Dentistry

Systematic reviews investigating methods for prevention, diagnosis, and treatment

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SBU Evidence map

systematically evaluates the quality of systematic reviews in a particular field for the purpose of identifying reliable evidence and gaps in scientific knowledge. SBU Evidence Maps are generated with the help of experts in the field. Prior to publication, maps are examined by independent experts, as well as our quality and priority group and SBU’s Scientific Advisory Committees.

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Published: Report no: 321 Registration no: SBU 2019/498 ISBN: 978-91-88437-65-5 https://www.sbu.se/321e

Aim

The aim of this report is to assess all systematic reviews that have evaluated methods used for preventing, diagnosing, or treating various conditions in the field of dentistry. The systematic reviews are mapped to the following dental areas: Endodontology, Dental implantology, Cariology, Oral and maxillofacial surgery, Prosthodontics, Orofacial medicine, Orofacial Pain and Jaw Function/ Clinical oral physiology, Orthodontics, Periodontology and Pediatric dentistry.

Method

Inclusion criteria:

Population: No limitation

Intervention/Index test: Methods used for the purpose of preventing, diagnosing, or treating various conditions in the field of dentistry

Control/Reference test: No limitations

Outcome: Any that measures the effects of an intervention or the accuracy of an index test

Study design: Systematic reviews

Language: English

Search period: From 2000 to 2019. Final search February 2019.

Databases searched: Cochrane Database of Systematic Reviews, Embase and PubMed

The PICO/PIRO for this map, as well as the categories used to classify the content in the map, were outlined by the project group. A systematic literature search was thereafter designed and performed by an information specialist in order to identify all published systematic reviews potentially relevant for the PICO/PIRO. After the literature search was performed, two reviewers independently screened the abstracts and full texts and selected the relevant systematic reviews. Risk of bias in the included systematic reviews were assessed independently by two reviewers using a modified version of the AMSTAR tool. Any disagreement regarding relevance or risk of bias was solved by a discussion.

Based on the research questions in the relevant the systematic reviews, they were mapped to

  • one or several of the following clinical strategies; prevention, diagnosis or treatment, and
  • one or several of the following dental areas: Endodontology, Dental implantology, Cariology, Oral and maxillofacial surgery, Prosthodontics, Orofacial medicine, Orofacial Pain and Jaw Function/ Clinical oral physiology, Orthodontics, Periodontology and Pediatric dentistry.

In addition to the map that covers the dental field as a whole, a map for each dental area, which included systematic reviews of low or moderate risk of bias, was also formed.

The report was reviewed by SBU’s internal quality assurance group, SBU´s scientific advisory board and external reviewers,

Results

Altogether, 2918 relevant systematic reviews were identified, out of which approximately 1300 hold a low or moderate risk of bias. In the interactive maps, relevant systematic reviews within a specific area can easily be identified and accessed through the connecting links.

Conflicts of Interest

In accordance with SBU’s requirements, the experts and scientific reviewers participating in this project have submitted statements on their potential conflicts of interest. These documents are available at SBU’s secretariat. SBU has determined that the conditions described in the submissions are compatible with SBU’s requirements for objectivity and impartiality.

Evidence map Dentistry

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Search strategies

Cochrane Library via Wiley January 21 2019 (CDSR)

The search result, usually found at the end of the documentation, forms the list of abstracts.; :au = Author; MeSH = Term from the Medline controlled vocabulary, including terms found below this term in the MeSH hierarchy; this term only = Does not include terms found below this term in the MeSH hierarchy; :ti = title; :ab = abstract; :kw = keyword; * = Truncation; “ “ = Citation Marks; searches for an exact phrase

CDSR = Cochrane Database of Systematic Review; CENTRAL = Cochrane Central Register of Controlled Trials, “trials”; CRM = Method Studies; DARE = Database Abstracts of Reviews of Effects, “other reviews”; EED = Economic Evaluations; HTA = Health Technology Assessments
Search terms Items found
1. MeSH descriptor: [Dental Health Services] explode all trees 613
2. MeSH descriptor: [Dentistry] explode all trees 16456
3. MeSH descriptor: [Stomatognathic Diseases] explode all trees 20025
4. MeSH descriptor: [Biomedical and Dental Materials] explode all trees 19102
5. MeSH descriptor: [Dentists] explode all trees 80
6. MeSH descriptor: [Oral Health] explode all trees 350
7. MeSH descriptor: [Dental Facilities] explode all trees 78
Combined sets/Limits
8. 1-7 (OR) CDSR/375

Embase via Elsevier December 1 2017

The search result, usually found at the end of the documentation, forms the list of abstracts.; /de = Term from the EMTREE controlled vocabulary; /exp = Includes terms found below this term in the EMTREE hierarchy; /mj = Major Topic; :ab = Abstract; :au = Author; :ti = Article Title; :ti:ab = Title or abstract; * = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms Items found
1. 'dentistry'/exp 132170
2. 'dental procedure'/exp 212422
3. 'biomedical and dental materials'/exp 681442
4. 'mouth disease'/exp 560045
5. 'dentist'/exp 24593
6. 'jaw disease'/exp 115256
7. 'dental device'/exp 131928
8. 1-7 (OR) 1474149
Study types: systematic reviews
9. 'systematic review'/de 189815
10. 'meta analysis'/de 153609
11. [cochrane review]/lim 20011
12. (systematic* NEXT/3 (review* OR overview)):ti,ab OR (systematic* NEXT/3 bibliographic*):ti,ab OR (systematic* NEXT/3 literature):ti,ab OR (meta-analy* or metaanaly*):ti,ab 295355
13. 9-12 (OR) 373743
Combined sets/Limits:
14. 8 AND 13 AND [embase]/lim 12548

PubMed via NLM January 21 2019

The search result, usually found at the end of the documentation, forms the list of abstracts.; [MeSH] = Term from the Medline controlled vocabulary, including terms found below this term in the MeSH hierarchy; [MeSH:NoExp] = Does not include terms found below this term in the MeSH hierarchy; [MAJR] = MeSH Major Topic; [TIAB] = Title or abstract; [TI] = Title; [AU] = Author; [OT] = Other term; [TW] = Text Word; Systematic[SB] = Filter for retrieving systematic reviews; * = Truncation
Search terms Items found
1. "Dental Health Services"[Mesh] 36655
2. "Dentistry"[Mesh] 386713
3. "Stomatognathic Diseases"[Mesh] 498599
4. "Biomedical and Dental Materials"[Mesh] 586206
5. "Dentists"[Mesh] 18102
6. "Oral Health"[Mesh] 14509
7. "Dental Facilities"[Mesh] 8435
8. ((((((temporomandibular[tiab] or bruxism[tiab] OR pulp[ti] or apical periodontitis[tiab] or apical surgery[tiab] or endodontic*[tiab] or osteitis[tiab] or pulp capping[tiab] or pulp therapy[tiab] or pulp treatment[tiab] or pulpal necrosis[tiab] or pulpectomy[tiab] or pulpitis[tiab] or polpotomy[tiab] or root canal[tiab] OR crowns[ti] OR implant*[ti] OR mini-implant*[ti] OR prosthesis[ti] OR prothe*[ti] OR bone augment*[tiab] OR caries[tiab] OR exodontic*[tiab] or oral surgery[tiab] or maxillofacial surgery[tiab] or craniofacial surgery[tiab] or oral surgery[tiab] or orthognatic surgery[tiab] or dental extraction*[tiab] or tooth extraction*[tiab] OR orthodontic*[tiab] OR fixed appliance[tiab] OR removable appliance[tiab] OR malocclusion[tiab] OR tooth movement[tiab] OR periodont*[tiab] or gingivt*[tiab] OR tooth loss[tiab] OR pedodontic*[tiab] or pediatric dentistry[tiab] OR crown[tiab] or bridge[tiab] or prosthodontic*[tiab] or veneer*[tiab] OR orthopanthomogram[tiab])) OR (("tooth root" or periapical or periradicular) AND (disease or abscess or lesion or infection or inflammation))) OR (((dental or oral) AND (crowns or fixture* or implant or implants or prosthesis))) OR ((dental[tiab] or dentistry[tiab] or oral[tiab]) AND (children[tiab] or infant*[tiab] or adolescent*[tiab]))) OR ((dental[tiab] or dentistry[tiab] or oral[ti]) AND (x-ray[tiab] or imaging[tiab] or radiography[tiab] or tomography[tiab] or CBCT[tiab]))) NOT medline[sb] 64691
9. 1-8 (OR) 1292347
Combined sets/Limits
10. 9ANDFilters activated: Systematic Reviews, Publication date from 2000/01/01, Danish, English, Norwegian, Swedish 13079
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