治疗受创伤的强直性恒前牙的干预措施。
Interventions for treating traumatised ankylosed permanent front teeth.
作者信息
de Souza Raphael Freitas, Travess Helen, Newton Tim, Marchesan Melissa A
机构信息
Department of Dental Materials and Prosthodontics, Ribeirão Preto Dental School, University of São Paulo, Av. Do Café, s/n, Ribeirão Preto, São Paulo (SP), Brazil, 14040-904.
出版信息
Cochrane Database Syst Rev. 2015 Dec 16;2015(12):CD007820. doi: 10.1002/14651858.CD007820.pub3.
BACKGROUND
Teeth that have suffered trauma can fuse to the surrounding bone in a process called dental ankylosis. Ankylosed permanent front teeth fail to erupt during facial growth and can become displaced, thus resulting in functional and aesthetic problems. Dental ankylosis is also associated with root resorption, which may eventually lead to the loss of affected teeth. Different interventions for the management of ankylosed permanent front teeth have been described, but it is unclear which are the most effective.
OBJECTIVES
To evaluate the effectiveness of any intervention that can be used in the treatment of ankylosed permanent front teeth.
SEARCH METHODS
The following electronic databases were searched: the Cochrane Oral Health Group Trials Register (to 3 August 2015), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, 2015, Issue 7), MEDLINE via OVID (1946 to 3 August 2015), EMBASE via OVID (1980 to 3 August 2015) and LILACS via BIREME (1982 to 3 August 2015). We searched the US National Institutes of Health Trials Register (http://clinicaltrials.gov) and the WHO Clinical Trials Registry Platform for ongoing trials. No restrictions were placed on the language or date of publication when searching the electronic databases.
SELECTION CRITERIA
We included randomised controlled trials (RCTs) comparing any intervention for treating displaced ankylosed permanent front teeth in individuals of any age. Treatments could be compared with one another, with placebo or with no treatment.
DATA COLLECTION AND ANALYSIS
Two independent review authors screened studies independently. Full papers were obtained for potentially relevant trials. Although no study was included, the authors had planned to extract data independently and to analyse the data according to the Cochrane Handbook for Systematic Reviews of Interventions.
MAIN RESULTS
No randomised controlled trials that met the inclusion criteria were identified.
AUTHORS' CONCLUSIONS: We were unable to identify any reports of randomised controlled trials regarding the efficacy of different treatment options for ankylosed permanent front teeth. The lack of high level evidence for the management of this health problem emphasises the need for well designed clinical trials on this topic, which conform to the CONSORT statement (www.consort-statement.org/).
背景
遭受创伤的牙齿会在一个称为牙粘连的过程中与周围骨骼融合。粘连的恒牙前牙在面部生长期间无法萌出，并可能移位，从而导致功能和美观问题。牙粘连还与牙根吸收有关，这最终可能导致患牙脱落。已经描述了针对粘连恒牙前牙处理的不同干预措施，但尚不清楚哪些是最有效的。
目的
评估可用于治疗粘连恒牙前牙的任何干预措施的有效性。
检索方法
检索了以下电子数据库：Cochrane口腔卫生组试验注册库（至2015年8月3日）、Cochrane对照试验中心注册库（CENTRAL）（Cochrane图书馆，2015年第7期）、通过OVID检索的MEDLINE（1946年至2015年8月3日）、通过OVID检索的EMBASE（1980年至2015年8月3日）以及通过BIREME检索的LILACS（1982年至2015年8月3日）。我们检索了美国国立卫生研究院试验注册库（http://clinicaltrials.gov）和世界卫生组织临床试验注册平台以查找正在进行的试验。检索电子数据库时对语言或出版日期没有限制。
选择标准
我们纳入了比较任何干预措施治疗任何年龄个体移位粘连恒牙前牙的随机对照试验（RCT）。治疗可相互比较、与安慰剂比较或与不治疗比较。
数据收集与分析
两位独立的综述作者独立筛选研究。获取了可能相关试验的全文。尽管没有纳入任何研究，但作者原计划独立提取数据并根据Cochrane干预措施系统评价手册分析数据。
主要结果
未识别出符合纳入标准的随机对照试验。
作者结论
我们未能识别出关于粘连恒牙前牙不同治疗方案疗效的随机对照试验报告。对于这一健康问题的处理缺乏高水平证据，这凸显了对此主题进行符合CONSORT声明（www.consort-statement.org/）的精心设计的临床试验的必要性。
Zotero 插件