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1.
Caries Res ; 58(2): 59-67, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38194934

RESUMO

INTRODUCTION: There is an inconclusive causal association between asthma symptoms and dental caries in the primary dentition. This study aimed to investigate, using SEM (structural equation modeling), a possible causal relation between asthma and dental caries in the primary dentition. METHODS: Using data from the 2004 Pelotas Birth Cohort Study, a sub-sample of 1,303 individuals was selected. Dental caries was clinically evaluated at 5 years old based on decayed, missing, and filled tooth (dmft) index criteria. Asthma-related symptoms (wheezing and shortness of breath) at 1- and 4-year-olds composed a latent variable and were the main exposures to caries occurrence. SEM was used to identify possible direct, indirect, and mediated effects of asthma in primary dentition dental caries. RESULTS: The general prevalence of caries at age 5 was 1.95 (SD: 3.56). When comparing the dmft values for children with asthma symptoms and those without, they presented similar values in both periods where asthma symptoms were evaluated (1- and 4-year-old). SEM analysis showed that asthma was neither directly nor indirectly related to dental caries. CONCLUSION: Asthma, using a latent variable constructed based on asthma symptoms, showed no causal effect on dental caries occurrence in the primary dentition.


Assuntos
Asma , Cárie Dentária , Criança , Humanos , Pré-Escolar , Lactente , Cárie Dentária/complicações , Cárie Dentária/epidemiologia , Estudos de Coortes , Brasil/epidemiologia , Índice CPO , Asma/complicações , Asma/epidemiologia , Prevalência
2.
J Prosthet Dent ; 131(5): 811.e1-811.e10, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38480018

RESUMO

STATEMENT OF PROBLEM: The influence of computer-aided manufacturing (CAM) parameters and settings on the outcomes of milled indirect restorations is poorly understood. PURPOSE: The purpose of this scoping review was to summarize the current CAM systems, parameters, and setting changes, and their effects on different outcomes of milled indirect restorations and aspects related to their manufacture. MATERIAL AND METHODS: The protocol of this review is available online (https://osf.io/x28ps/). Studies that used at least 2 different parameters (CAM units, number of axes, digital spacers, or protocols with different rotatory instruments, grit-sizes, milling speed, or others) for milling indirect restorations were included. A structured search up to July 2023 was performed by 2 independent reviewers for articles written in English in LILACS, MEDLINE via PubMed, EMBASE, Web of Science, and Scopus. RESULTS: Of 1546 studies identified, 22 were included in the review. Discrepancies were found between the planned and actual measured cement space, with a decreasing linear relationship impacting restoration adaptation at different points. The CEREC MC XL milling machine was the most used system in the included studies, with variations in bur types, milling modes, and number of burs uses affecting internal fit and surface trueness. The results demonstrated the better adaptation of restorations made with 5-axis over 3-axis milling machines. Lithium disilicate and zirconia were the most commonly used materials, and crowns and inlays were popular designs. Marginal and internal adaptation were the primary outcomes assessed using the various techniques. CONCLUSIONS: The study presented a comprehensive exploration of CAM systems and parameters, and their influence on indirect restorations. The planned cement space was not properly reproduced by the milling. Bur characteristics can affect restoration fit and trueness. The 5-axis units seem to result in better-adapted restorations compared with 3- and 4-axis units.


Assuntos
Desenho Assistido por Computador , Planejamento de Prótese Dentária , Humanos , Planejamento de Prótese Dentária/métodos , Restauração Dentária Permanente/métodos , Adaptação Marginal Dentária
3.
BMC Med Res Methodol ; 23(1): 53, 2023 02 27.
Artigo em Inglês | MEDLINE | ID: mdl-36849932

RESUMO

BACKGROUND: The study aimed to explore reporting characteristics of scoping reviews in dental public health and the impact of some factors on the reporting quality. METHODS: This study searched for dental public health scoping reviews in PubMed and Scopus without year restrictions and restricted to English-language publications. Study selection was undertaken by two reviewers independently. One reviewer, after training, extracted data from included studies considering general study characteristics and reporting characteristics. The impact of PRISMA-ScR publication, journal endorsement, and use of study protocol on the reporting was explored. RESULTS: Eighty-one scoping reviews were included. Five items presented rates of appropriate reporting higher than 80% considering the overall percentage. Related to the impact of PRISMA-ScR publication, six items were found more often in scoping reviews published after the publication of PRISMA-ScR than in scoping reviews published before the publication of PRISMA-ScR. With regards to journals endorsement, only two reporting characteristics were found more often in scoping reviews published in journals that endorse the PRISMA-ScR statement than in scoping reviews published in non-endorsers journals. Last, regarding the use of the pre-specified protocol, five reporting characteristics presented differences in studies reporting the use of pre-specified protocol than in studies that did not mention the use of a protocol. All differences were statistically significant. CONCLUSIONS: Important information is missing in the included scoping reviews demonstrating crucial reporting problems.


Assuntos
Idioma , Saúde Pública , Humanos , PubMed
4.
Gen Dent ; 71(3): 28-34, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37083610

RESUMO

This systematic scoping review aimed to map available evidence regarding endodontic therapy in patients with inherited bleeding disorders (IBDs). Studies in medicine or dentistry were selected if they reported on endodontic therapy in individuals with IBDs such as hemophilia A, hemophilia B, or von Willebrand disease. Two independent researchers performed searches and screening in PubMed/MEDLINE, Embase, Scopus, Web of Science, and Cochrane Library. The search initially yielded 676 potentially relevant studies, 14 of which were included in the final analysis. Of these 14 studies, 3 were classified as consensus statements or guidelines, 3 as observational studies, 2 as reviews, 5 as case reports, and 1 as an editorial. Most of the evidence regarding prophylactic treatment (eg, blood transfusion, replacement therapy, or medication administration) prior to endodontic therapy was derived from observational studies. The most frequently reported procedure was endodontic therapy, while 1 case report described a surgical endodontic procedure. Most studies included in the analysis reported that these procedures could be performed under local anesthesia. Two case reports and 1 observational study described complications after endodontic therapy in patients with IBDs. This scoping review revealed a lack of well-designed studies related to the topic of endodontic therapy in patients with IBDs. The available evidence suggests that endodontic therapy in patients with IBDs can be considered a low-risk procedure; local anesthesia should be used in most cases when patients with IBDs are treated, but the use of prophylactic measures is preferred when nerve block anesthesia is required; endodontic therapy can be conducted in a clinical setting without the need for hospital admittance; and, although the number of reported complications is small, the risk should not be ignored.


Assuntos
Transtornos Herdados da Coagulação Sanguínea , Procedimentos Cirúrgicos Bucais , Humanos , Estudos Observacionais como Assunto
5.
J Prosthet Dent ; 2022 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-35527069

RESUMO

STATEMENT OF PROBLEM: How best to restore endodontically treated teeth is still unclear because many types of material and techniques are involved. PURPOSE: The purpose of this overview of systematic reviews of clinical studies was to assess the available evidence-based literature on the influence of associated clinical factors on the clinical performance (survival, failure rate, or success) of restored endodontically treated teeth. MATERIAL AND METHODS: PubMed, Scopus, and Web of Science were searched from inception until September 27, 2021, to identify systematic reviews. Two reviewers independently screened titles, abstracts, and full-text articles, and each reviewer extracted the data of half of the included studies. A single reviewer with an independent verifier completed the quality appraisal. A descriptive analysis of the collected data was made. RESULTS: A total of 36 systematic reviews fulfilled the inclusion criteria. The factors most assessed were the type of coronal restorative technique (n=22) and type of post (n=22). The results indicated that metal and fiber posts seem to present similar clinical performance, endocrowns could be a suitable restorative option, there is no evidence to confirm whether single crowns are better or worse than direct restoration, the maintenance of the coronal structure is a fundamental factor, and the ferrule effect is still a controversial topic. Most of the studies (n=30, 81%) presented a final Grading of Recommendations, Assessment, Development and Evaluations (GRADE) rating of "critically low." CONCLUSIONS: The post type does not appear to influence the clinical performance of restored endodontically treated teeth. However, conclusive evidence to suggest how different materials or techniques for restoring coronal tooth structure affect the clinical performance of such restorations, as well as the impact of the ferrule effect, is still lacking.

6.
J Prosthet Dent ; 128(6): 1335.e1-1335.e8, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36404161

RESUMO

STATEMENT OF PROBLEM: Zirconia has been reported to be suitable for multiunit monolithic restorations. However, as the connector region is the weakest part of the system, studies are needed to determine the optimal connector geometry. PURPOSE: The purpose of this in vitro study was to evaluate the load-bearing capacity under fatigue of implant-supported fixed partial prostheses made of monolithic zirconia with different connector cross-sectional geometries. MATERIAL AND METHODS: Three-unit monolithic fixed partial prostheses (from mandibular second premolar to the second molar) were fabricated in zirconia (Zenostar T) by computer-aided design and computer-aided manufacture (CAD-CAM). Different connector cross-sectional geometries, with an area of 9 mm2, were tested (n=10): round, square with rounded angles, or trapezoid with rounded angles. The prostheses were screwed over 2 implants and inserted into acrylic resin bases. The specimens were submitted to a mechanical fatigue test until failure, with load applied to the pontic using the stepwise stress methodology (initial load of 100 N for 5000 cycles, followed by an increase to 200 N for 20 000 cycles, with a subsequent increase of 50 N each step). For data analysis, fatigue failure load (FFL) and cycles for fatigue failure (CFF) were recorded. Failed structures were analyzed by fractography. The Kaplan-Meier test followed by a log-rank Mantel-Cox post hoc test was used to analyze FFL and CFF (α=.05). Weibull analysis was also performed. RESULTS: The round (1065 N) and trapezoid (1010 N) groups presented higher FFL values than the square one (870 N) (P≤.05). For CFF, the round connector (358 777) was better than the square (280 310) (P=.006), and the trapezoid (337 773) was statistically similar to both (P>.05). No difference among groups was observed in Weibull modulus either for CFF or FFL data. All failures were catastrophic, originating at the base of the connector and propagating toward the occlusal surface of the pontic (region under loading). CONCLUSIONS: The connector cross-sectional geometry significantly influenced the mechanical fatigue performance of implant-supported fixed partial prostheses made of monolithic zirconia.


Assuntos
Cerâmica , Implantes Dentários , Cerâmica/química , Análise do Estresse Dentário , Teste de Materiais , Propriedades de Superfície , Zircônio/química , Desenho Assistido por Computador , Suporte de Carga , Falha de Restauração Dentária , Porcelana Dentária/química
7.
J Prosthet Dent ; 126(4): 489-489.e5, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32981715

RESUMO

STATEMENT OF PROBLEM: The best protocol to restore endodontically treated teeth is still unclear, with many factors to be considered, including the selection and necessity of a post, the type of coronal restoration, the amount of remaining coronal structure, and the type of luting agent. PURPOSE: The purpose of this systematic review was to assess the restorative preferences for endodontically treated teeth between dentists and dental students. MATERIAL AND METHODS: Survey studies, written in English, of dentists and dental students, which evaluated the use of intracanal posts and other restorative options for endodontically treated teeth, were selected. Searches were performed in the PubMed and SCOPUS databases without time restriction. Screening and data extraction were performed by 2 researchers independently. A standardized outline was used to extract the data (questions related to the theme and the response rate of each question on the survey), and the risk of bias was assessed. Descriptive analysis was performed of the collected information. RESULTS: Twenty-five articles were included. Most dentists who answered the surveys reported the time since graduation as 1 to 20 years (40%), and 44% were specialists. The most reported choices concerning the type of posts used were prefabricated posts (45.8%), cast metal posts (16.7%), and both posts (16.7%). The cast metal posts were cited more frequently in surveys published between 1994 and 2010, whereas prefabricated posts, both metal and glass fiber ones, were cited between 2006 and 2019. The preferred luting agent for intracanal posts was resin-based (47%). These choices seem to have been influenced by time and by the level of postgraduate training. CONCLUSIONS: Restorative preferences related to posts have changed over time, from the use of cast posts to prefabricated ones or the use of both posts and seem to be influenced by experience and postgraduate training.


Assuntos
Técnica para Retentor Intrarradicular , Dente não Vital , Resinas Compostas , Coroas , Odontólogos , Humanos , Estudantes
8.
BMC Med Res Methodol ; 20(1): 57, 2020 03 11.
Artigo em Inglês | MEDLINE | ID: mdl-32160871

RESUMO

BACKGROUND: The aims of this study were to assess whether the previous registration of a systematic review (SR) is associated with the improvement of the quality of the report of SRs and whether SR registration reduced outcome reporting bias. METHODS: We performed a search in PubMed for SRs in dentistry indexed in 2017. Data related to SR registration and reporting characteristics were extracted. We analyzed if the reporting of 21 characteristics of included SRs was associated with the prospective registration of protocols or reporting of a previously established protocol. The association between prospective registering of protocols, reporting of funding and number of included studies versus outcome reporting bias was tested via multivariable logistic regression. RESULTS: We included 495 SRs. One hundred and 62 (32.7%) SRs reported registering the SR protocol or working from a previously established protocol. Thirteen reporting characteristics were described statistically significant in SRs registered versus SRs that were not. Publication bias assessment and Report the number of participants showed the highest effects favoring the register (RR 1.59, CI 95% 1.19-2.12; RR 1.58, CI 95% 1.31-1.92 respectively). Moreover, Registration was not significantly linked with the articles' reporting statistical significance (OR 0.96, CI 95% 0.49-1.90). CONCLUSION: There is a positive influence of previously registering a protocol in the final report quality of SRs in dentistry. However, we did not observe an association between protocol registration and reduction in outcome reporting bias.


Assuntos
Odontologia/normas , PubMed/normas , Relatório de Pesquisa/normas , Revisões Sistemáticas como Assunto/normas , Humanos , Modelos Logísticos , Análise Multivariada , Avaliação de Resultados em Cuidados de Saúde , Estudos Prospectivos , Viés de Publicação , Padrões de Referência , Projetos de Pesquisa/normas
9.
Int J Paediatr Dent ; 31 Suppl 1: 66-74, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33147369

RESUMO

BACKGROUND: The value of systematic reviews (SRs) is determined by methodology and reporting quality of primary studies and how the SR is conducted and reported. AIM: This study discusses key aspects of clinical trials (CTs) that might affect the value of SRs. DESIGN: Narrative review. RESULTS: We highlighted the following CT factors that could affect SR value: Defining the purpose of CTs is important because it could directly impact whether an SR question is appropriately answered and formulated; choose the most appropriate intervention to answer a proposed SR question is critical because we can exclude or include different studies, directly influencing selection bias; when conducting SRs, the study's search must be restricted to equal or highly similar comparison groups, allowing suitable comparisons of the outcomes' estimates; in SRs, it may be interesting to explore the effect of the most common definition of the disease used in clinical practice, being useful in evidence-based dentistry and easily translated to daily practitioners; and deficiencies in CT reporting can lead to unusable reports, biased results, and conclusions. CONCLUSION: All aspects discussed were found to be important for improving the use of evidence from CTs.


Assuntos
Ensaios Clínicos como Assunto , Relatório de Pesquisa , Revisões Sistemáticas como Assunto , Humanos , Projetos de Pesquisa
10.
J Clin Periodontol ; 46(4): 510-519, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30830688

RESUMO

AIM: Industry sponsorship might distort the conduct and findings of studies in a large range of medical disciplines. The objective of this study was to assess whether industry sponsorship bias is present in randomized controlled trials (RCTs) on dental implants. MATERIAL AND METHODS: Two databases were searched (MEDLINE; Web of Science) to identify RCTs published between 1996 and 2016 assessing different implant systems, components or techniques, such as implant-abutment connections, geometries, surfaces, loading protocols or regions of placement. Studies' sponsorship status was classified as unclear, non-sponsored or sponsored. Our outcome was marginal bone loss per year (MBL/year) of follow-up. Random-effects meta-analysis of MBL/year with subgroup analysis according to sponsorship status was performed. Moreover, multivariable stepwise-selection meta-regression was performed to assess whether sponsorship status, among other covariates, was associated with MBL/year. RESULTS: One hundred and two RCTs (4,775 patients, 8,806 implants) were included. Overall mean (95% confidence interval) MBL/year was 0.74 mm (95% CI 0.67/0.82). There was no significant difference in MBL/year among sponsorship categories; unclear: 0.64 (95% CI 0.37/0.91); non-sponsored: 0.65 (095% CI 0.55/0.75); and sponsored: 0.82 (95% CI 0.71/0.94). CONCLUSION: Meta-regression did not demonstrate a significant association of MBL/year with sponsorship status or other covariates was found. We did not detect significant sponsorship bias in RCTs on dental implants.


Assuntos
Viés , Implantes Dentários , Indústrias , Apoio à Pesquisa como Assunto , Implantação Dentária Endóssea , Humanos
11.
J Esthet Restor Dent ; 31(3): 222-232, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30821908

RESUMO

OBJECTIVE: This article aims to discuss key aspects of systematic reviews (SR) focusing on the improvement of the conduct and reporting. METHODS: Important aspects of SRs, such as prospective registration of the review protocol, basic structure, inclusion criteria, use of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement, confidence in the results and future directions are discussed. To determine relevant aspects, a search was conducted without date limitations in PubMed (October 15th, 2017) to identify SRs written in English evaluating clinical performance of direct composite resin restoration in permanent posterior teeth or comparing direct composite resin with other material/techniques. The quality of SRs included was assessed using the Assessing the Methodological Quality of Systematic Reviews 2 tool. RESULTS: Fifteen SRs were included. The overall confidence in the results of SRs was classified as critically low. Some aspects should be highlighted: SRs of in vitro studies are an important tool in restorative dentistry, and initiatives such as the PRISMA Statement and PROSPERO should be considered a standard code of practice. CONCLUSIONS: The compliance with and awareness of the discussed aspects may be a significant feature of the improvement of SR quality in the dentistry. CLINICAL SIGNIFICANCE: Initiatives such as the PRISMA Statement and PROSPERO should be taken in account by systematic reviewers in dentistry to improve the conduct and reporting of SRs, and to make their reviews are more clinically helpful.


Assuntos
Odontologia , Projetos de Pesquisa , Revisões Sistemáticas como Assunto , Estudos Prospectivos
12.
J Oral Implantol ; 45(4): 327-333, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31216256

RESUMO

The aim of this study was to evaluate the characteristics of randomized controlled trials (RCTs) regarding implant-supported single tooth or fixed partial dentures. We performed searches (PubMed/MEDLINE and Web of Science) to identify all RCTs published from 1996 to 2016 and assessed publication details, study characteristics, international collaboration networks, and characteristics related to the implant-supported treatment. Two reviewers independently screened the titles/abstracts and selected full texts. A total of 122 RCTs were included, and most of the authors were from Europe (72%). Most trials did not report a trial registering number (89.9%) or sample size calculation (58.2%). The use of the CONSORT Statement increased over the past 9 years. Trials were mostly conducted at universities (54.9%), and only 13.1% compared 2 or more implant brands. Loading protocol was the most prevalent main comparison among the included studies, and most of the RCTs did not clearly report whether they excluded patients with known risk factors. The studies reviewed here presented different methodological and publication characteristics, and many did not show aspects aligned with current research practices.


Assuntos
Implantação Dentária Endóssea , Implantes Dentários , Ensaios Clínicos Controlados Aleatórios como Assunto , Odontologia , Humanos , Metanálise em Rede
13.
J Prosthodont ; 28(2): e713-e721, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29578264

RESUMO

PURPOSE: To assess, through a systematic review, the influence of different implant geometries on clinical longevity and maintenance of marginal bone tissue. METHODS: An electronic search was conducted in MEDLINE, Scopus, and Web of Science databases, limited to studies written in English from 1996 to 2017 using specific search strategies. Only randomized controlled trials (RCTs) that compared dental implants and their geometries were included. Two reviewers independently selected studies, extracted data, and assessed the risk of bias of included studies. RESULTS: From the 4006 references identified by the search, 24 were considered eligible for full-text analysis, after which 10 studies were included in this review. A similar behavior of marginal bone loss between tapered and cylindrical geometries was observed; however, implants that had micro-threads in the neck presented a slight decrease of marginal bone loss compared to implants with straight or smooth neck. Success and survival rates were high, with cylindrical implants presenting higher success and survival rates than tapered ones. CONCLUSIONS: Implant geometry seems to have little influence on marginal bone loss (MBL) and survival and success rates after 1 year of implant placement; however, the evidence in this systematic review was classified as very low due to limitations such as study design, sample size, and publication bias. Thus, more well-designed RCTs should be conducted to provide evidence regarding the influence of implant geometry on MBL and survival and success rates after 1 year of implant placement.


Assuntos
Perda do Osso Alveolar/etiologia , Implantes Dentários , Implantação Dentária Endóssea/métodos , Falha de Restauração Dentária/estatística & dados numéricos , Humanos
14.
J Adhes Dent ; 20(1): 7-18, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29399679

RESUMO

PURPOSE: This study systematically reviewed the literature to compare the bonding ability of dental adhesives applied to sound dentin (SoD) vs caries-affected dentin (CAD). MATERIALS AND METHODS: Three international databases (Medline/PubMed, Scopus, and Web of Science) were searched. Eligible studies which evaluated the bond strength to both SoD and CAD were included. Random effects meta-analyses were conducted to calculate pooled mean difference between substrates, separately for etch-and-rinse and self-etch adhesives. Subgroup analyses were carried out to explore heterogeneity considering the methods used for removal of infected carious dentin. A comparison between etch-and-rinse and self-etch adhesives restricted to CAD was also performed. Statistical heterogeneity was considered using the I2 test. The risk of bias of all included studies was assessed. RESULTS: In total, 2260 articles were found, 65 were selected for full-text reading, and 40 studies were included. The meta-analyses favored SoD over CAD for both etch-and-rinse (effect size: -10.04; 95% confidence interval [CI]: -11.94, -8.14; I2 = 95%) and self-etch adhesives (effect size: -6.76; 95% CI: -8.23, -5.30; I2 = 89%). In the subgroup analyses, SoD was favored irrespective of the method used for caries removal (effect size ≤ -4.86; I2 ≥ 28%): excavation (manual or with burs), grinding with abrasive papers, combination of more than one method, and when the method was not mentioned. The meta-analysis restricted to CAD favored etch-and-rinse over self-etch adhesives (effect size: 3.13; 95% CI: 1.82, 4.44; I2 = 72%). Most included studies were judged as having an unclear risk of bias. CONCLUSION: Bonding to SoD yields better results compared to CAD. Etch-and-rinse adhesives performed better than self-etch adhesives when applied to CAD.


Assuntos
Colagem Dentária , Cárie Dentária , Dentina , Cimentos Dentários , Cavidade Pulpar , Adesivos Dentinários , Humanos , Cimentos de Resina , Resistência à Tração
16.
PLoS Med ; 13(5): e1002028, 2016 05.
Artigo em Inglês | MEDLINE | ID: mdl-27218655

RESUMO

BACKGROUND: Systematic reviews (SRs) can help decision makers interpret the deluge of published biomedical literature. However, a SR may be of limited use if the methods used to conduct the SR are flawed, and reporting of the SR is incomplete. To our knowledge, since 2004 there has been no cross-sectional study of the prevalence, focus, and completeness of reporting of SRs across different specialties. Therefore, the aim of our study was to investigate the epidemiological and reporting characteristics of a more recent cross-section of SRs. METHODS AND FINDINGS: We searched MEDLINE to identify potentially eligible SRs indexed during the month of February 2014. Citations were screened using prespecified eligibility criteria. Epidemiological and reporting characteristics of a random sample of 300 SRs were extracted by one reviewer, with a 10% sample extracted in duplicate. We compared characteristics of Cochrane versus non-Cochrane reviews, and the 2014 sample of SRs versus a 2004 sample of SRs. We identified 682 SRs, suggesting that more than 8,000 SRs are being indexed in MEDLINE annually, corresponding to a 3-fold increase over the last decade. The majority of SRs addressed a therapeutic question and were conducted by authors based in China, the UK, or the US; they included a median of 15 studies involving 2,072 participants. Meta-analysis was performed in 63% of SRs, mostly using standard pairwise methods. Study risk of bias/quality assessment was performed in 70% of SRs but was rarely incorporated into the analysis (16%). Few SRs (7%) searched sources of unpublished data, and the risk of publication bias was considered in less than half of SRs. Reporting quality was highly variable; at least a third of SRs did not report use of a SR protocol, eligibility criteria relating to publication status, years of coverage of the search, a full Boolean search logic for at least one database, methods for data extraction, methods for study risk of bias assessment, a primary outcome, an abstract conclusion that incorporated study limitations, or the funding source of the SR. Cochrane SRs, which accounted for 15% of the sample, had more complete reporting than all other types of SRs. Reporting has generally improved since 2004, but remains suboptimal for many characteristics. CONCLUSIONS: An increasing number of SRs are being published, and many are poorly conducted and reported. Strategies are needed to help reduce this avoidable waste in research.


Assuntos
Pesquisa Biomédica , Métodos Epidemiológicos , Projetos de Pesquisa , Literatura de Revisão como Assunto , Pesquisa Biomédica/estatística & dados numéricos , Estudos Transversais , Humanos
18.
J Dent ; 144: 104869, 2024 05.
Artigo em Inglês | MEDLINE | ID: mdl-38301766

RESUMO

OBJECTIVES: This study evaluates the endorsement of open science practices by dental journals. MATERIALS AND METHODS: This was a meta-research study that included journals listed in the 2021 Journal Citation Reports under Dentistry. A comprehensive evaluation was performed by accessing journal websites to ascertain the availability of publicly accessible instructions to authors in Portuguese, English, or Spanish. A researcher extracted information from the "Instructions for Authors" section, encompassing the journal's impact factor, mention of any reporting guidelines, details on data sharing, acceptance of articles in preprint format, and information regarding study protocol registration. Descriptive data analysis was conducted using the Stata 14.0 program, and an Open Science Score (OSS) (ranging from 0 to 100 %) was calculated for each journal by considering five open science practices. Pearson's correlation test was conducted to determine the relationship between the OSS score and journal impact factor. RESULTS: Ninety journals were included in the study. Most journals (70 %) indicated the mandatory use of reporting guidelines, while 60 % recommended data sharing. Conversely, 46.7 % did not provide information on study protocol registration, and 44.4 % stipulated them as mandatory for authors. Regarding preprints, 50 % of the journals did not provide any information, but 46.7 % confirmed their acceptance. The mean OSS was 52.9 % (standard deviation 26.2). There was a weak correlation (Pearson's correlation coefficient of 0.221) between the journal impact factor and OSS (P-value=0.036). CONCLUSION: This study found varying degrees of endorsement of open science practices among dental journals. CLINICAL SIGNIFICANCE: Dental practitioners rely on high-quality, evidence-based research for informed decision-making. By assessing the endorsement of open science practices, our study contributes to improving the quality and reliability of dental research, ultimately enhancing the evidence base for clinical practice.


Assuntos
Pesquisa em Odontologia , Publicação de Acesso Aberto , Publicações Periódicas como Assunto , Humanos , Odontologia , Guias como Assunto , Disseminação de Informação , Fator de Impacto de Revistas , Editoração
19.
J Prosthet Dent ; 109(1): 1-4, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23328190

RESUMO

The preservation of teeth to support an attachment-retained overdenture is an appropriate and stable alternative to extractions and complete dentures. A key to success is the strategic selection of teeth for retention. This clinical report discusses a method for fabricating an overdenture based on a combination of direct and indirect impression techniques. This technique is a simple and time-efficient alternative to traditional methods that aids in overcoming difficulties in fabricating overdentures.


Assuntos
Técnica de Moldagem Odontológica , Planejamento de Dentadura/métodos , Revestimento de Dentadura , Técnica para Retentor Intrarradicular , Encaixe de Precisão de Dentadura , Prótese Total Superior , Humanos , Masculino , Mandíbula , Pessoa de Meia-Idade , Dimensão Vertical
20.
J Dent ; 136: 104634, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37488044

RESUMO

OBJECTIVE: This study aims to assess the use, impact, and dissemination of preprints in dentistry. METHODS: This is a meta-research study with a cross-sectional design. We included preprints published in dentistry, regardless of the year of publication. Searches were performed in the medRxiv.org and Preprints.org platforms and restricted to English. One researcher extracted the data, and another researcher verified data consistency. The following data were extracted: year of publication, country of the corresponding author, number of abstract and full-text views and downloads, Altmetric attention score, whether the preprint was mentioned in other servers such as Twitter and Publons, number of mentions in other servers, number of citations in the Dimensions database, and whether the preprint had already been published in a peer-reviewed journal. If already published, we extracted the journal's impact factor (JCR 2021) and the number of citations in the Dimensions database. We conducted a descriptive analysis of the extracted characteristics and explored relationships between metrics using the Spearman correlation. RESULTS: We identified 276 preprints. Most of the studies were published between 2020 and 2022 (n = 229), especially those from ten countries. The most-cited preprint and published article are the same study. Only the correlation between the number of preprint citations and peer-reviewed article citations in the Dimensions database showed a large positive association (Spearman's rho = 0.5809). CONCLUSION: Preprints gained popularity over the last several years due to the COVID-19 pandemic and reached a larger audience, especially on platforms such as Twitter. CLINICAL SIGNIFICANCE: Preprint publishing allows faster dissemination of science for the benefit of society.


Assuntos
COVID-19 , Humanos , Estudos Transversais , Pandemias , Bases de Dados Factuais , Odontologia
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