Pub Date : 2024-03-01DOI: 10.1016/j.jebdp.2023.101931
KELVIN I. AFRASHTEHFAR (REVIEWERS), STEFAN P. HICKLIN, PATRICK R. SCHMIDLIN
Article Title and Bibliographic Information
Sarafidou K, Lazaridi I, Gotsis S, Kirmanidou Y, Vasilaki D, Hirayama H, Michalakis K. Tooth preservation vs. extraction and implant placement in periodontally compromised patients: A systematic review and analysis of studies. J Prosthodont. 2022 Oct;31(8):e87-e99. doi:10.1111/jopr.13560. Epub 2022 Aug 2. PMID: 35794083
Source of Funding
No external funding was received for this research.
{"title":"LONG-TERM OUTCOMES OF IMPLANT PLACEMENT VERSUS TOOTH PRESERVATION IN PERIODONTALLY COMPROMISED TEETH MAY BE COMPARABLE","authors":"KELVIN I. AFRASHTEHFAR (REVIEWERS), STEFAN P. HICKLIN, PATRICK R. SCHMIDLIN","doi":"10.1016/j.jebdp.2023.101931","DOIUrl":"10.1016/j.jebdp.2023.101931","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><p>Sarafidou K, Lazaridi I, Gotsis S, Kirmanidou Y, Vasilaki D, Hirayama H, Michalakis K. Tooth preservation vs. extraction and implant placement in periodontally compromised patients: A systematic review and analysis of studies. J Prosthodont. 2022 Oct;31(8):e87-e99. <span>doi:10.1111/jopr.13560</span><svg><path></path></svg>. Epub 2022 Aug 2. PMID: <span>35794083</span><svg><path></path></svg></p></div><div><h3>Source of Funding</h3><p>No external funding was received for this research.</p></div><div><h3>Type of Study/Design</h3><p>Systematic review (without meta-analysis).</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135706618","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}
Pub Date : 2024-03-01DOI: 10.1016/j.jebdp.2023.101933
YIYANG WANG , YANING LI , SHANSHAN LIANG , FUSONG YUAN , YUNSONG LIU , HONGQIANG YE , YONGSHENG ZHOU
Objectives
Accuracy is a crucial factor when assessing the quality of digital impressions. This systematic review aims to assess the accuracy of intraoral scan (IOS) in obtaining digital impressions of edentulous jaws.
Methods
This systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and was registered in the International Prospective Register of Systematic Reviews (PROSPERO ID: CRD42022382983). A thorough retrieval of 7 electronic databases was undertaken, encompassing MEDLINE (PubMed), Web of Science, EMBASE, Scopus, Cochrane Library, Virtual Health Library, and Open gray, through September 11, 2023. A snowball search was performed by tracing the reference lists of the included studies. The Population, Intervention, Comparison, and Outcome (PICO) question of this systematic review was: “What is the accuracy of intraoral scan in obtaining digital impressions of edentulous arches?” The Modified Methodological Index for Nonrandomized Studies (MINORS) was employed to assess the risk of bias.
Results
Among the studies retrieved from databases and manual search, a total of 25 studies were selected for inclusion in this systematic review, including 9 in vivo and 16 in vitro studies. Twenty-one of the included studies utilized the 3D deviation analysis method, while 4 studies employed the linear or angular deviation analysis method. The accuracy results of in vitro studies indicated a trueness range of 20-600 μm and a precision range of 2-700 μm. Results of in vivo studies indicated a trueness range of 40-1380 μm, while the precision results were not reported.
Conclusion
According to the results of this study, direct digital impressions by IOS cannot replace the conventional impressions of completely edentulous arches in vivo. Edentulous digital impressions by IOS demonstrated poor accuracy in peripheral areas with mobile tissues, such as the soft palate, vestibular sulcus, and sublingual area.
{"title":"THE ACCURACY OF INTRAORAL SCAN IN OBTAINING DIGITAL IMPRESSIONS OF EDENTULOUS ARCHES: A SYSTEMATIC REVIEW","authors":"YIYANG WANG , YANING LI , SHANSHAN LIANG , FUSONG YUAN , YUNSONG LIU , HONGQIANG YE , YONGSHENG ZHOU","doi":"10.1016/j.jebdp.2023.101933","DOIUrl":"10.1016/j.jebdp.2023.101933","url":null,"abstract":"<div><h3>Objectives</h3><p>Accuracy is a crucial factor when assessing the quality of digital impressions. This systematic review<span> aims to assess the accuracy of intraoral scan (IOS) in obtaining digital impressions of edentulous jaws.</span></p></div><div><h3>Methods</h3><p>This systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and was registered in the International Prospective Register of Systematic Reviews (PROSPERO ID: CRD42022382983). A thorough retrieval of 7 electronic databases was undertaken, encompassing MEDLINE (PubMed), Web of Science, EMBASE, Scopus, Cochrane Library, Virtual Health Library, and Open gray, through September 11, 2023. A snowball search was performed by tracing the reference lists of the included studies. The Population, Intervention, Comparison, and Outcome (PICO) question of this systematic review was: “What is the accuracy of intraoral scan in obtaining digital impressions of edentulous arches?” The Modified Methodological Index for Nonrandomized Studies (MINORS) was employed to assess the risk of bias.</p></div><div><h3>Results</h3><p>Among the studies retrieved from databases and manual search, a total of 25 studies were selected for inclusion in this systematic review, including 9 in vivo and 16 in vitro studies. Twenty-one of the included studies utilized the 3D deviation analysis method, while 4 studies employed the linear or angular deviation analysis method. The accuracy results of in vitro studies indicated a trueness range of 20-600 μm and a precision range of 2-700 μm. Results of in vivo studies indicated a trueness range of 40-1380 μm, while the precision results were not reported.</p></div><div><h3>Conclusion</h3><p>According to the results of this study, direct digital impressions by IOS cannot replace the conventional impressions of completely edentulous arches in vivo. Edentulous digital impressions by IOS demonstrated poor accuracy in peripheral areas with mobile tissues, such as the soft palate, vestibular sulcus, and sublingual area.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135849518","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}
Pub Date : 2024-03-01DOI: 10.1016/j.jebdp.2023.101961
EMAN BAKHURJI (REVIEWER)
Article Title and Bibliographic Information
RISK PREDICTORS OF EARLY CHILDHOOD CARIES INCREMENT-A SYSTEMATIC REVIEW AND META-ANALYSIS. Lam PPY, Chua H, Ekambaram M, Lo ECM, Yiu CKY. J Evid Based Dent Pract. 2022 Sep;22(3):101732.
SOURCE OF FUNDING
Government
Type of Study/Design
Systematic review with meta-analysis of data
文章标题和书目信息儿童早期龋齿增加的风险预示因素--系统回顾和多重分析。Lam PPY, Chua H, Ekambaram M, Lo ECM, Yiu CKY.J Evid Based Dent Pract.2022 Sep;22(3):101732.SOURCE OF FUNDINGGovernmentType of Study/DesignSystematic Review with meta-analysis of data
{"title":"PARENTAL EDUCATION, CARIES EXPERIENCE, PLAQUE ACCUMULATION, AND Mutans Streptococci COUNT MAY PREDICT THE INCREMENT OF EARLY CHILDHOOD CARIES IN PRESCHOOL CHILDREN OVER 24 MONTHS","authors":"EMAN BAKHURJI (REVIEWER)","doi":"10.1016/j.jebdp.2023.101961","DOIUrl":"10.1016/j.jebdp.2023.101961","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><p>RISK PREDICTORS OF EARLY CHILDHOOD CARIES INCREMENT-A SYSTEMATIC REVIEW AND META-ANALYSIS. Lam PPY, Chua H, Ekambaram M, Lo ECM, Yiu CKY. J Evid Based Dent Pract. 2022 Sep;22(3):101732.</p></div><div><h3>SOURCE OF FUNDING</h3><p>Government</p></div><div><h3>Type of Study/Design</h3><p>Systematic review with meta-analysis of data</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139015613","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}
Pub Date : 2024-03-01DOI: 10.1016/j.jebdp.2023.101952
P.E. Jai Rexlin , Anju Cecil , Rajalakshmanan Eswaramoorthy , Rubin S. John
Background
In order to achieve uneventful and rapid healing of the tissues, a suture material should be biocompatible, easy to handle, sterile, and have good and uniform tensile strength. Hence, in the present study, characterization of the suture materials was done through a novel green chemistry approach using Punica granatum seed extract.
Materials and Methods
Ethanolic extract of P. granatum seed was prepared by dissolving 25 g of P. granatum seed powder with 100 mL of ethanol. The obtained extract was coated in silk and Vicryl suture material and was tested for its surface morphology (SEM), tensile strength, anti-microbial activity, biocompatibility, and wound healing potential.
Results
Silk and Vicryl sutures coated with P. granatum seed extract showed the uniform coating and deposition of extract with sustaining integrity. Vicryl suture coated with the extract had good tensile strength and antimicrobial activity. The in vitro scratch assay and biocompatibility test showed that the P. granatum seed extract had excellent wound healing potential and can be used without any effect on the viability of the normal cells.
Conclusion
Within the limitations of the study it can be concluded that P. granatum seed extract coated Vicryl sutures had good tensile strength and anti-microbial activity. P. granatum seed extract also showed excellent biocompatibility and wound healing potential.
{"title":"CHARACTERISATION OF RESORBABLE AND NON- RESORBABLE SUTURES COATED WITH Punica granatum SEED EXTRACT: AN in vitro PILOT STUDY","authors":"P.E. Jai Rexlin , Anju Cecil , Rajalakshmanan Eswaramoorthy , Rubin S. John","doi":"10.1016/j.jebdp.2023.101952","DOIUrl":"10.1016/j.jebdp.2023.101952","url":null,"abstract":"<div><h3>Background</h3><p><span>In order to achieve uneventful and rapid healing of the tissues, a suture material should be biocompatible, easy to handle, sterile, and have good and uniform tensile strength. Hence, in the present study, characterization of the suture materials was done through a novel green chemistry approach using </span><em>Punica granatum</em> seed extract.</p></div><div><h3>Materials and Methods</h3><p>Ethanolic extract of <em>P. granatum</em> seed was prepared by dissolving 25 g of <em>P. granatum</em><span> seed powder with 100 mL of ethanol. The obtained extract was coated in silk and Vicryl<span> suture material and was tested for its surface morphology (SEM), tensile strength, anti-microbial activity, biocompatibility, and wound healing potential.</span></span></p></div><div><h3>Results</h3><p>Silk and Vicryl sutures coated with <em>P. granatum</em> seed extract showed the uniform coating and deposition of extract with sustaining integrity. Vicryl suture coated with the extract had good tensile strength and antimicrobial activity. The <em>in vitro</em> scratch assay and biocompatibility test showed that the <em>P. granatum</em> seed extract had excellent wound healing potential and can be used without any effect on the viability of the normal cells.</p></div><div><h3>Conclusion</h3><p>Within the limitations of the study it can be concluded that <em>P. granatum</em> seed extract coated Vicryl sutures had good tensile strength and anti-microbial activity. <em>P. granatum</em> seed extract also showed excellent biocompatibility and wound healing potential.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135713901","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}
Pub Date : 2024-03-01DOI: 10.1016/j.jebdp.2023.101959
Ahmed Yaseen Alqutaibi (REVIEWERS), HAMZAH ALLAM, Sarah A. Almuzaini
Article Title and Bibliographic Information
Marginal bone level change of immediately restored implants with simultaneous guided bone regeneration: A systematic review. Lin, X., Yu, X., Wang, F., & Wu, Y. Clinical Implant Dentistry and Related Research 2023.
Source of Funding
CAMS Innovation Fund for Medical Sciences (CIFMS), Grant/Award Number: 2019-I2M- 5-037; Clinical Research Plan of SHDC, Grant/Award Number: SHDC2020CR3049B; Huangpu District Industrial Support Fund, Grant/Award Number: XK2020014; Research Discipline Fund, Grant/Award Number: KQYJXK2020.
{"title":"IMMEDIATE IMPLANT PLACEMENT WITH A SIMULTANEOUS BONE AUGMENTATION OF THE GAP-FILLING SITES CAN POTENTIALLY DECREASE BONE LOSS COMPARED WITH AUGMENTED SITES EXHIBITING GAPS WITH BONY DEFECTS","authors":"Ahmed Yaseen Alqutaibi (REVIEWERS), HAMZAH ALLAM, Sarah A. Almuzaini","doi":"10.1016/j.jebdp.2023.101959","DOIUrl":"10.1016/j.jebdp.2023.101959","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><p><span>Marginal bone level change of immediately restored implants with simultaneous guided bone regeneration: A </span>systematic review<span>. Lin, X., Yu, X., Wang, F., & Wu, Y. Clinical Implant Dentistry and Related Research 2023.</span></p></div><div><h3>Source of Funding</h3><p>CAMS Innovation Fund for Medical Sciences (CIFMS), Grant/Award Number: 2019-I2M- 5-037; Clinical Research Plan of SHDC, Grant/Award Number: SHDC2020CR3049B; Huangpu District Industrial Support Fund, Grant/Award Number: XK2020014; Research Discipline Fund, Grant/Award Number: KQYJXK2020.</p></div><div><h3>Type of Study/Design</h3><p>Systematic review</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139029273","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}
Pub Date : 2024-03-01DOI: 10.1016/S1532-3382(24)00015-0
{"title":"Information for Readers","authors":"","doi":"10.1016/S1532-3382(24)00015-0","DOIUrl":"https://doi.org/10.1016/S1532-3382(24)00015-0","url":null,"abstract":"","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1532338224000150/pdfft?md5=f58a3eed3c6b3cc886c8b21aa3ebad93&pid=1-s2.0-S1532338224000150-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140031409","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}
Pub Date : 2024-03-01DOI: 10.1016/j.jebdp.2023.101928
LINGYUN CAO (REVIEWERS), HONG HE, FANG HUA
Article Title and Bibliographic Information
Neural networks for classification of cervical vertebrae maturation: a systematic review. Mathew R, Palatinus S, Padala S, Alshehri A, Awadh W, Bhandi S, Thomas J, Patil S. Angle Orthod. 2022 Nov 1;92(6):796-804.
Source of Funding
No financial support was reported.
Type of Study/Design
Systematic review.
文章标题和书目信息用于颈椎成熟度分类的神经网络:系统综述。Mathew R, Palatinus S, Padala S, Alshehri A, Awadh W, Bhandi S, Thomas J, Patil S. Angle Orthod.2022年11月1日;92(6):796-804.资金来源未报告资金支持。研究/设计类型系统综述。
{"title":"CURRENT NEURAL NETWORKS DEMONSTRATE POTENTIAL IN AUTOMATED CERVICAL VERTEBRAL MATURATION STAGE CLASSIFICATION BASED ON LATERAL CEPHALOGRAMS","authors":"LINGYUN CAO (REVIEWERS), HONG HE, FANG HUA","doi":"10.1016/j.jebdp.2023.101928","DOIUrl":"10.1016/j.jebdp.2023.101928","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><p>Neural networks for classification of cervical vertebrae<span> maturation: a systematic review. Mathew R, Palatinus S, Padala S, Alshehri A, Awadh W, Bhandi S, Thomas J, Patil S. Angle Orthod. 2022 Nov 1;92(6):796-804.</span></p></div><div><h3>Source of Funding</h3><p>No financial support was reported.</p></div><div><h3>Type of Study/Design</h3><p>Systematic review.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134995596","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}
Pub Date : 2024-03-01DOI: 10.1016/S1532-3382(24)00017-4
{"title":"Levels of Evidence—Grading System","authors":"","doi":"10.1016/S1532-3382(24)00017-4","DOIUrl":"https://doi.org/10.1016/S1532-3382(24)00017-4","url":null,"abstract":"","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140031414","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}
Pub Date : 2024-03-01DOI: 10.1016/j.jebdp.2023.101957
CIHAN TOPAN, MUSTAFA KARAKAYA, AHMET EMIN DEMIRBAŞ, SUHEYB BILGE, DILEK GÜNAY CANPOLAT
Objective
To compare the efficacy of preemptive ibuprofen, local ketamine, and their combination in managing postoperative pain and trismus following third molar surgery.
Materials and Methods
One hundred patients were randomly divided into 4 groups. The Intrafen Group had their impacted third molars surgically removed under local anesthesia after receiving intravenous (IV) ibuprofen for preemptive effect. The Ketamine Group received an IV placebo before the surgery, and the extraction process was completed with a local anesthetic-ketamine combination. The Combined Group received preemptive IV ibuprofen before the procedure, and the surgery was performed with a local anesthetic-ketamine combination. The Control Group received an IV placebo before the procedure and then had their impacted third molars removed under local anesthesia. The Visual Analogue Scale (VAS) values, corresponding to the patients' pain levels at the 2nd and 12th postoperative hours and the total amount of analgesic dose used in the first 24 hours, were recorded, and evaluated. The maximum mouth opening of the patients was measured immediately before the procedure, and on the second and seventh postoperative days. The level of patient satisfaction in all groups was assessed during the procedure.
Results
The mean VAS value corresponding to the second-hour pain level of the combined group was statistically significantly lower than the other groups (P = .003). A statistically significant difference was found in the mean VAS values corresponding to the pain levels of the groups, favoring the combined group compared to the other groups (P ≤ .001). A significant difference was observed between the VAS difference values corresponding to the pain levels of the Intrafen group and the Ketamine group, favoring the Intrafen group (P = .038). The Ketamine group consumed the most analgesic on average over the first 24 hours, whereas the Combined group consumed the least. No statistically significant difference was found between the mean trismus levels of the groups on days 0-2 (P = .528) and days 0-7 (P = .129). The intraoperative patient satisfaction level of the combined group was significantly higher than that of the other groups (P = .030).
Conclusion
Preemptive Intrafen is an effective regimen for postoperative pain management and is superior to the local anesthetic-ketamine regimen. The most effective method to reduce postoperative pain following third molar surgery is to use a combination of these 2 regimens. However, none of the treatment methods used in the study had a positive effect on postoperative trismus.
材料与方法 100 名患者随机分为四组。Intrafen组在接受静脉注射布洛芬以达到预防效果后,在局部麻醉下通过手术拔除撞击性第三磨牙。氯胺酮组在手术前静脉注射安慰剂,然后用局部麻醉剂和氯胺酮组合完成拔牙过程。联合组在手术前静脉注射布洛芬,并使用氯胺酮组合局部麻醉剂完成手术。对照组在术前静脉注射安慰剂,然后在局部麻醉下拔除第三磨牙。记录并评估了术后第 2 小时和第 12 小时的视觉模拟量表(VAS)值、患者的疼痛程度以及头 24 小时的镇痛剂总用量。在手术前、术后第 2 天和第 7 天测量了患者的最大张口度。在手术过程中,对各组患者的满意度进行了评估。结果联合组患者第 2 小时疼痛程度的 VAS 平均值在统计学上显著低于其他组(P=0.003)。各组疼痛程度对应的 VAS 平均值在统计学上存在明显差异,联合组优于其他组(p≤ 0.001)。英特芬组和氯胺酮组疼痛程度的 VAS 差值有明显差异,英特芬组更优(p=0.038)。在最初的 24 小时内,氯胺酮组平均消耗的镇痛剂最多,而联合组消耗的镇痛剂最少。各组在第 0-2 天(P=0.528)和第 0-7 天(P=0.129)的平均肢体瘫痪程度在统计学上无明显差异。联合组的术中患者满意度明显高于其他组(P=0.030)。结论预防性 Intrafen 是一种有效的术后止痛方案,优于局麻药-氯胺酮方案。减少第三磨牙手术后疼痛的最有效方法是将这两种疗法结合使用。然而,该研究中使用的治疗方法均未对术后三联症产生积极影响。
{"title":"PREEMPTIVE INTRAVENOUS IBUPROFEN AND LOCAL KETAMINE IMPROVE POSTOPERATIVE ANALGESIA FOLLOWING THIRD MOLAR SURGERY: A DOUBLE-BLIND, RANDOMIZED, PLACEBO-CONTROLLED CLINICAL STUDY","authors":"CIHAN TOPAN, MUSTAFA KARAKAYA, AHMET EMIN DEMIRBAŞ, SUHEYB BILGE, DILEK GÜNAY CANPOLAT","doi":"10.1016/j.jebdp.2023.101957","DOIUrl":"10.1016/j.jebdp.2023.101957","url":null,"abstract":"<div><h3>Objective</h3><p>To compare the efficacy of preemptive ibuprofen, local ketamine, and their combination in managing postoperative pain and trismus following third molar surgery.</p></div><div><h3>Materials and Methods</h3><p>One hundred patients were randomly divided into 4 groups. The Intrafen Group had their impacted third molars surgically removed under local anesthesia after receiving intravenous (IV) ibuprofen for preemptive effect. The Ketamine Group received an IV placebo before the surgery, and the extraction process was completed with a local anesthetic-ketamine combination. The Combined Group received preemptive IV ibuprofen before the procedure, and the surgery was performed with a local anesthetic-ketamine combination. The Control Group received an IV placebo before the procedure and then had their impacted third molars removed under local anesthesia. The Visual Analogue Scale (VAS) values, corresponding to the patients' pain levels at the 2nd and 12th postoperative hours and the total amount of analgesic dose used in the first 24 hours, were recorded, and evaluated. The maximum mouth opening of the patients was measured immediately before the procedure, and on the second and seventh postoperative days. The level of patient satisfaction in all groups was assessed during the procedure.</p></div><div><h3>Results</h3><p>The mean VAS value corresponding to the second-hour pain level of the combined group was statistically significantly lower than the other groups (<em>P</em> = .003). A statistically significant difference was found in the mean VAS values corresponding to the pain levels of the groups, favoring the combined group compared to the other groups (<em>P</em> ≤ .001). A significant difference was observed between the VAS difference values corresponding to the pain levels of the Intrafen group and the Ketamine group, favoring the Intrafen group (<em>P</em> = .038). The Ketamine group consumed the most analgesic on average over the first 24 hours, whereas the Combined group consumed the least. No statistically significant difference was found between the mean trismus levels of the groups on days 0-2 (<em>P</em> = .528) and days 0-7 (<em>P</em> = .129). The intraoperative patient satisfaction level of the combined group was significantly higher than that of the other groups (<em>P</em> = .030).</p></div><div><h3>Conclusion</h3><p>Preemptive Intrafen is an effective regimen for postoperative pain management and is superior to the local anesthetic-ketamine regimen. The most effective method to reduce postoperative pain following third molar surgery is to use a combination of these 2 regimens. However, none of the treatment methods used in the study had a positive effect on postoperative trismus.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139068821","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}
Pub Date : 2024-01-01DOI: 10.1016/j.jebdp.2023.101958
Ina Nitschke , Lyubov D. Slashcheva , Mike T. John , Julia Jockusch
As the proportion of older adults in the world population increases, there is an increasing need to provide adequate dental care for this very heterogeneous group of individuals. The relationship between oral and systemic health, the impact of medication on oral health, and the influence of accessibility to dental care and other social and environmental factors shape the provision of dental care for older adults more than in children, younger, and middle-aged adults. However, while dental care for older adults is shaped by these factors and is often different from the care for other adults, what matters to older dental patients does not differ from what matters to dental patients in general. The four dimensions of oral health-related quality of life (OHRQoL)–Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact–capture dental patients’ suffering from oral disorders. OHRQoL questionnaires can be used to assess this impact and to achieve results that are compatible with adults in general. More than in other age groups, cognitive impairments or dementia limit the usefulness of questionnaires or interviews for oral health impact assessment. In these situations, family members or caregivers can assess the patient's oral health impact, and oral health care providers need to rely more on physical oral health characteristics for clinical decision-making than in other dental patients. While the tools to measure oral health impact change, the targets for dental care stay the same. Prevention and reduction of functional, painful, aesthetical, and broader psychosocial impact related to oral disorders are the central tasks for geriatric dentistry as they are for dentistry in general.
The aim of the manuscript is to highlight the importance of patient-reported outcome measures in geriatric dentistry, addressing challenges and opportunities for their application.
{"title":"DENTAL PATIENT-REPORTED OUTCOMES IN GERIATRIC DENTISTRY : A call for clinical translation","authors":"Ina Nitschke , Lyubov D. Slashcheva , Mike T. John , Julia Jockusch","doi":"10.1016/j.jebdp.2023.101958","DOIUrl":"10.1016/j.jebdp.2023.101958","url":null,"abstract":"<div><p>As the proportion of older adults in the world population increases, there is an increasing need to provide adequate dental care for this very heterogeneous group of individuals. The relationship between oral and systemic health, the impact of medication on oral health, and the influence of accessibility to dental care and other social and environmental factors shape the provision of dental care for older adults more than in children, younger, and middle-aged adults. However, while dental care for older adults is shaped by these factors and is often different from the care for other adults, what matters to older dental patients does not differ from what matters to dental patients in general. The four dimensions of oral health-related quality of life (OHRQoL)–Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact–capture dental patients’ suffering from oral disorders. OHRQoL questionnaires can be used to assess this impact and to achieve results that are compatible with adults in general. More than in other age groups, cognitive impairments or dementia limit the usefulness of questionnaires or interviews for oral health impact assessment. In these situations, family members or caregivers can assess the patient's oral health impact, and oral health care providers need to rely more on physical oral health characteristics for clinical decision-making than in other dental patients. While the tools to measure oral health impact change, the targets for dental care stay the same. Prevention and reduction of functional, painful, aesthetical, and broader psychosocial impact related to oral disorders are the central tasks for geriatric dentistry as they are for dentistry in general.</p><p>The aim of the manuscript is to highlight the importance of patient-reported outcome measures in geriatric dentistry, addressing challenges and opportunities for their application.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1532338223001689/pdfft?md5=e91c72be6a8ba6651c686f3416b711e3&pid=1-s2.0-S1532338223001689-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139095562","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}