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牙齿外伤会对儿童和青少年与口腔健康相关的生活质量产生影响吗?

Does dental trauma have impact on the oral health-related quality of life of children and adolescents?

作者信息

Tewari Nitesh, Mathur Vijay P, Goel Shubhi, Rahul Morankar, Srivastav Sukeshana, Sultan Farheen, Haldar Partha, Ritwik Priyanshi

机构信息

Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.

Department of Orthodontics, Aarhus University, Aarhus, Denmark.

出版信息

Evid Based Dent. 2023 Mar;24(1):41. doi: 10.1038/s41432-023-00849-9. Epub 2023 Mar 6.

Abstract

RESEARCH QUESTION

Does dental trauma have impact on the oral health-related quality of life of children and adolescents?

RESEARCH PROTOCOL

Protocol was designed as per the best practices of evidence-based medicine, guidelines for umbrella reviews and registered in PROSPERO.

LITERATURE SEARCH

PubMed, Scopus, Embase, Web of Sciences and Lilacs were searched for studies meeting the inclusion criteria from start of databases to 15th July 2021. Grey literature and registries of systematic review protocols were also searched. Hand searching of the references of included articles was also performed. The literature search was updated on 15th October 2021. Scrutiny of the titles and abstracts and later full text was done as per the inclusion and exclusion criteria.

DATA EXTRACTION

Self-designed pre-piloted form was used by two reviewers.

QUALITY APPRAISAL

AMSTAR-2 was used to assess the quality of systematic reviews, PRISMA was used to check reporting-characteristics and citation-matrix was used to evaluate study-overlap. Quality of evidence was assessed by using Kohler's-criteria.

DATA ANALYSIS

Qualitative synthesis was performed for describing the study characteristics, details of sampling and the tool of OHRQoL used. The meta-analytic data was used for evaluating the evidence and its strength for each of the outcomes.

RESULTS AND INTERPRETATION

A significant impact of all types of TDI on OHRQoL in children and adolescents was observed. The effect of uncomplicated TDI on OHRQoL in children and all ages showed no difference from controls. Though the quality of evidence in these interpretations was weak.

摘要

研究问题

牙齿外伤是否会对儿童和青少年与口腔健康相关的生活质量产生影响?

研究方案

根据循证医学的最佳实践、伞状综述指南设计方案,并在国际前瞻性系统评价注册库(PROSPERO)中进行了注册。

文献检索

检索了PubMed、Scopus、Embase、科学网(Web of Sciences)和拉丁美洲及加勒比卫生科学数据库(Lilacs),以查找从各数据库建库起始至2021年7月15日符合纳入标准的研究。还检索了灰色文献和系统评价方案注册库。对纳入文章的参考文献也进行了手工检索。文献检索于2021年10月15日更新。根据纳入和排除标准对标题和摘要进行筛选,随后对全文进行筛选。

数据提取

由两名评审员使用自行设计的预试验表格。

质量评估

使用AMSTAR-2评估系统评价的质量,使用PRISMA检查报告特征,使用引文矩阵评估研究重叠情况。采用科勒标准评估证据质量。

数据分析

进行定性综合以描述研究特征、抽样细节和所使用的口腔健康相关生活质量工具。荟萃分析数据用于评估每个结局的证据及其强度。

结果与解读

观察到各类牙齿外伤指数(TDI)对儿童和青少年的口腔健康相关生活质量有显著影响。单纯性牙齿外伤指数对儿童及各年龄段口腔健康相关生活质量的影响与对照组无差异。不过这些解读中的证据质量较弱。

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