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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 : 001679 ( PubMed/Curation ); précédent : 001678; suivant : 001680

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.

Auteurs : Clovis Mariano Faggion [Allemagne] ; Nikolaos Nikitas Giannakopoulos ; Stefan Listl

Source :

RBID : pubmed:21093527

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English descriptors

Abstract

It is unclear whether or not untreated bounded edentulous spaces (BES) can cause patients problems because of migration of unopposed and adjacent teeth.

DOI: 10.1016/j.jdent.2010.11.002
PubMed: 21093527

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pubmed:21093527

Le document en format XML

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<title xml:lang="en">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>
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<name sortKey="Faggion, Clovis Mariano" sort="Faggion, Clovis Mariano" uniqKey="Faggion C" first="Clovis Mariano" last="Faggion">Clovis Mariano Faggion</name>
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<nlm:affiliation>Department of Prosthodontics, Dental School Ruprecht-Karls-University of Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany. clovisfaggion@yahoo.com</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Prosthodontics, Dental School Ruprecht-Karls-University of Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg</wicri:regionArea>
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<name sortKey="Giannakopoulos, Nikolaos Nikitas" sort="Giannakopoulos, Nikolaos Nikitas" uniqKey="Giannakopoulos N" first="Nikolaos Nikitas" last="Giannakopoulos">Nikolaos Nikitas Giannakopoulos</name>
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<name sortKey="Listl, Stefan" sort="Listl, Stefan" uniqKey="Listl S" first="Stefan" last="Listl">Stefan Listl</name>
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<title xml:lang="en">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>
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<term>Decision Making</term>
<term>Evidence-Based Dentistry (standards)</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (classification)</term>
<term>Jaw, Edentulous, Partially (complications)</term>
<term>Practice Guidelines as Topic (standards)</term>
<term>Tooth Eruption</term>
<term>Tooth Loss (complications)</term>
<term>Tooth Migration (etiology)</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Guides de bonnes pratiques cliniques comme sujet (normes)</term>
<term>Humains</term>
<term>Migration dentaire (étiologie)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Odontologie factuelle (normes)</term>
<term>Perte dentaire ()</term>
<term>Prise de décision</term>
<term>Éruption dentaire</term>
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<term>Jaw, Edentulous, Partially</term>
</keywords>
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<term>Jaw, Edentulous, Partially</term>
<term>Tooth Loss</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Tooth Migration</term>
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<keywords scheme="MESH" qualifier="normes" xml:lang="fr">
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Odontologie factuelle</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en">
<term>Evidence-Based Dentistry</term>
<term>Practice Guidelines as Topic</term>
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<term>Migration dentaire</term>
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<term>Decision Making</term>
<term>Humans</term>
<term>Tooth Eruption</term>
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<term>Humains</term>
<term>Mâchoire partiellement édentée</term>
<term>Perte dentaire</term>
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<div type="abstract" xml:lang="en">It is unclear whether or not untreated bounded edentulous spaces (BES) can cause patients problems because of migration of unopposed and adjacent teeth.</div>
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<Volume>39</Volume>
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<Month>Feb</Month>
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<Title>Journal of dentistry</Title>
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<ArticleTitle>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.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">It is unclear whether or not untreated bounded edentulous spaces (BES) can cause patients problems because of migration of unopposed and adjacent teeth.</AbstractText>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To quantitatively assess BES-related occlusal changes and the level of evidence available.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The available evidence demonstrated that for most cases occlusal changes in BES after tooth loss might be limited (on average up to 2mm). The quality of evidence was regarded as very low, however.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText>
<CopyrightInformation>Copyright © 2010 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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