Srivastav Sukeshana, Tewari Nitesh, Atif Mohammad, Antonarakis Gregory S, Shrestha Rabindra Man, Haldar Partha
PhD Student, Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
Additional Professor, Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
Evid Based Dent. 2025 May 27. doi: 10.1038/s41432-025-01166-z.
To assess the global status of the knowledge, attitudes, and practices of orthodontists regarding the orthodontic treatment of traumatized teeth.
An a priori protocol was developed and registered (PROSPERO, CRD42022342038). The literature search based on the Population, Intervention, Comparator, and Outcome (PICO) elements of the research question was developed and conducted electronically in PubMed, LILACS, Web of Science, EMBASE, Scopus, and the Cochrane Library, up to 31st August 2024. Gray literature and reference searches were also performed. Titles and abstracts were screened, and later, full-text articles were identified. Data extraction and analysis were performed, and the risk of bias was analyzed via the Joanna Briggs Institute Critical Appraisal Checklist for cross-sectional analytical studies. The data was synthesized in form of tables and interpretation was performed.
From a total of 1272 articles initially identified, six studies qualified for the final synthesis. The awareness of orthodontic treatment of teeth with root fractures, crown fractures, crown‒root fractures, mild and severe injury to the periodontium, and teeth managed by revascularization and root canal treatment was found to be less than 40% in most of the studies. Awareness regarding the risk of resorption in teeth with external inflammatory root resorption and avoiding forces on teeth with ankylosis was greater than 90%. The risk of bias was found to be low in three studies.
The knowledge of orthodontists regarding most aspects of orthodontic management of traumatized teeth was found to be low or inadequate. There are wide variations in the protocols preferred, which differ from contemporary recommendations and evidence.
评估正畸医生对创伤牙正畸治疗的知识、态度和实践的全球现状。
制定并登记了一项预先设定的方案（PROSPERO，CRD42022342038）。基于研究问题的人群、干预措施、对照和结局（PICO）要素开展文献检索，并于2024年8月31日前在PubMed、LILACS、科学网、EMBASE、Scopus和Cochrane图书馆进行电子检索。还进行了灰色文献和参考文献检索。筛选标题和摘要，随后确定全文文章。进行数据提取和分析，并通过乔安娜·布里格斯研究所横断面分析研究批判性评价清单分析偏倚风险。数据以表格形式进行综合并进行解读。
在最初识别的1272篇文章中，共有6项研究符合最终综合分析的要求。在大多数研究中，发现正畸医生对根折牙、冠折牙、冠根折牙、轻中度和重度牙周损伤牙以及通过血管再生和根管治疗处理的牙齿进行正畸治疗的知晓率低于40%。对外部炎性根吸收牙齿的吸收风险以及避免对粘连牙施加力的知晓率大于90%。在三项研究中发现偏倚风险较低。
发现正畸医生对创伤牙正畸治疗大多数方面的知识水平较低或不足。在首选方案方面存在很大差异，这些方案与当代建议和证据不同。
