Antunes Leonardo S, Souza Claudia R, Salles Alessandro G, Gomes Cinthya C, Antunes Livia A
Department of the Specific Formation, Fluminense Federal University School of Dentistry, Nova Friburgo, RJ, Brazil.
School of Dentistry, Fluminense Federal University, Niteroi, RJ, Brazil.
Eur Endod J. 2017 Nov 2;3(1):2-8. doi: 10.5152/eej.2017.17008. eCollection 2018.
Could conventional endodontic treatment have an impact on oral health-related quality of life? There are still unresolved questions regarding this theme. In order to answer them, a systematic review on the available literature was undertaken to identify the methodological quality of and the risk of bias in all relevant studies. A broad search for articles was conducted, and only articles published before May 2016 were considered for review. The following portals were used: Pubmed, VHL (Medline, SciELO, Lilacs and BBO), Cochrane Library, and Web of Science. The keywords used for the search were 'quality of life' and 'root canal treatment.' Furthermore, we included MeSH synonyms, related terms and free terms. Articles written in any language were included according to the PICOS approach (population, intervention, comparison, outcome and study design). After application of these eligibility criteria, selected articles were qualified by assessing their methodological quality and potential risk of bias. The initial search identified 302 references. After excluding duplicated abstracts and analysing the titles and abstracts, 6 were selected. One study was added via manual search of the reference lists. From these, 2 were eligible for quality assessment and were classified as being of high methodological quality and as having low risk of bias. Based on these studies, it can be concluded that conventional endodontic treatment improves oral health-related quality of life. However, these results should be interpreted with caution, due to the lack of important methodological details in the included studies. Additional investigations are warranted to provide more evidence on this subject.
传统牙髓治疗会对口腔健康相关生活质量产生影响吗？关于这个主题仍有未解决的问题。为了回答这些问题，我们对现有文献进行了系统综述，以确定所有相关研究的方法学质量和偏倚风险。我们广泛搜索了文章，仅考虑2016年5月之前发表的文章进行综述。使用了以下数据库：PubMed、VHL（Medline、SciELO、Lilacs和BBO）、Cochrane图书馆和科学网。搜索使用的关键词是“生活质量”和“根管治疗”。此外，我们还纳入了医学主题词表同义词、相关术语和自由词。根据PICOS方法（人群、干预措施、对照、结局和研究设计）纳入任何语言撰写的文章。应用这些纳入标准后，通过评估所选文章的方法学质量和潜在偏倚风险对其进行筛选。初步搜索确定了302篇参考文献。排除重复摘要并分析标题和摘要后，筛选出6篇。通过手动搜索参考文献列表又增加了1项研究。其中，2项符合质量评估标准，被归类为方法学质量高且偏倚风险低。基于这些研究，可以得出结论，传统牙髓治疗可改善口腔健康相关生活质量。然而，由于纳入研究缺乏重要的方法学细节，这些结果应谨慎解读。有必要进行更多研究以提供关于该主题的更多证据。
