How strong is the evidence for the need to restore posterior bounded edentulous spaces in adults? Grading the quality of evidence and the strength of recommendations
Identifieur interne : 004A63 ( Main/Exploration ); précédent : 004A62; suivant : 004A64How strong is the evidence for the need to restore posterior bounded edentulous spaces in adults? Grading the quality of evidence and the strength of recommendations
Auteurs : Clovis Mariano Jr Faggion [Allemagne] ; Nikolaos Nikitas Giannakopoulos [Allemagne] ; Stefan Listl [Allemagne]Source :
- Journal of dentistry [ 0300-5712 ] ; 2011.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Adulte.
English descriptors
- KwdEn :
Abstract
Background: It is unclear whether or not untreated bounded edentulous spaces (BES) can cause patients problems because of migration of unopposed and adjacent teeth. Objectives: To quantitatively assess BES-related occlusal changes and the level of evidence available. Material and methods: A systematic search of the literature was conducted in triplicate in the PubMed and Cochrane Register of Controlled Trials (CENTRAL) databases up to and including February 2010 to assess studies related to the topic. The LILACS database also was searched by one of the authors (CMF). Quantitative mesio-distal changes and overeruption were the outcome measures. Manual searching of the reference lists of studies retrieved from the electronic databases was also conducted. Google Scholar in English, French, German, Greek, Italian, Portuguese, and Spanish was also searched to retrieve potential studies. Grey literature was searched in OpenSIGLE (System for Information on Grey Literature in Europe) for more potential papers. The quality of the retrieved literature and the strength of recommendations were assessed by use of the GRADE system. A decision-tree-like scheme was produced to depict treatment options. Results: The available evidence demonstrated that for most cases occlusal changes in BES after tooth loss might be limited (on average up to 2 mm). The quality of evidence was regarded as very low, however. Conclusions: Tooth replacement should not necessarily be regarded as the mainstay of therapy for posterior BES, although more robust studies are necessary to clarify the long-term effects of non-treatment. The GRADE approach may be useful for enhancing the transparency of the decision-making process in dentistry, especially when evidence of only limited quality is available.
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Grading the quality of evidence and the strength of recommendations</title><author><name sortKey="Faggion, Clovis Mariano Jr" sort="Faggion, Clovis Mariano Jr" uniqKey="Faggion C" first="Clovis Mariano Jr" last="Faggion">Clovis Mariano Jr Faggion</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Prosthodontics, Dental School Ruprecht-Karls-University of Heidelberg, Im Neuenheimer Feld 400</s1><s2>69120 Heidelberg</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Nikitas Giannakopoulos, Nikolaos" sort="Nikitas Giannakopoulos, Nikolaos" uniqKey="Nikitas Giannakopoulos N" first="Nikolaos" last="Nikitas Giannakopoulos">Nikolaos Nikitas Giannakopoulos</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Prosthodontics, Dental School Ruprecht-Karls-University of Heidelberg, Im Neuenheimer Feld 400</s1><s2>69120 Heidelberg</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Listl, Stefan" sort="Listl, Stefan" uniqKey="Listl S" first="Stefan" last="Listl">Stefan Listl</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Conservative Dentistry, Dental School Ruprecht-Karls-University of Heidelberg</s1><s2>Heidelberg</s2><s3>DEU</s3><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Mannheim Research Institute for the Economics of Aging, University of Mannheim</s1><s2>Mannheim</s2><s3>DEU</s3><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Mannheim</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">11-0083154</idno><date when="2011">2011</date><idno type="stanalyst">PASCAL 11-0083154 INIST</idno><idno type="RBID">Pascal:11-0083154</idno><idno type="wicri:Area/PascalFrancis/Corpus">000165</idno><idno type="wicri:Area/PascalFrancis/Curation">000535</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000133</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000133</idno><idno type="wicri:doubleKey">0300-5712:2011:Faggion C:how:strong:is</idno><idno type="wicri:Area/Main/Merge">004B00</idno><idno type="wicri:Area/Main/Curation">004A63</idno><idno type="wicri:Area/Main/Exploration">004A63</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">How strong is the evidence for the need to restore posterior bounded edentulous spaces in adults? Grading the quality of evidence and the strength of recommendations</title><author><name sortKey="Faggion, Clovis Mariano Jr" sort="Faggion, Clovis Mariano Jr" uniqKey="Faggion C" first="Clovis Mariano Jr" last="Faggion">Clovis Mariano Jr Faggion</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Prosthodontics, Dental School Ruprecht-Karls-University of Heidelberg, Im Neuenheimer Feld 400</s1><s2>69120 Heidelberg</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Nikitas Giannakopoulos, Nikolaos" sort="Nikitas Giannakopoulos, Nikolaos" uniqKey="Nikitas Giannakopoulos N" first="Nikolaos" last="Nikitas Giannakopoulos">Nikolaos Nikitas Giannakopoulos</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Prosthodontics, Dental School Ruprecht-Karls-University of Heidelberg, Im Neuenheimer Feld 400</s1><s2>69120 Heidelberg</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Listl, Stefan" sort="Listl, Stefan" uniqKey="Listl S" first="Stefan" last="Listl">Stefan Listl</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Conservative Dentistry, Dental School Ruprecht-Karls-University of Heidelberg</s1><s2>Heidelberg</s2><s3>DEU</s3><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Mannheim Research Institute for the Economics of Aging, University of Mannheim</s1><s2>Mannheim</s2><s3>DEU</s3><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Mannheim</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">Journal of dentistry</title><title level="j" type="abbreviated">J. dent.</title><idno type="ISSN">0300-5712</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of dentistry</title><title level="j" type="abbreviated">J. dent.</title><idno type="ISSN">0300-5712</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Bibliographic review</term><term>Bucco-dental health</term><term>Dental restoration</term><term>Dentistry</term><term>Edentulousness</term><term>Evidence-based medicine</term><term>Extrusion</term><term>Mechanical properties</term><term>Motion</term><term>Occlusion</term><term>Review</term><term>Teeth</term><term>Tooth</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Edentation</term><term>Occlusion</term><term>Adulte</term><term>Traitement</term><term>Article synthèse</term><term>Revue bibliographique</term><term>Santé bucco-dentaire</term><term>Dent</term><term>Denture</term><term>Extrusion</term><term>Mouvement</term><term>Dentisterie restauratrice</term><term>Médecine factuelle</term><term>Dentisterie</term><term>Propriété mécanique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: It is unclear whether or not untreated bounded edentulous spaces (BES) can cause patients problems because of migration of unopposed and adjacent teeth. Objectives: To quantitatively assess BES-related occlusal changes and the level of evidence available. Material and methods: A systematic search of the literature was conducted in triplicate in the PubMed and Cochrane Register of Controlled Trials (CENTRAL) databases up to and including February 2010 to assess studies related to the topic. The LILACS database also was searched by one of the authors (CMF). Quantitative mesio-distal changes and overeruption were the outcome measures. Manual searching of the reference lists of studies retrieved from the electronic databases was also conducted. Google Scholar in English, French, German, Greek, Italian, Portuguese, and Spanish was also searched to retrieve potential studies. Grey literature was searched in OpenSIGLE (System for Information on Grey Literature in Europe) for more potential papers. The quality of the retrieved literature and the strength of recommendations were assessed by use of the GRADE system. A decision-tree-like scheme was produced to depict treatment options. Results: The available evidence demonstrated that for most cases occlusal changes in BES after tooth loss might be limited (on average up to 2 mm). The quality of evidence was regarded as very low, however. Conclusions: Tooth replacement should not necessarily be regarded as the mainstay of therapy for posterior BES, although more robust studies are necessary to clarify the long-term effects of non-treatment. The GRADE approach may be useful for enhancing the transparency of the decision-making process in dentistry, especially when evidence of only limited quality is available.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bade-Wurtemberg</li><li>District de Karlsruhe</li></region><settlement><li>Heidelberg</li><li>Mannheim</li></settlement></list><tree><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Faggion, Clovis Mariano Jr" sort="Faggion, Clovis Mariano Jr" uniqKey="Faggion C" first="Clovis Mariano Jr" last="Faggion">Clovis Mariano Jr Faggion</name></region><name sortKey="Listl, Stefan" sort="Listl, Stefan" uniqKey="Listl S" first="Stefan" last="Listl">Stefan Listl</name><name sortKey="Listl, Stefan" sort="Listl, Stefan" uniqKey="Listl S" first="Stefan" last="Listl">Stefan Listl</name><name sortKey="Nikitas Giannakopoulos, Nikolaos" sort="Nikitas Giannakopoulos, Nikolaos" uniqKey="Nikitas Giannakopoulos N" first="Nikolaos" last="Nikitas Giannakopoulos">Nikolaos Nikitas Giannakopoulos</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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