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The Journal of Prosthetic Dentistry Oct 2021The best protocol to restore endodontically treated teeth is still unclear, with many factors to be considered, including the selection and necessity of a post, the... (Review)
Review
STATEMENT OF PROBLEM
The best protocol to restore endodontically treated teeth is still unclear, with many factors to be considered, including the selection and necessity of a post, the type of coronal restoration, the amount of remaining coronal structure, and the type of luting agent.
PURPOSE
The purpose of this systematic review was to assess the restorative preferences for endodontically treated teeth between dentists and dental students.
MATERIAL AND METHODS
Survey studies, written in English, of dentists and dental students, which evaluated the use of intracanal posts and other restorative options for endodontically treated teeth, were selected. Searches were performed in the PubMed and SCOPUS databases without time restriction. Screening and data extraction were performed by 2 researchers independently. A standardized outline was used to extract the data (questions related to the theme and the response rate of each question on the survey), and the risk of bias was assessed. Descriptive analysis was performed of the collected information.
RESULTS
Twenty-five articles were included. Most dentists who answered the surveys reported the time since graduation as 1 to 20 years (40%), and 44% were specialists. The most reported choices concerning the type of posts used were prefabricated posts (45.8%), cast metal posts (16.7%), and both posts (16.7%). The cast metal posts were cited more frequently in surveys published between 1994 and 2010, whereas prefabricated posts, both metal and glass fiber ones, were cited between 2006 and 2019. The preferred luting agent for intracanal posts was resin-based (47%). These choices seem to have been influenced by time and by the level of postgraduate training.
CONCLUSIONS
Restorative preferences related to posts have changed over time, from the use of cast posts to prefabricated ones or the use of both posts and seem to be influenced by experience and postgraduate training.
Topics: Composite Resins; Crowns; Dentists; Humans; Post and Core Technique; Students; Tooth, Nonvital
PubMed: 32981715
DOI: 10.1016/j.prosdent.2020.07.005 -
The Journal of Clinical Pediatric... Mar 2022Dentists have a wide variety of techniques available to them such as tell -show-do, relaxation, distraction, systematic desensitisation, modelling, audio analgesia,... (Meta-Analysis)
Meta-Analysis
Effectiveness of Audio and Audio-Visual Distraction Aids for Management of Pain and Anxiety in Children and Adults Undergoing Dental Treatment- A Systematic Review And Meta-Analysis.
UNLABELLED
Dentists have a wide variety of techniques available to them such as tell -show-do, relaxation, distraction, systematic desensitisation, modelling, audio analgesia, hypnosis, and behaviour rehearsal. There is no concrete research as systematic review and meta-analysis indicating which explains the most effective distraction technique.
AIM
To summarize effectiveness of audio and audio-visual (AV) distraction aids for management of pain and anxiety in children undergoing dental treatment.
STUDY DESIGN
Literature search: PubMed/MEDLINE, DOAJ, Science Direct from June - July 2020 with randomized control clinical trials conducted on children with audio and AV distraction aids as intervention and those which had anxiety and pain as outcomes were searched. Fifty articles were identified and relevance was determined. 14 studies were included for qualitative synthesis and 05 were eligible for meta-analysis. Cochrane handbook used to assess the risk of bias. The meta analysis conducted using review manager 5.3 software.
RESULTS
Meta-analysis, cumulative mean difference for audio and AV distraction techniques was calculated with main outcomes as pulse rate, O2 level, Vehman's picture and clinical test. These findings showed significant difference favoring the intervention (audio and AV) group when compared with control but indicating more effectiveness of AV distractions.
CONCLUSION
Different audio-visual aids assist in reducing pain and anxiety in children but using audio distraction aids when audio-visual aids are not available could be acceptable way for distracting and treating children.
Topics: Adult; Anxiety; Audiovisual Aids; Child; Dental Anxiety; Dental Care; Humans; Pain; Pain Management
PubMed: 35533223
DOI: 10.17796/1053-4625-46.2.2 -
Journal of Infection and Public Health Jul 2020HIV/AIDS prevention has been widely adopted worldwide, but little is known about HIV/AIDS knowledge and attitudes in the Arabian Peninsula. (Meta-Analysis)
Meta-Analysis
BACKGROUND
HIV/AIDS prevention has been widely adopted worldwide, but little is known about HIV/AIDS knowledge and attitudes in the Arabian Peninsula.
AIM
To summarize the level of knowledge and attitude about HIV/AIDS in seven Arabian Peninsula countries (Saudi Arabia, Oman, Kuwait, Qatar, Bahrain, Yemen, and the United Arab Emirates (UAE)).
METHODS
A systematic literature search was performed using combined keywords in four scientific databases of peer-reviewed publications from January 2010 to June 2019. Twenty-five articles were included in the systematic review, and twenty studies in the meta-analysis. The data was analyzed using a random-effect model due to the heterogeneity between the studies.
RESULTS
Seventeen studies reported on the level of knowledge and overall knowledge about HIV/AIDS in this region: 74.4% (95% confidence interval (CI): 66.8%-82.0%, p<0.001) and the attitude was 52.8% (95% CI: 36.9%-68.6%, p<0.001). A study from Oman reported higher knowledge levels (95.5%, 95% CI: 94.2%-96.8%) while less than a quarter of the Bahrain population had positive attitudes 22.5% (95% CI: 20.5%-24.5%). Medical doctors showed higher knowledge (94.1%, 95% CI: 92.9%-95.3%), but a positive attitude was only observed in 32.5% (95% CI: 28.8%-36.2%) of the dentists toward HIV/AIDS.
CONCLUSION
The overall knowledge about HIV/AIDS was found to be satisfactory (74.4%), but about half (52.8%) of those displayed negative attitudes toward HIV/AIDS. Regular training courses as well as reviewing and reinforcing HIV/AIDS prevention guidelines can be useful to update knowledge and improve attitudes in this region.
Topics: Acquired Immunodeficiency Syndrome; Attitude; Female; HIV; HIV Infections; Health Knowledge, Attitudes, Practice; Humans; Male; Middle East; Physicians; Prisoners; Students; Surveys and Questionnaires
PubMed: 32359925
DOI: 10.1016/j.jiph.2020.04.002 -
Journal of Dentistry Oct 2022To perform systematic review and quantitative analysis of the literature on the association between gastro-oesophageal reflux disease (GERD) and dental erosion in... (Meta-Analysis)
Meta-Analysis Review
OBJECTIVES
To perform systematic review and quantitative analysis of the literature on the association between gastro-oesophageal reflux disease (GERD) and dental erosion in children.
METHODS
Databases were searched for randomised controlled trials, cohort studies, cross-sectional surveys and case-control studies that evaluated the association between GERD and dental erosion in children aged 1-18 years, without limitations on the language or year of publication. Data were pooled in random effects models. Data sources included Embase, MEDLINE, Web of Science, Trip Pro, Cochrane Library, the International Clinical Trials Registry Platform, ClinicaTrials.gov, Open Grey, Proquest Dissertations and Thesis and Google Scholar from inception to June 9, 2022.
RESULTS
Thirteen studies were included, of which twelve were used for meta-analysis. There were strong associations between GERD and enamel erosion with the subject as unit (odds ratio 4.46; 95% confidence interval (CI) 1.93-10.30; n = 6774); dentine erosion with the subject as unit (odds ratio 13.39; 95% CI 4.17-42.94; n = 371); enamel erosion with the tooth as unit (odds ratio 3.29; 95% CI 1.36-7.95; n = 4637); as well as dentine erosion with the tooth as unit (odds ratio 5.91; 95% CI, 2.35-14.86; n = 4637). In cohort studies, GERD was associated with a higher risk of enamel erosion with the subject as a unit (relative risk 1.88, 95% CI 1.22-2.92; n = 1411).
CONCLUSIONS
Gastro-oesophageal reflux disease is associated with dental erosion in children. The heterogeneity of GERD definition should be considered when interpreting the present work.
CLINICAL SIGNIFICANCE
There is a positive association between GERD and dental erosion in children. Dentists should emphasise timely detection and management of the underlying factors of dental erosion in GERD. Future studies should define paediatric GERD according to a universal guideline to better enhance patient care.
Topics: Case-Control Studies; Child; Cross-Sectional Studies; Gastroesophageal Reflux; Humans; Odds Ratio
PubMed: 35917996
DOI: 10.1016/j.jdent.2022.104247 -
Community Dentistry and Oral... Oct 2023This systematic review aimed to answer the following question 'What are the worldwide prevalence of SARS-CoV-2 infection and associated factors among oral health-care... (Meta-Analysis)
Meta-Analysis Review
OBJECTIVES
This systematic review aimed to answer the following question 'What are the worldwide prevalence of SARS-CoV-2 infection and associated factors among oral health-care workers (OHCWs) before vaccination?'
METHODS
Seven databases and registers as well as three grey databases were searched for observational studies in the field. Paired reviewers independently screened studies, extracted data and assessed the methodological quality. Overall seroprevalence for SARS-CoV-2 infection was analysed using a random-effect model subgrouped by professional category. Meta-regression was used to explore whether the Human Development Index (HDI) influenced the heterogeneity of results. The associated factors were narratively evaluated, and the certainty of the evidence was assessed using the GRADE approach.
RESULTS
Seventeen studies were included (five cohorts and twelve cross-sectional studies), summing 73 935 participants (54 585 dentists and 19 350 dental assistants/technicians) from 14 countries. The overall estimated pooled prevalence of SARS-CoV-2 infection among OHCWs was 9.3% (95% CI, 5.0%-14.7%; I = 100%, p < .01), being 9.5% for dentists (95% CI, 5.1%-15.0%; I = 100%, p < .01) and 11.6% for dental assistants/technicians (95% CI, 1.6%-27.4%; I = 99.0%, p < .01). In the meta-regression, countries with lower HDI showed higher prevalence of SARS-CoV-2 infection (p = .002). Age, comorbidities, gender, ethnicity, occupation, smoking, living in areas of greater deprivation, job role and location/municipalities, income and protective measures in dental settings were associated with positive serological SARS-CoV-2 test, with very low certainty of evidence.
CONCLUSIONS
The SARS-CoV-2 virus infected 9.3% of the OHCWs evaluated worldwide before vaccination. OHCWs should be included in policy considerations, continued research, monitoring and surveillance (PROSPERO CRD42021246520).
Topics: Humans; COVID-19; SARS-CoV-2; Prevalence; Seroepidemiologic Studies; Cross-Sectional Studies; Health Personnel
PubMed: 36576013
DOI: 10.1111/cdoe.12827 -
Special Care in Dentistry : Official... Mar 2023Life expectancy for people with Down syndrome (DS) has increased to 60 years, although poor oral health affects their quality of life. Panoramic radiographs (PRs) are... (Review)
Review
INTRODUCTION
Life expectancy for people with Down syndrome (DS) has increased to 60 years, although poor oral health affects their quality of life. Panoramic radiographs (PRs) are usually well-tolerated by people with DS and can provide valuable diagnostic data for treatment planning and research. Methods A scoping review of peer-reviewed articles published between 1971and 2021 was conducted in accordance with the PRISMA extension for scoping reviews to determine the scope of use of PRs for people with DS.
RESULTS
937 papers were screened, and 52 papers were included and charted into seven categories in this review. A high prevalence of tooth agenesis (TA) and other anomalies were reported in 45% of papers. Severe periodontal disease was considered characteristic of DS in the 1970s-80s and the benefit of time-consuming treatment was questioned. Since 2000 case reports illustrate that improved oral care, orthodontic treatment, and dental implants under local or general anaesthetic can improve the quality of life for people with DS.
CONCLUSION
PRs play an important role in the diagnosis of anomalies, periodontal disease, and implant planning for patients with DS. This review highlights the gaps in research of caries, pathology, TMJ, systemic disease indicators, and guidelines for dentists. Systematic PR viewing, with a knowledge of characteristic features of DS, will assist diagnosis of pathology and improve comprehensive dental care treatment planning for children and adults with DS.
Topics: Adult; Child; Humans; Radiography, Panoramic; Down Syndrome; Quality of Life; Dental Caries; Periodontal Diseases
PubMed: 35941085
DOI: 10.1111/scd.12762 -
Oral Diseases Apr 2022To systematically integrate the available data published in the literature on oral pigmented lesions (OPL) associated with syndromes, summarizing the clinical and... (Review)
Review
OBJECTIVE
To systematically integrate the available data published in the literature on oral pigmented lesions (OPL) associated with syndromes, summarizing the clinical and demographic features of the individuals.
MATERIALS AND METHODS
An electronic search was undertaken in six databases. Eligibility criteria were articles in English, Spanish, and Portuguese describing case reports or case series of OPL associated with syndromes. Data were aggregated and statistically evaluated.
RESULTS
About 108 articles reporting 149 cases of individuals with syndromes were identified. Among the affected individuals, nine syndromes were reported. The mean age at diagnosis was 35.93 years (0.41 to 83 years), with a predilection for white (n = 85/85.86%) female (n = 102/68.46%) individuals. As regards the number of lesions, 109 (73.15%) were multiple and 40 (26.85%) were single. Lip represented the anatomical location more affected (122 cases/38.01%), followed by the buccal mucosa (100 cases/31.15%). Brownish lesions accounted for 82 (69.49%) cases. The mean time of evolution was 10.52 years (0.16 to 56 years). OPL preceding diagnosis of the syndrome was observed in 111 (74.50%) cases.
CONCLUSIONS
Although these syndromes are uncommon, dentists should be able to recognize their manifestations, since oral manifestations can represent an important aspect in early diagnosis.
Topics: Female; Humans; Hyperpigmentation; Mouth Mucosa; Syndrome
PubMed: 33394507
DOI: 10.1111/odi.13769 -
Journal of Paediatrics and Child Health Oct 2023Apart from various typical gastrointestinal symptoms, coeliac disease may have its clinical manifestations in the oral cavity which is the entrance of the... (Review)
Review
AIM
Apart from various typical gastrointestinal symptoms, coeliac disease may have its clinical manifestations in the oral cavity which is the entrance of the gastrointestinal tract.
METHODS
A systematic review of literature was performed using the following databases: Medline, Scopus, EBSCOhost and Cochrane Library for Systematic Review.
INCLUSION CRITERIA
observational or experimental original studies published in English with full text available between January 2000 and December 2022, regarding children and adolescents under the age of 20. Risk of bias was determined with the use of Risk Of Bias In Non-randomised Studies of Exposure.
RESULTS
Thirty-four studies were included in the review. The analysis confirmed a higher prevalence of numerous oral manifestations in coeliac disease concerning both hard and soft tissues. Our study found the prevalence of dental enamel defects to be at the level of 17.9%-83.5% (P value <0.047) and recurrent aphthous stomatitis of 8.3%-69% (P value <0.039).
CONCLUSION
Oral manifestations may precede gastrointestinal symptoms. Patients presenting such manifestations should be screened for coeliac disease. The cooperation of gastroenterologists and dentists could lead to an increased detectability of coeliac disease.
Topics: Adolescent; Humans; Child; Celiac Disease; Oral Health; Stomatitis, Aphthous; Prevalence
PubMed: 37712495
DOI: 10.1111/jpc.16494 -
Journal of Education and Health... 2021The importance of dental implant quality register has been well-documented. However, no systematic review conducted on dental implant quality register can be found in...
BACKGROUND
The importance of dental implant quality register has been well-documented. However, no systematic review conducted on dental implant quality register can be found in the literature. Therefore, the purpose of this study was to study the existed dental implant quality registries to explain the goals, data elements, and reports of dental implant quality registries.
MATERIALS AND METHODS
This systematic study was conducted in PubMed, Scopus, Web of Science, and Embase databases. For evaluating dental implant quality registers, all studies in the English language were examined with no time limitation. Case reports, conference abstracts, and letters to the editor were excluded. The analysis of the quality of the studies was done by the STrengthening the Reporting of OBservational studies in Epidemiology checklist.
RESULTS
The primary search identified 5565 articles. After eliminating duplicate articles and articles that did not meet the inclusion criteria and reviewing 40 full texts, 11 studies were included in this study. In this review, seven countries as Sweden, the USA, Canada, Germany, Finland, Australia, and South Korea had dental implant quality registers. Furthermore, the goals of dental implant quality registers were classified into the categories of research, epidemiology, administrative, clinical, and surveillance.
CONCLUSION
The results of this study provide dentists and other stakeholders useful information on the existed dental implant quality registers and databases worldwide. It also provides a framework of the goals, data elements, and reports of dental implant quality registry. The establishment of dental implant quality register will be beneficial for societies and also allows them to control the complications of dental implants in future.
PubMed: 34395651
DOI: 10.4103/jehp.jehp_1302_20 -
BMJ Open Feb 2022The application of case-based learning (CBL) pedagogy has been emerging as an improved and more practical learning method across the Chinese dental education system.... (Meta-Analysis)
Meta-Analysis
OBJECTIVE
The application of case-based learning (CBL) pedagogy has been emerging as an improved and more practical learning method across the Chinese dental education system. This article provides a critical overview of CBL pedagogy and further assesses the effectiveness of this teaching model in Chinese dental education.
DESIGN
A systematic review and meta-analysis.
METHODS
Studies published up to December 2019 were searched in the following electronic databases: China National Knowledge Infrastructure, China Science Periodical Database, Chinese Biomedical documental database, Wanfang data, PubMed, EMBASE and Cochrane Central Register of Control Trials. All randomised controlled trials (RCTs) that compared the effectiveness of the CBL teaching model and the traditional lecture-based learning (LBL) model in all dental disciplines were included. The assessment of methodological quality was based on the guidelines described in the Cochrane Handbook for Systematic Reviews, and the meta-analysis was performed using the software RevMan V.5.3 RESULTS: A total of 30 RCTs were finally included, with a total sample size of 2356 dental students. The CBL pedagogy significantly increased knowledge scores (standardised mean difference (SMD)=1.58, 95% CI: 0.95 to 2.20, p<0.0001), skill scores (SMD=1.22, 95% CI: 0.34 to 2.11, p<0.0001), comprehensive ability scores (SMD=1.91, 95% CI: 1.74 to 4.07, p<0.0001) and teaching satisfaction (risk ratio=1.38; 95% CI: 1.15 to 1.65; p0.01) compared with the LBL teaching model among the dental students. Additionally, a subgroup analysis showed significant differences in the effects of CBL on knowledge scores, skill scores and comprehensive ability scores when comparing theoretical and practical courses.
CONCLUSIONS
The meta-analysis and systematic review of the eligible literature showed that the CBL pedagogy in Chinese dental education is an effective way to increase knowledge scores, skill scores, comprehensive ability scores and teaching satisfaction. Successful adaptation of this teaching model could solve the scarcity of highly skilled and professional dentists in dental schools and hospitals across China.
Topics: Asian People; China; Education, Dental; Humans; Knowledge; Problem-Based Learning
PubMed: 35190409
DOI: 10.1136/bmjopen-2020-048497