:104868。doi: 10.1016 / j.jdent.2024.104868。资金来源无报告。作者声明无利益冲突。研究类型/设计系统回顾和荟萃分析。
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引用次数: 0
ACCURACY OF INTRAORAL CAMERA AND SMARTPHONE CAMERA IN TELEDETECTION OF DENTAL CARIES AMONG ADULTS: A DIAGNOSTIC ACCURACY STUDY 口腔内相机和智能手机相机在成人龋齿远程检测中的准确性:一项诊断准确性研究
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-04-22 DOI: 10.1016/j.jebdp.2025.102160
RANA MAHROUS, HALA AMER, WAFAA ESSAM

Background and Objectives

Tele-dentistry combines telecommunications and dentistry to transmit clinical data for remote consultation and treatment planning. It improves dental care access for screening, referrals, and treatment. This study aimed to test the accuracy of intraoral camera and smartphone camera in the diagnosis of cavitated carious lesions among adults in Alexandria, Egypt.

Methods

A diagnostic accuracy study was conducted on adults above 18 years old visiting clinics of the Faculty of Dentistry, Alexandria University to compare 2 different tele-dentistry caries detection methods (intraoral camera (C50 Full HD with fluorescence) and smartphone camera (Samsung Galaxy A24) after randomizing the participants into 2 groups. The reference standard was face-to-face examination. The caries diagnosis was based on the International Caries Detection and Assessment System (ICDAS) through clinical examination, intraoral camera videos, and smartphone photos. Sensitivity, specificity, accuracy, positive and negative predictive values were calculated for the 2 methods at tooth and surface levels.

Results

The study included 50 adults. The age group (26-40) comprised (46%) of the participants. Both cameras had high specificity and accuracy (>90%). The lowest sensitivity was in the case of detecting cavitated lesions at surface level (intraoral camera = 84.62% and smartphone = 79.52%). The smartphone camera had the lowest precision at both tooth (49.3%) and surface (58.4%) levels."

Conclusion

The intraoral camera showed higher accuracy than the smartphone camera especially in detecting cavitated carious lesions at surface level. While intraoral cameras are the preferred modality, smartphone cameras provide a more accessible and cost-effective alternative, especially in resource-limited settings. However, their limitations should be acknowledged.
背景与目的ele-dentistry将电信与牙科相结合,传输临床数据,用于远程会诊和治疗计划。它改善了筛查、转诊和治疗的牙科保健机会。本研究旨在测试口腔内相机和智能手机相机在埃及亚历山大成年人中诊断空化龋齿病变的准确性。方法对在亚历山大大学牙科学院就诊的18岁以上成人进行诊断准确性研究,比较两种不同的远程口腔龋检测方法(C50全高清荧光口腔内相机)和智能手机相机(三星Galaxy A24),并将参与者随机分为两组。参照标准为面对面考核。根据国际龋齿检测和评估系统(ICDAS),通过临床检查、口腔内相机视频和智能手机照片进行龋齿诊断。计算两种方法在牙齿和表面水平的敏感性、特异性、准确性、阳性预测值和阴性预测值。结果该研究包括50名成年人。年龄层(26-40岁)占参与者的46%。两种相机均具有较高的特异性和准确性(>90%)。口腔内相机( = 84.62%)和智能手机( = 79.52%)对空化病变的检测灵敏度最低。智能手机相机在牙齿(49.3%)和表面(58.4%)水平上的精度最低。结论口腔内相机对口腔表面蛀牙的检测精度高于智能手机相机。虽然口腔内相机是首选的方式,但智能手机相机提供了一种更容易获得和更具成本效益的替代方案,特别是在资源有限的环境中。然而,应该承认它们的局限性。
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引用次数: 0
期刊
Journal of Evidence-Based Dental Practice
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