Ednele Fabyene Primo-Miranda, Maria Letícia Ramos-Jorge, Rosane Luzia de Souza Morais, Paloma Christina Aguiar Silva, Débora Souto-Souza, Leandro Silva Marques
Background/Aim
Insufficient motor coordination can predispose children to falls and, consequently, the occurrence of traumatic dental injuries (TDIs). The present study investigated the association between psychomotor development and TDI in preschool children.
Materials and Methods
A cross-sectional study was conducted with 189 children aged three to six years in Diamantina, Brazil. Psychomotor development was assessed using the Test of Gross Motor Development—Second Edition (motor assessment) and a validated preschool version of the Mini-Mental State Examination (cognitive assessment). Parents/guardians answered a socioeconomic questionnaire. Anthropometric measures were determined using WHO growth curves to obtain the body mass index (BMI). Intraoral examinations were performed by a single examiner trained and calibrated for diagnosing TDI based on the criteria proposed by Andreasen, with radiographic evaluations conducted when necessary. Lip coverage, anterior open bite, arch shape, and overjet were also recorded. Descriptive statistics, the chi-square test, and Poisson regression (bivariate and multivariate) analyses were performed (95% CI, p < 0.05).
Results
The prevalence of TDI was 50.3%. Delayed motor development (PR = 1.66; 95% CI: 1.25–2.22) and obesity (PR = 1.64; 95% CI: 1.10–2.45) were significantly associated with TDI in the adjusted model.
Conclusion
Delayed motor development and obesity were associated with TDI in preschool children.
{"title":"Psychomotor Development and Traumatic Dental Injuries in Preschool","authors":"Ednele Fabyene Primo-Miranda, Maria Letícia Ramos-Jorge, Rosane Luzia de Souza Morais, Paloma Christina Aguiar Silva, Débora Souto-Souza, Leandro Silva Marques","doi":"10.1111/edt.13072","DOIUrl":"10.1111/edt.13072","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>Insufficient motor coordination can predispose children to falls and, consequently, the occurrence of traumatic dental injuries (TDIs). The present study investigated the association between psychomotor development and TDI in preschool children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted with 189 children aged three to six years in Diamantina, Brazil. Psychomotor development was assessed using the Test of Gross Motor Development—Second Edition (motor assessment) and a validated preschool version of the Mini-Mental State Examination (cognitive assessment). Parents/guardians answered a socioeconomic questionnaire. Anthropometric measures were determined using WHO growth curves to obtain the body mass index (BMI). Intraoral examinations were performed by a single examiner trained and calibrated for diagnosing TDI based on the criteria proposed by Andreasen, with radiographic evaluations conducted when necessary. Lip coverage, anterior open bite, arch shape, and overjet were also recorded. Descriptive statistics, the chi-square test, and Poisson regression (bivariate and multivariate) analyses were performed (95% CI, <i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The prevalence of TDI was 50.3%. Delayed motor development (PR = 1.66; 95% CI: 1.25–2.22) and obesity (PR = 1.64; 95% CI: 1.10–2.45) were significantly associated with TDI in the adjusted model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Delayed motor development and obesity were associated with TDI in preschool children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 6","pages":"634-640"},"PeriodicalIF":3.1,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.13072","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Kho Xian Chua, Chee Weng Yong, Jeannette Ming Cheng Chua, Wataru Ode, Ren Jie Jacob Chew
Background/Aim
Appropriate early management, as well as early diagnosis and interceptive management of adverse outcomes, is essential in managing Traumatic Dental Injuries (TDIs) to minimize the incidence and impact of negative sequelae. Barriers to optimal management include inadequate clinician knowledge and experience, poor adherence to established guidelines, time constraints, and the complex nature of TDIs. These barriers can potentially be addressed by adopting a multipronged approach that integrates education and administrative support. The aim of this study was to evaluate the improvements in the quality of TDI management and review at the National University Centre for Oral Health Singapore after implementing a framework consisting of a series of targeted interventions.
Materials and Methods
Interventions included a refresher lecture, standardized recording templates, and improved access to resources such as international guidelines. Clinical records and radiographs of patients who had received acute management for TDI or received dental review as follow-up for TDIs between 1st May 2023 and 30th June 2024 were reviewed. The quality of baseline management and follow-up review was scored based on a scoring rubric, with a score of 100% deemed as “appropriate” management. The quality of baseline management and follow-up review of TDI in the pre- and post-implementation phases was compared using Chi-squared, Fisher's exact, and Mann–Whitney U tests.
Results
247 patients were seen for TDI baseline management or review. The quality of TDI baseline and review management improved significantly, with median (interquartile range) scores increasing from 62.5% (27.9%) and 100% (66.6%), respectively, to 100% (0%, p < 0.001). The proportion of cases deemed appropriately managed at both baseline and review significantly improved from 3.64% and 54.3% to 82.9% and 93.8%, respectively (p < 0.001).
Conclusion
A framework consisting of refresher lectures, standardized recording templates, and enhanced access to resources significantly improves the quality of TDI management and review.
{"title":"A Framework to Improve the Quality of Management of Traumatic Dental Injuries at a Tertiary Dental Hospital","authors":"Sarah Kho Xian Chua, Chee Weng Yong, Jeannette Ming Cheng Chua, Wataru Ode, Ren Jie Jacob Chew","doi":"10.1111/edt.13080","DOIUrl":"10.1111/edt.13080","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>Appropriate early management, as well as early diagnosis and interceptive management of adverse outcomes, is essential in managing Traumatic Dental Injuries (TDIs) to minimize the incidence and impact of negative sequelae. Barriers to optimal management include inadequate clinician knowledge and experience, poor adherence to established guidelines, time constraints, and the complex nature of TDIs. These barriers can potentially be addressed by adopting a multipronged approach that integrates education and administrative support. The aim of this study was to evaluate the improvements in the quality of TDI management and review at the National University Centre for Oral Health Singapore after implementing a framework consisting of a series of targeted interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Interventions included a refresher lecture, standardized recording templates, and improved access to resources such as international guidelines. Clinical records and radiographs of patients who had received acute management for TDI or received dental review as follow-up for TDIs between 1st May 2023 and 30th June 2024 were reviewed. The quality of baseline management and follow-up review was scored based on a scoring rubric, with a score of 100% deemed as “appropriate” management. The quality of baseline management and follow-up review of TDI in the pre- and post-implementation phases was compared using Chi-squared, Fisher's exact, and Mann–Whitney <i>U</i> tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>247 patients were seen for TDI baseline management or review. The quality of TDI baseline and review management improved significantly, with median (interquartile range) scores increasing from 62.5% (27.9%) and 100% (66.6%), respectively, to 100% (0%, <i>p</i> < 0.001). The proportion of cases deemed appropriately managed at both baseline and review significantly improved from 3.64% and 54.3% to 82.9% and 93.8%, respectively (<i>p</i> < 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A framework consisting of refresher lectures, standardized recording templates, and enhanced access to resources significantly improves the quality of TDI management and review.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 S2","pages":"S76-S83"},"PeriodicalIF":3.1,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nir Tsur, Dmitry Kotovich, Dean Dudkiewicz, Tomer Talmy, Irina Radomislensky, Adi Givon, Israel Trauma Group, Avi Benov, Yael Arbel, Mor Rittblat, Shachar Shapira
Background
Maxillofacial injuries (MFI) in warfare present significant challenges due to the concentration of vital structures in the facial region and the high-energy mechanisms of injury. This study analyzes the epidemiology, severity, and outcomes of MFI during the Swords of Iron conflict using data from the Israeli National Trauma Registry.
Methods
A retrospective analysis was conducted on casualties from October 7, 2023 to August 1, 2024. Injury characteristics, surgical interventions, intensive care unit (ICU) admissions, and mortality rates were assessed. Logistic regression identified predictors for severe head injury and surgical intervention.
Results
Of 1654 casualties, 324 (19.6%) sustained MFI, predominantly from explosions (85.2%). Fractures were associated with higher ICU admission rates (60.6% vs. 20.0%, p < 0.0001) and greater surgical intervention requirements (65.4% vs. 36.4%, p = 0.0001) than soft tissue injuries. Orbital fractures (59.6%) were the most common and strongly correlated with severe head injury (OR 9.33, CI 4.29–21.54, p < 0.001). Zygomatic (OR 8.47), maxillary (OR 5.81), and mandibular fractures (OR 12.61) significantly predicted the need for surgery, whereas orbital fractures often did not. Airway management was required in 26.5% of MFI cases, significantly higher than in other injuries (12.6%, p < 0.001). The overall mortality rate was low, with 7.7% in the fracture group and 0.9% in the soft tissue injury group.
Conclusion
MFI in combat settings demands specialized trauma care, particularly for fractures requiring surgical intervention and intensive care. The high prevalence of orbital fractures and their association with severe head injuries highlight the need for early recognition and intervention despite their being less prone to surgical correction. These findings can inform trauma care protocols to optimize management and outcomes in future conflicts.
{"title":"Epidemiology of Maxillofacial Injuries in the Swords of Iron War: Insights From a National Registry","authors":"Nir Tsur, Dmitry Kotovich, Dean Dudkiewicz, Tomer Talmy, Irina Radomislensky, Adi Givon, Israel Trauma Group, Avi Benov, Yael Arbel, Mor Rittblat, Shachar Shapira","doi":"10.1111/edt.13081","DOIUrl":"10.1111/edt.13081","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Maxillofacial injuries (MFI) in warfare present significant challenges due to the concentration of vital structures in the facial region and the high-energy mechanisms of injury. This study analyzes the epidemiology, severity, and outcomes of MFI during the Swords of Iron conflict using data from the Israeli National Trauma Registry.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective analysis was conducted on casualties from October 7, 2023 to August 1, 2024. Injury characteristics, surgical interventions, intensive care unit (ICU) admissions, and mortality rates were assessed. Logistic regression identified predictors for severe head injury and surgical intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 1654 casualties, 324 (19.6%) sustained MFI, predominantly from explosions (85.2%). Fractures were associated with higher ICU admission rates (60.6% vs. 20.0%, <i>p</i> < 0.0001) and greater surgical intervention requirements (65.4% vs. 36.4%, <i>p</i> = 0.0001) than soft tissue injuries. Orbital fractures (59.6%) were the most common and strongly correlated with severe head injury (OR 9.33, CI 4.29–21.54, <i>p</i> < 0.001). Zygomatic (OR 8.47), maxillary (OR 5.81), and mandibular fractures (OR 12.61) significantly predicted the need for surgery, whereas orbital fractures often did not. Airway management was required in 26.5% of MFI cases, significantly higher than in other injuries (12.6%, <i>p</i> < 0.001). The overall mortality rate was low, with 7.7% in the fracture group and 0.9% in the soft tissue injury group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>MFI in combat settings demands specialized trauma care, particularly for fractures requiring surgical intervention and intensive care. The high prevalence of orbital fractures and their association with severe head injuries highlight the need for early recognition and intervention despite their being less prone to surgical correction. These findings can inform trauma care protocols to optimize management and outcomes in future conflicts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"42 1","pages":"71-78"},"PeriodicalIF":3.1,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.13081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To analyze the characteristics of pediatric facial trauma and predict factors influencing them through machine learning algorithms.
Material and Methods
A prospective hospital-based study was carried out between January 2024 and January 2025. All patients up to 15 years of age reporting with maxillofacial trauma formed the sample. Collected data was subjected to logistic regression analysis and machine learning algorithms (Bayesian Network, CHAID and Neural Network) to determine factors influencing pediatric maxillofacial trauma.
Results
Logistic regression and Bayesian Network demonstrated 92.59% accuracy, whereas CHAID and Neural Network showed an accuracy of 78.40% and 74.69%, respectively. Bayesian Network and Logistic Regression with similar accuracy showed age (21.77%), (p = 0.014) as the variable with maximum predictor importance, followed by paternal education (15.65%), (p = 0.003), maternal education (12.55%), (p = 0.040) and parental employment (9.43%), (p = 0.040). Further, Bayesian Network showed RTA (9.66%), sex (6.36%), maxillofacial fracture treatment (5.99%), other causes of trauma (5.67%), religion (2.89%) and delay in TDI treatment (2.78%) as other predictor variables. Parental employment had the maximum predictor importance (17.36%) in the Neural Network, whereas maternal education demonstrated the highest predictor importance (33.03%) in the CHAID model.
Conclusions
Age showed highest importance in predicting maxillofacial trauma when machine learning algorithms were used, followed by parental education and employment as other major predictors which suggested that children from lower socioeconomic status were more prone to trauma, as employment serves as a proxy for education.
{"title":"Pediatric Maxillofacial Trauma: Machine Learning Based Predictive Modeling to Identify Trauma Patterns","authors":"Elsy Antony, Saima Yunus Khan, Md Kalim Ansari, Divya Sanjay Sharma, Manoj Kumar Sharma","doi":"10.1111/edt.13077","DOIUrl":"10.1111/edt.13077","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To analyze the characteristics of pediatric facial trauma and predict factors influencing them through machine learning algorithms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>A prospective hospital-based study was carried out between January 2024 and January 2025. All patients up to 15 years of age reporting with maxillofacial trauma formed the sample. Collected data was subjected to logistic regression analysis and machine learning algorithms (Bayesian Network, CHAID and Neural Network) to determine factors influencing pediatric maxillofacial trauma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Logistic regression and Bayesian Network demonstrated 92.59% accuracy, whereas CHAID and Neural Network showed an accuracy of 78.40% and 74.69%, respectively. Bayesian Network and Logistic Regression with similar accuracy showed age (21.77%), (<i>p</i> = 0.014) as the variable with maximum predictor importance, followed by paternal education (15.65%), (<i>p</i> = 0.003), maternal education (12.55%), (<i>p</i> = 0.040) and parental employment (9.43%), (<i>p</i> = 0.040). Further, Bayesian Network showed RTA (9.66%), sex (6.36%), maxillofacial fracture treatment (5.99%), other causes of trauma (5.67%), religion (2.89%) and delay in TDI treatment (2.78%) as other predictor variables. Parental employment had the maximum predictor importance (17.36%) in the Neural Network, whereas maternal education demonstrated the highest predictor importance (33.03%) in the CHAID model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Age showed highest importance in predicting maxillofacial trauma when machine learning algorithms were used, followed by parental education and employment as other major predictors which suggested that children from lower socioeconomic status were more prone to trauma, as employment serves as a proxy for education.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 6","pages":"687-695"},"PeriodicalIF":3.1,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andjelka Cvijic, Monika Kvernenes, Anne Åstrøm, Georgios Tsilingaridis, Athanasia Bletsa
<div> <section> <h3> Background</h3> <p>Dentists require continuous professional development (CPD) to maintain and enhance the quality of their services. However, there remains a gap in our understanding of the most effective methods for delivering such professional education.</p> </section> <section> <h3> Objective</h3> <p>In order to develop CPD that is relevant and effective for general dentists, the aim of this study was to explore general dentists' experiences with and attitudes about two educational formats in dental traumatology: purely theoretical asynchronous webinars versus webinars complemented by an in-person, interactive course.</p> </section> <section> <h3> Design, Participants, and Setting</h3> <p>All general dentists in the public dental service (PDS) in the Vestland County of Western Norway participated in an educational intervention in dental traumatology between November 2022 and February 2023. We recruited dentists from a group that attended webinars alone (<i>N</i> = 31) and a group that participated in webinars combined with an interactive in-person course (<i>N</i> = 36), referred to as a combined approach. In total, 16 dentists agreed to participate in focus group discussions through the electronic platform Teams. The discussions were video recorded, and the transcripts were analyzed using thematic analysis. Prior to the focus group discussions, participants completed a questionnaire with demographic information and course evaluation.</p> </section> <section> <h3> Results</h3> <p>Participants represented diversity in clinical experience, age, gender, and they were overall satisfied with the content, organization, and learning outcomes of the given educational formats. Three themes emerged from the qualitative data analysis: Webinars offer flexibility but with limited learning outcomes; a combined approach supports knowledge application; balancing feasibility with participatory learning. While webinars in dental traumatology as an educational format offer accessibility and flexibility, the combined format made the general dentists reflect more, in addition to gaining ideas on better workflow as a team in their clinical settings. Regarding course design, results revealed the importance of well-structured content, interaction with relevant educators, and the need for a combined educational model.</p> </section> <section> <h3> Conclusion</h3> <p>The study demonstrates that a combined educational format with high-quality content
{"title":"Approaches to Continuing Professional Development in Dental Traumatology—A Qualitative Study of General Dentists' Experiences","authors":"Andjelka Cvijic, Monika Kvernenes, Anne Åstrøm, Georgios Tsilingaridis, Athanasia Bletsa","doi":"10.1111/edt.13079","DOIUrl":"10.1111/edt.13079","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dentists require continuous professional development (CPD) to maintain and enhance the quality of their services. However, there remains a gap in our understanding of the most effective methods for delivering such professional education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>In order to develop CPD that is relevant and effective for general dentists, the aim of this study was to explore general dentists' experiences with and attitudes about two educational formats in dental traumatology: purely theoretical asynchronous webinars versus webinars complemented by an in-person, interactive course.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design, Participants, and Setting</h3>\u0000 \u0000 <p>All general dentists in the public dental service (PDS) in the Vestland County of Western Norway participated in an educational intervention in dental traumatology between November 2022 and February 2023. We recruited dentists from a group that attended webinars alone (<i>N</i> = 31) and a group that participated in webinars combined with an interactive in-person course (<i>N</i> = 36), referred to as a combined approach. In total, 16 dentists agreed to participate in focus group discussions through the electronic platform Teams. The discussions were video recorded, and the transcripts were analyzed using thematic analysis. Prior to the focus group discussions, participants completed a questionnaire with demographic information and course evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants represented diversity in clinical experience, age, gender, and they were overall satisfied with the content, organization, and learning outcomes of the given educational formats. Three themes emerged from the qualitative data analysis: Webinars offer flexibility but with limited learning outcomes; a combined approach supports knowledge application; balancing feasibility with participatory learning. While webinars in dental traumatology as an educational format offer accessibility and flexibility, the combined format made the general dentists reflect more, in addition to gaining ideas on better workflow as a team in their clinical settings. Regarding course design, results revealed the importance of well-structured content, interaction with relevant educators, and the need for a combined educational model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study demonstrates that a combined educational format with high-quality content ","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"42 1","pages":"32-41"},"PeriodicalIF":3.1,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12803657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The aim of this study was to evaluate the performance of ChatGPT-4o and Gemini Advanced artificial intelligence-based chatbots (AI-based chatbots) in providing emergency intervention recommendations for dental trauma with intraoral photographs of patients diagnosed with traumatic dental injuries, and to assess their compatibility with emergency intervention recommendations in the ToothSOS application.
Material and Methods
In this study, 80 intraoral photographs obtained from patients presenting with dental trauma were uploaded to two different AI-based chatbots (ChatGPT-4o and Gemini Advanced) and the responses generated by these systems were evaluated by four paediatric dentists. The evaluators scored the responses with a Modified Global Quality Score (GQS), referring to the English instructions of the ToothSOS application. In order to analyse the reliability of the responses, a total of three evaluation sessions were conducted 1 week apart.
Results
The ChatGPT-4o performed better when all injury types were considered together (p = 0.012). It was found that the ChatGPT-4o performed much better in complicated crown fracture cases (p = 0.004) and the Gemini Advanced chatbot performed much better in critical dental injuries such as avulsion (p < 0.001).
Conclusions
AI-based chatbots can be a helpful tool in the assessment of dental trauma. However, further development and expert validation are needed to improve their accuracy and consistency, especially in complex cases. Incorporating the International Association of Dental Traumatology (IADT) guidelines into the databases of these systems could improve the reliability of their recommendations. In addition, given the widespread use of AI-based chatbots in many fields, particularly health, they could contribute to public health by supporting access to accurate information.
{"title":"Evaluation of the Performance of Artificial Intelligence Based Chatbots in Providing First Aid Information on Dental Trauma According to the ToothSOS Application","authors":"Ecem Elif Çege, Hamide Cömert, Neşe Akal, Ayşegül Ölmez","doi":"10.1111/edt.13078","DOIUrl":"10.1111/edt.13078","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study was to evaluate the performance of ChatGPT-4o and Gemini Advanced artificial intelligence-based chatbots (AI-based chatbots) in providing emergency intervention recommendations for dental trauma with intraoral photographs of patients diagnosed with traumatic dental injuries, and to assess their compatibility with emergency intervention recommendations in the ToothSOS application.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>In this study, 80 intraoral photographs obtained from patients presenting with dental trauma were uploaded to two different AI-based chatbots (ChatGPT-4o and Gemini Advanced) and the responses generated by these systems were evaluated by four paediatric dentists. The evaluators scored the responses with a Modified Global Quality Score (GQS), referring to the English instructions of the ToothSOS application. In order to analyse the reliability of the responses, a total of three evaluation sessions were conducted 1 week apart.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The ChatGPT-4o performed better when all injury types were considered together (<i>p</i> = 0.012). It was found that the ChatGPT-4o performed much better in complicated crown fracture cases (<i>p</i> = 0.004) and the Gemini Advanced chatbot performed much better in critical dental injuries such as avulsion (<i>p</i> < 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>AI-based chatbots can be a helpful tool in the assessment of dental trauma. However, further development and expert validation are needed to improve their accuracy and consistency, especially in complex cases. Incorporating the International Association of Dental Traumatology (IADT) guidelines into the databases of these systems could improve the reliability of their recommendations. In addition, given the widespread use of AI-based chatbots in many fields, particularly health, they could contribute to public health by supporting access to accurate information.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 6","pages":"696-705"},"PeriodicalIF":3.1,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.13078","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pamela Barbosa dos Santos, Vanessa Felipe Vargas-Moreno, Gilda Rocha dos Reis-Neta, Altair Antoninha Del Bel Cury, Maria Helena Monteiro de Barros Miotto
Introduction
Teachers play a crucial role in first aid for dental trauma (DT), as children spend a large part of their time in schools. In these environments, accidents are frequent. Immediate and correct intervention is essential for prognosis.
Aim
To assess the attitudes of teachers in the municipal school system in the municipality of Vitória-ES towards different DT scenarios and to associate them with socioeconomic, demographic, and functional variables.
Material and Methods
A quantitative, cross-sectional, and probabilistic study was carried out. Data was collected using self-administered and validated questionnaires, covering sociodemographic and functional information and teachers' knowledge of DT. To this end, teachers' attitudes were classified as correct or incorrect and assessed considering three different DT scenarios: 1—crown fracture; 2—lateral luxation; 3—tooth avulsion. Descriptive analyses, frequency tables, and statistical analyses using the chi-square test (p < 0.05) were carried out. A total of 292 teachers from 37 schools took part in the study.
Results
Among the participants, 137 (46.9%) teachers had already witnessed cases of DT, 94 (68.6%) of which had occurred in the school environment. In addition, 274 (93.8%) of the teachers had never received formal guidance. In scenario 3 (tooth avulsion), only 18.3% of teachers answered correctly. Teachers who had received training in dental trauma had (33.3%) correct answers and (66.7%) incorrect answers. Teachers who had not received training got (13.1%) correct, while (86.9%) got it wrong. This difference was statistically significant (p = 0.03). Similarly, teachers who had experienced dental trauma showed a potentially significant association (p = 0.05) with correct attitudes.
Conclusion
There was a high frequency of inappropriate behavior in the event of tooth avulsion, highlighting the need for first aid training. This reinforces the need for educational interventions in the school environment, aimed at providing adequate training in the correct handling of dental emergencies.
{"title":"Teachers' Attitude Toward Situations of Dental Trauma in a Capital in Southeast Brazil","authors":"Pamela Barbosa dos Santos, Vanessa Felipe Vargas-Moreno, Gilda Rocha dos Reis-Neta, Altair Antoninha Del Bel Cury, Maria Helena Monteiro de Barros Miotto","doi":"10.1111/edt.13076","DOIUrl":"10.1111/edt.13076","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Teachers play a crucial role in first aid for dental trauma (DT), as children spend a large part of their time in schools. In these environments, accidents are frequent. Immediate and correct intervention is essential for prognosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To assess the attitudes of teachers in the municipal school system in the municipality of Vitória-ES towards different DT scenarios and to associate them with socioeconomic, demographic, and functional variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>A quantitative, cross-sectional, and probabilistic study was carried out. Data was collected using self-administered and validated questionnaires, covering sociodemographic and functional information and teachers' knowledge of DT. To this end, teachers' attitudes were classified as correct or incorrect and assessed considering three different DT scenarios: 1—crown fracture; 2—lateral luxation; 3—tooth avulsion. Descriptive analyses, frequency tables, and statistical analyses using the chi-square test (<i>p</i> < 0.05) were carried out. A total of 292 teachers from 37 schools took part in the study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the participants, 137 (46.9%) teachers had already witnessed cases of DT, 94 (68.6%) of which had occurred in the school environment. In addition, 274 (93.8%) of the teachers had never received formal guidance. In scenario 3 (tooth avulsion), only 18.3% of teachers answered correctly. Teachers who had received training in dental trauma had (33.3%) correct answers and (66.7%) incorrect answers. Teachers who had not received training got (13.1%) correct, while (86.9%) got it wrong. This difference was statistically significant (<i>p</i> = 0.03). Similarly, teachers who had experienced dental trauma showed a potentially significant association (<i>p</i> = 0.05) with correct attitudes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There was a high frequency of inappropriate behavior in the event of tooth avulsion, highlighting the need for first aid training. This reinforces the need for educational interventions in the school environment, aimed at providing adequate training in the correct handling of dental emergencies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 6","pages":"680-686"},"PeriodicalIF":3.1,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.13076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Florian Dudde, Lawik Revend, Doha Revend, Oliver Schuck, Manfred Giese
Aim
The increasing prevalence of E-Scooters has led to a rise in related injuries, particularly affecting the maxillofacial region. While bicycle-related facial trauma is well-documented, comparative data on E-Scooter injuries remain rare. This study aims to analyze and compare facial trauma patterns between E-Scooter and bicycle accidents in a metropolitan setting.
Materials and Methods
A retrospective analysis was conducted at the Department of Oral and Maxillofacial Surgery, including patients with facial trauma from E-Scooter or bicycle accidents between January 2023 and July 2024. Demographic data, accident characteristics, and injury patterns, including dental trauma, soft tissue injuries, and fractures, were analyzed using Chi-squared tests, independent t-tests, and Fisher's exact test.
Results
A total of 272 patients were included, with 84 (30.9%) sustaining E-Scooter-related injuries and 188 (69.1%) bicycle-related injuries. E-Scooter users were significantly younger (36.5 ± 12.4 vs. 47.0 ± 14.2 years, p < 0.001) and more often female (64.3% vs. 33.0%, p < 0.001). Dental trauma was frequent in both groups, but tooth avulsions were significantly more common in E-Scooter accidents (53.6% vs. 19.7%, p < 0.001). Mandibular and nasal fractures occurred more frequently in E-Scooter users, while bicycle accidents resulted in more zygomatic and Le Fort fractures.
Conclusion
E-Scooter and bicycle accidents exhibit distinct facial trauma patterns, likely due to differences in injury mechanisms. These findings highlight the need for enhanced safety regulations, including the wearing of protective gear and targeted prevention strategies for E-Scooter users.
{"title":"Facial Trauma in E-Scooter vs. Bicycle Accidents: A Retrospective Comparative Analysis in a Metropolitan Setting","authors":"Florian Dudde, Lawik Revend, Doha Revend, Oliver Schuck, Manfred Giese","doi":"10.1111/edt.13074","DOIUrl":"10.1111/edt.13074","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The increasing prevalence of E-Scooters has led to a rise in related injuries, particularly affecting the maxillofacial region. While bicycle-related facial trauma is well-documented, comparative data on E-Scooter injuries remain rare. This study aims to analyze and compare facial trauma patterns between E-Scooter and bicycle accidents in a metropolitan setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A retrospective analysis was conducted at the Department of Oral and Maxillofacial Surgery, including patients with facial trauma from E-Scooter or bicycle accidents between January 2023 and July 2024. Demographic data, accident characteristics, and injury patterns, including dental trauma, soft tissue injuries, and fractures, were analyzed using Chi-squared tests, independent <i>t</i>-tests, and Fisher's exact test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 272 patients were included, with 84 (30.9%) sustaining E-Scooter-related injuries and 188 (69.1%) bicycle-related injuries. E-Scooter users were significantly younger (36.5 ± 12.4 vs. 47.0 ± 14.2 years, <i>p</i> < 0.001) and more often female (64.3% vs. 33.0%, <i>p</i> < 0.001). Dental trauma was frequent in both groups, but tooth avulsions were significantly more common in E-Scooter accidents (53.6% vs. 19.7%, <i>p</i> < 0.001). Mandibular and nasal fractures occurred more frequently in E-Scooter users, while bicycle accidents resulted in more zygomatic and Le Fort fractures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>E-Scooter and bicycle accidents exhibit distinct facial trauma patterns, likely due to differences in injury mechanisms. These findings highlight the need for enhanced safety regulations, including the wearing of protective gear and targeted prevention strategies for E-Scooter users.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 6","pages":"641-648"},"PeriodicalIF":3.1,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study evaluated the impact of simulation training using 3D-printed models on anxiety, stress, self-confidence, and knowledge among dental students managing dentoalveolar trauma.
Material and Methods
This prospective, randomized controlled trial was conducted with fourth-year dental students, who were assigned to two groups. The control group received theoretical instruction only, while the experimental group received theoretical instruction combined with simulation training using 3D-printed models. Prior to the simulation training (T1), all students attended a 30-min lecture covering four trauma types: uncomplicated crown fracture, complicated crown fracture, intrusive luxation, and avulsion. At T1, all students completed questionnaires and a visual analog scale (VAS) to assess anxiety (STAI Trait [T] and State [S]), stress, self-confidence, and knowledge. Following this, only the experimental group participated in the simulation training. At T2 (two weeks later), both groups completed the same questionnaires and VAS assessments. The control group participated in the simulation training after the study concluded. Statistical analyses were conducted using the chi-square test, McNemar test, independent samples t-test, Mann–Whitney U test, paired samples t-test, and Wilcoxon test, with statistical significance set at p ≤ 0.05.
Results
Each group comprised 34 students, with no significant baseline differences in STAI-T scores (p = 0.57). At T1, no significant differences were observed between groups in STAI-S, VAS, confidence, or knowledge scores. At T2, the experimental group showed significantly higher self-confidence and knowledge scores than the control group (p < 0.001), although stress and anxiety scores remained comparable (p > 0.05). Within the experimental group, anxiety, stress, self-confidence, and knowledge scores improved significantly between T1 and T2.
Conclusions
Incorporating 3D-printed models into simulation training significantly enhanced students' self-confidence and knowledge in dentoalveolar trauma management, underscoring the value of simulation-based training for improved educational outcomes.
背景/目的：本研究评估了使用3d打印模型的模拟训练对牙科学生处理牙槽牙外伤的焦虑、压力、自信和知识的影响。材料和方法：这项前瞻性、随机对照试验在四年级牙科学生中进行，他们被分为两组。对照组只接受理论指导，实验组接受理论指导结合3d打印模型模拟训练。在模拟训练（T1）之前，所有学生都参加了30分钟的讲座，内容包括四种创伤类型：简单冠骨折、复杂冠骨折、侵入性脱位和撕脱伤。在T1时，所有学生完成问卷和视觉模拟量表（VAS）来评估焦虑（STAI Trait [T] and State [S]）、压力、自信和知识。之后，只有实验组参加了模拟训练。在T2（两周后），两组完成相同的问卷和VAS评估。对照组在研究结束后进行模拟训练。采用卡方检验、McNemar检验、独立样本t检验、Mann-Whitney U检验、配对样本t检验、Wilcoxon检验进行统计学分析，p≤0.05为统计学显著性。结果：每组34名学生，在STAI-T评分上无显著基线差异（p = 0.57）。在T1时，两组间在STAI-S、VAS、信心或知识评分方面无显著差异。T2时，实验组的自信心和知识得分显著高于对照组（p < 0.05）。在实验组内，焦虑、压力、自信和知识得分在T1和T2之间显著改善。结论：将3d打印模型纳入模拟训练，可显著增强学生对牙槽牙外伤管理的自信心和知识，突出了模拟训练对提高教育效果的价值。
{"title":"Evaluation of 3D-Printed Models in Dentoalveolar Trauma Simulation: A Randomized Trial in Undergraduate Dental Training","authors":"Cemre Koç, Bahar Melis Akyıldız, Ayşe Taş","doi":"10.1111/edt.13065","DOIUrl":"10.1111/edt.13065","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>This study evaluated the impact of simulation training using 3D-printed models on anxiety, stress, self-confidence, and knowledge among dental students managing dentoalveolar trauma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>This prospective, randomized controlled trial was conducted with fourth-year dental students, who were assigned to two groups. The control group received theoretical instruction only, while the experimental group received theoretical instruction combined with simulation training using 3D-printed models. Prior to the simulation training (T1), all students attended a 30-min lecture covering four trauma types: uncomplicated crown fracture, complicated crown fracture, intrusive luxation, and avulsion. At T1, all students completed questionnaires and a visual analog scale (VAS) to assess anxiety (STAI Trait [T] and State [S]), stress, self-confidence, and knowledge. Following this, only the experimental group participated in the simulation training. At T2 (two weeks later), both groups completed the same questionnaires and VAS assessments. The control group participated in the simulation training after the study concluded. Statistical analyses were conducted using the chi-square test, McNemar test, independent samples <i>t</i>-test, Mann–Whitney <i>U</i> test, paired samples <i>t</i>-test, and Wilcoxon test, with statistical significance set at <i>p</i> ≤ 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Each group comprised 34 students, with no significant baseline differences in STAI-T scores (<i>p</i> = 0.57). At T1, no significant differences were observed between groups in STAI-S, VAS, confidence, or knowledge scores. At T2, the experimental group showed significantly higher self-confidence and knowledge scores than the control group (<i>p</i> < 0.001), although stress and anxiety scores remained comparable (<i>p</i> > 0.05). Within the experimental group, anxiety, stress, self-confidence, and knowledge scores improved significantly between T1 and T2.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Incorporating 3D-printed models into simulation training significantly enhanced students' self-confidence and knowledge in dentoalveolar trauma management, underscoring the value of simulation-based training for improved educational outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 6","pages":"714-726"},"PeriodicalIF":3.1,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.13065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This update of previously conducted evidence mapping and quality analysis of systematic reviews related to dental traumatology aimed to assess the distribution of systematic reviews published in a period of past 54 months in various domains and subdomains and evaluate their quality. An attempt was also made to compare the trends of methodological and quality characteristics between the two Evidence Mapping studies.
Methods
An a priori protocol was prepared as per the recommendations of Global Evidence Mapping and registered in Open Science Framework. The boundary conditions were defined and a search was performed electronically by two authors on November 30, 2024 in PubMed, LILACS, Web of Science, Cochrane, Scopus, and EMBASE without any restrictions. EndNote Online was used to remove the duplicates and perform screening of titles and abstracts and the full texts. Data extraction was performed using a self-designed sheet and analyzed by the research group. AMSTAR-2 and ROBIS tools were used for assessing the quality of included systematic reviews.
Results
The evidence mapping included 66 systematic reviews that could be distributed in six domains. The maximum number of them were in Epidemiologic domain (n = 21) and the subdomain of “treatment protocols of permanent teeth” (n = 14). The conclusion of 27 SRs was graded as inconclusive. An a priori registration of protocol was done in 55 SRs, majority of reviews did not have any restrictions in search, and gray literature search was done in 39 SRs. The most common risk of bias (ROB) tool used was the Jonna Briggs Institute's Critical Appraisal Checklist. The ROB of 51 SRs was low as per ROBIS, and high level of confidence was exhibited by 24 SRs as per AMSTAR-2.
Conclusion
The highest number of SRs was seen in the domain of epidemiology, followed by therapeutic and prognostic domains. As per ROBIS, 77.27% of SRs were found to have low ROB with a high level of confidence in 39.4% SRs as per AMSTAR-2. There was significant improvement in methodological and quality trends as compared to the previous Evidence Mapping.
背景/目的：本研究更新了先前进行的与口腔创伤学相关的系统综述的证据图谱和质量分析，旨在评估过去54个月在各个领域和子领域发表的系统综述的分布，并评估其质量。我们还尝试比较两种证据图谱研究在方法学和质量特征上的趋势。方法：根据全球证据图谱的建议编制先验方案，并在开放科学框架中注册。定义边界条件，并由两位作者于2024年11月30日在PubMed， LILACS, Web of Science, Cochrane， Scopus和EMBASE中进行电子检索，没有任何限制。EndNote Online用于删除重复内容，并对标题、摘要和全文进行筛选。使用自行设计的表格进行数据提取，并由课题组进行分析。使用AMSTAR-2和ROBIS工具评估纳入系统评价的质量。结果：证据图谱包括66篇系统综述，可分布在6个领域。以流行病学域（n = 21）和“恒牙治疗方案”子域（n = 14）最多。27例SRs的结论被评为不确定。55篇sr进行了方案的先验注册，大多数综述在检索中没有任何限制，39篇sr进行了灰色文献检索。最常用的偏见风险（ROB）工具是Jonna Briggs研究所的关键评估清单。根据ROBIS， 51个sr的ROB较低，而根据AMSTAR-2, 24个sr表现出较高的置信度。结论：SRs在流行病学领域发生率最高，其次为治疗和预后领域。根据ROBIS， 77.27%的SRs被发现具有低ROB，而根据AMSTAR-2, 39.4%的SRs具有高置信度。与以前的证据制图相比，在方法和质量趋势方面有了显著的改进。
{"title":"Evidence Mapping and Quality Assessment of Systematic Reviews in Dental Traumatology: A 54 Months Update","authors":"Nitesh Tewari, Pavithra Devi, Hemlata Nehta, Ekta Wadhwani, Rigzen Tamchos, Georgios Tsilingaridis, Vijay Prakash Mathur, Morankar Rahul","doi":"10.1111/edt.13073","DOIUrl":"10.1111/edt.13073","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aims</h3>\u0000 \u0000 <p>This update of previously conducted evidence mapping and quality analysis of systematic reviews related to dental traumatology aimed to assess the distribution of systematic reviews published in a period of past 54 months in various domains and subdomains and evaluate their quality. An attempt was also made to compare the trends of methodological and quality characteristics between the two Evidence Mapping studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An a priori protocol was prepared as per the recommendations of Global Evidence Mapping and registered in Open Science Framework. The boundary conditions were defined and a search was performed electronically by two authors on November 30, 2024 in PubMed, LILACS, Web of Science, Cochrane, Scopus, and EMBASE without any restrictions. EndNote Online was used to remove the duplicates and perform screening of titles and abstracts and the full texts. Data extraction was performed using a self-designed sheet and analyzed by the research group. AMSTAR-2 and ROBIS tools were used for assessing the quality of included systematic reviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The evidence mapping included 66 systematic reviews that could be distributed in six domains. The maximum number of them were in Epidemiologic domain (<i>n</i> = 21) and the subdomain of “treatment protocols of permanent teeth” (<i>n</i> = 14). The conclusion of 27 SRs was graded as inconclusive. An a priori registration of protocol was done in 55 SRs, majority of reviews did not have any restrictions in search, and gray literature search was done in 39 SRs. The most common risk of bias (ROB) tool used was the Jonna Briggs Institute's Critical Appraisal Checklist. The ROB of 51 SRs was low as per ROBIS, and high level of confidence was exhibited by 24 SRs as per AMSTAR-2.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The highest number of SRs was seen in the domain of epidemiology, followed by therapeutic and prognostic domains. As per ROBIS, 77.27% of SRs were found to have low ROB with a high level of confidence in 39.4% SRs as per AMSTAR-2. There was significant improvement in methodological and quality trends as compared to the previous Evidence Mapping.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 6","pages":"727-754"},"PeriodicalIF":3.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.13073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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