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第三磨牙拔除的诊断和适应证——SECIB 临床实践指南。

Diagnosis and indications for the extraction of third molars - The SECIB clinical practice guideline.

机构信息

Faculty of Medicine and Health Sciences, School of Dentistry Campus de Bellvitge, Universitat de Barcelona C/Feixa Llarga, s/n, Pavelló Govern, 2ª planta, Despatx 2.9 08907 L'Hospitalet de Llobregat, Barcelona, Spain

出版信息

Med Oral Patol Oral Cir Bucal. 2024 Jul 1;29(4):e545-e551. doi: 10.4317/medoral.26524.

DOI:10.4317/medoral.26524
PMID:38368528
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11249379/
Abstract

BACKGROUND

The removal of third molars (3Ms) is the most frequent surgical procedure in the field of Oral Surgery. As a result, the Spanish Society of Oral Surgery (SECIB) aims to create a Clinical Practice Guideline (CPG) that offers evidence-based recommendations for optimal clinical practice. Specifically, the CPG will focus on providing guidance regarding the indications and criteria for clinical and radiological diagnosis of patients with 3Ms.

MATERIAL AND METHODS

This CPG was developed by the SECIB, following the methodological guidelines described in the methodological manual for the "Development of Clinical Practice Guidelines in the National Health System". Several PICO questions related to the diagnosis and indications for the extraction of 3Ms were formulated. The leading experts carried out the evaluation of the evidence and the formulation of specific recommendations.

RESULTS

A total of 17 PICO questions were evaluated, addressing the indications, prognosis, diagnosis, and cost-benefit relationship of 3M extraction.

CONCLUSIONS

The present Clinical Practice Guideline provides evidence-based recommendations on the diagnosis and indications for 3M extraction. These evidence-based recommendations can assist healthcare professionals and the general population in making informed decisions regarding the management of 3Ms.

摘要

背景

拔除第三磨牙(3Ms)是口腔外科领域最常见的手术。因此,西班牙口腔外科学会(SECIB)旨在制定临床实践指南(CPG),为最佳临床实践提供循证建议。具体来说,CPG 将侧重于提供有关 3Ms 患者临床和放射学诊断的适应证和标准的指导。

材料和方法

本 CPG 由 SECIB 制定,遵循“国家卫生系统临床实践指南制定方法手册”中描述的方法学指南。制定了几个与 3M 拔除的诊断和适应证相关的 PICO 问题。主要专家对证据进行评估并制定具体建议。

结果

共评估了 17 个 PICO 问题,涉及 3M 拔除的适应证、预后、诊断和成本效益关系。

结论

本临床实践指南提供了关于 3M 拔除诊断和适应证的循证建议。这些循证建议可以帮助医疗保健专业人员和公众在管理 3M 方面做出明智的决策。

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本文引用的文献

1
Prophylactic removal of impacted mandibular third molars: a systematic review and economic evaluation.预防性拔除下颌阻生第三磨牙:系统评价和经济评估。
Health Technol Assess. 2020 Jun;24(30):1-116. doi: 10.3310/hta24300.
2
French good practice guidelines regarding third molar removal: Indications, techniques, methods.法国关于第三磨牙拔除的良好实践指南:适应证、技术、方法。
J Stomatol Oral Maxillofac Surg. 2020 Sep;121(4):418-429. doi: 10.1016/j.jormas.2020.05.026. Epub 2020 Jun 18.
3
Surgical removal versus retention for the management of asymptomatic disease-free impacted wisdom teeth.手术拔除与保留用于无症状且无疾病的阻生智齿的处理
Cochrane Database Syst Rev. 2020 May 4;5(5):CD003879. doi: 10.1002/14651858.CD003879.pub5.
4
International benchmarking of hospitalisations for impacted teeth: a 10-year retrospective study from the United Kingdom, France and Australia.阻生牙住院情况的国际基准研究:一项来自英国、法国和澳大利亚的10年回顾性研究。
Br Dent J. 2014 Apr;216(7):E16. doi: 10.1038/sj.bdj.2014.251.