Evidens-basertodontologi

…og kliniske retningslinjerAsbjørn Jokstad

Institutt for klinisk odontologiUniversitetet i Oslo

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r Anaesthesia for treating distal radial fracture in adults,

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FlttD AOOUT EXIT

Send a comment about this protocol

IHTERVEHTlOHS FOR TREATlHG TROUBlE-FREE IMPACTED WlSDOM TEETH IH ADUl TS

(Protoeol)

van der Sanden WJM, Mettes TG, Verdonschot EH, van't Hof MA, Nienhuijs M, Plasschaert AJM

Date of most recent substantive update: 24 April 2002

This protocol should be cited as: van der Sanden WJM, Mettes TG, Verdonschot EH, van't

Hof MA, Nienhuijs M, Plasschaert AJM, Interventions for treating trouble-free impacted wisdom teeth in adults (Protocol for a Cochrane

Review), In: The Cochrane Library, Issue 4, 2002, Oxford: Update Software

BACKGRDUND

Wisdom teeth or third molars generally erupt into the mouth between the ages of 17 to 24 years (Garcia 1989; Hugoson 1988), More than other teeth, wisdom teeth often fail to erupt or erupt on ly partially (Hugoson 1988), Impaction occurs where complete

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The Cochrane Library presents the work of the Cochrane Collaboration and others interested in assembling reliable information to guide health-care decisions,

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((impacted and (tooth or teeth)) or (wisdom and (tooth or teeth))) - 408 hits

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• Database of Abstracts of Reviews of Effectiveness (4 out of 3740)

• Abstracts of quality assessed systematic reviews (4 out of 2940)

r Prophylactic Removal of Impacted Third Molars: is it Justified? (Provisional record),

r The effectiveness and cost-effectiveness of prophylactic removal of wisdom teeth (Provisional record) ,

r The effectiveness of acupuncture in treating acute dental pain: a systematie review (Structured abstract) ,

r The use of acupuncture in dentistry: a systematie review (Structured abstract),

• Other reviews: bibliographic details only (O out of 800)

• The Cochrane Central Register of Controlled Trials (CENTRAL) (389 out of 345378;..) __ .. __ _

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• About the Cochrane Collaboration (2 out of 86)

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r Guidanee on the removal of wisdom teeth,

r Prophylactic removal of impacted third molars: is it justified?,

r The effectiveness and cost-effectiveness of prophylactic removal of wisdom teeth,

• NHS Economic evaluation database (NHS EED) (O out of 10255)

Send a comment about this protocol

ItHERVENTIONS fOR TREATING TROUBLE-fREE IMPACTED WlSDOM TEETH IN ADUL TS

(Protoeol)

van der Sanden WJM, Mettes TG, Verdonschot EH, van't Hof MA, Nienhuijs M, Plasschaert AJM

Date of most recent substantive update: 24 April 2002

This protocol should be cited as: van der Sanden WJM, Mettes TG, Verdonschot EH, van't

Hof MA, Nienhuijs M, Plasschaert AJM, Interventions for treating trouble-free impacted wisdom teeth in adults (Protocol for a Cochrane

Review), In: The Cochrane Library, Issue 4, 2002, O xford: Update Software

BACKGROUNO

Wisdom teeth or third molars generally erupt into the mouth between the ages of 17 to 24 years (Garcia 1989: Hugoson 1988), More than other teeth, wisdom teeth often fail to erupt or erupt only partially (Hugoson 1988), Impaction occurs where complete .:.l'llliri .... n int"("a -=- 1"'1""1'11'1;.1 flln.-ri .... n;.1 n.-.-:::i,.i .... n .-.f -=- ,..-..-.rh i-::

the cochrane Ubrary

the best single source of reliable evidence about the effects of health care

The Cochrane Library presents the work of the Cochrane Collaboration and others interested in assembling reliable information to guide health-care decisions,

N=17 vs. N=280 vs. N=27

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Sele et from two filters to limit your retrieval. Cho ose either Clinie al Querie s or Systematie Reviews. Enter your se areh topie in the b ox b elow and eliek Go.

r. Clinical Queries using Research Methodology Filters

This specialized search is intended for clinicians and has built-in search "filters" based largelyon Haynes RE et al .. F our study categories are provided, and the emphasis may be more sensitive (i.e., most relevant artic1es but probably some less relevant ones) or more specifie (i.e., mostly relevant artic1es but pro b ably omiting a few). Se e filter table for details .

r therapy r diagnosis r etiology r. prognosis

r s ensitivity r. sp e eifieity

ure retrieve s systematie review provide .

1'l1I!!"'IiIi1~ch topic(s). For more information, see Help . Related sources are also

How many reports related to the topic can be identified?

How are these approximately 300 reports characterized according to study design?

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How many reports related to the topic can be identified?

How can these reports be characterized. Which study design? How many reports are included within each category?

What is the methodological scientific quality of these reports?

How many reports can be excluded due to questionable methodological validity?

Prognosis

• An inception cohort of persons, all initially free of the outcome of interest

• Follow-up of at least 80 per cent of patients until the occurrence of either a major study criteria or the end of the study

• A statistical analysis consistent with the study design.

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Nhs hta

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El···D Health Technology Asses

~""'D NHS R&D HTA Prograr i·····D Contents i···· O List of abbreviations

i······O Executive summary

$"'0 Chapter 1 - Backgrounr ~ ~"' D Introduction i i····D Impacted third mola i i····D Pathological chang{ i L.··D Complications and I

$"'0 Chapter 2 - Aims and n ~ ~ ·····D .Aims i L.··D Methods

$"0 Chapter 3 - Results ~ ~"'D Included studies i i····D Excluded studies

i i····D Results from RCTs

i i·· .o Results from literatl

i i·· .o Decision analyses f i L. D Cost and cost-effec'

$·· 0 Chapter 4 - Discussion

~ ~" D Quality of available i L. D Conclusions

i·····D Acknowledgements i·····D References

i···D Appendix 1 - Search st.

i"'D Appendix 2 - Summary' i·D Appendix 3 - Summary

i· D Appendix 4 - Data extn i·D Appendix 5 - Studies e L.·D Health Technology Ass

e j1 25%

' eald echnology Assessr1 e lt 100 O; Vol 4: No, 15

The effectiveness and eost .. effectiveness of prophyl actic removal of wisdom teeth

F Sang S Q 'Meara

PWilson S Galder J Kleijnen

© Queen's Printer and Controller of HMSO 2001

Rapid review

dgzmk 2001

Selection of papers

CCTs + Clinic trials

60BAOMS, UK, 1995

CCTs + Clinic trials

77ANAES, France, 1997

RCTs + CCTs

64SIGN, Scotland, 2000

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52NHS R&D, UK, 2000

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1995: Am.Acad.Oral Med.Surg. Parameters of Care

1991 Am.Acad.Oral Med.SurgParameters of Care

1993: Am.Acad.Or.Med.Surg. Workshop on the managem. of patients with third molar teeth

2000: SIGN Guidelines

1980 1990 20001995: Br. Assoc.Oral Med. Surg. Pilot Clinical Guidelines

1996: NHS R&D. National guidelines

Sept 1997: FacDentSurg RoyCollSurg(Eng)

1998: Effectiveness Matters 3(2)

2000: NHS R&D HTA Programme2000: NICE Guidelines

Dentists' decisions on proph)rlactic remo\Tal of mandibular third molars: a lO-year follo'Vv-up stu ,dy Knutsson Kr L s I.l Lr R hUn M: Dentists' d d.sions n pr ph la ti 1 mo 'il l of ma nd ibular third m lars: a 1 -y ar foll ~ -Llp s l-ud . mm w1iJ . D at raI E id n ,iol 20 1; 2 : ~C8-1 ,e M unksgaardr 20 1

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We have learned:

Systematic reviews and guidelines are not necessarily known to the community of dental practitioners

Who’s responsibility to disseminate new research findings to the community of dental practitioners?

Who’s responsibility for disseminating new research findings to the community of (dental) practitioners?

… and verify its implementation?

Nhs hta

File Edi~

El···D Health Technology Asses

~""'D NHS R&D HTA Prograr i·····D Contents i···· O List of abbreviations

i······O Executive summary

$"'0 Chapter 1 - Backgrounr ~ ~"' D Introduction i i····D Impacted third mola i i····D Pathological chang{ i L.··D Complications and I

$"'0 Chapter 2 - Aims and n ~ ~ ·····D .Aims i L.··D Methods

$"0 Chapter 3 - Results ~ ~"'D Included studies i i····D Excluded studies

i i····D Results from RCTs

i i·· .o Results from literatl

i i·· .o Decision analyses f i L. D Cost and cost-effec'

$·· 0 Chapter 4 - Discussion

~ ~" D Quality of available i L. D Conclusions

i·····D Acknowledgements i·····D References

i···D Appendix 1 - Search st.

i"'D Appendix 2 - Summary' i·D Appendix 3 - Summary

i· D Appendix 4 - Data extn i·D Appendix 5 - Studies e L.·D Health Technology Ass

e j1 25%

' eald echnology Assessr1 e lt 100 O; Vol 4: No, 15

The effectiveness and eost .. effectiveness of prophyl actic removal of wisdom teeth

F Sang S Q 'Meara

PWilson S Galder J Kleijnen

© Queen's Printer and Controller of HMSO 2001

Rapid review

Nice

2001

www.agreecollaboration.org

foroppmerksomheten!