A Scoping Review of 4 Decades of Outcomes in Nonsurgical Root Canal Treatment, Nonsurgical Retreatment, and Apexification Studies—Part 2: Outcome Measures
| Autor: | Ariel Oren, Anil Kishen, Madeline Gerbig, Hengameh Bakhtiar, Elaine Cardoso, Mohamed Elbarbary, Hamid Jafarzadeh, Prakesh S. Shah, Helen He, Amir Azarpazhooh, Gevik Malkhassian, Adam Sgro, Saber Khazaei, Nima Laghapour Lighvan, Rana Badewy |
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| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Apexification business.industry Procedure code Dentistry Retrospective cohort study Endodontics law.invention Randomized controlled trial Quality of life law Pain assessment Outcome Assessment Health Care Retreatment Cohort Quality of Life medicine Humans Prospective Studies Dental Pulp Cavity business General Dentistry Retrospective Studies |
| Zdroj: | Journal of Endodontics. 48:29-39 |
| ISSN: | 0099-2399 |
| DOI: | 10.1016/j.joen.2021.09.019 |
| Popis: | Background Inconsistencies in definitions of endodontic outcome terminology jeopardize evaluations of proposed interventions and patient care quality. This scoping review aims to provide groundwork to develop a set of basic outcomes in endodontics. Design A comprehensive literature search for randomized controlled trials, cohort, case-control studies, or case series (≥10 patients) published after 1980 with patients aged≥10 years with any preoperative pulpal and periapical diagnosis in permanent teeth requiring non-surgical root canal treatment, retreatment, or apexification. Abstracted data on outcome assessment methods, assessors, and domains were reported after univariate and bivariate analyses. Results Treatment outcomes were evaluated radiographically (88%) or clinically (73%). While 2-dimensional radiography exceeded 3-dimensional radiography, use of the latter has increased since 2010, mostly for non-surgical retreatments. Of 19 identified outcomes, 5 were most frequent: Success (168 studies, 40%), Radiographic Healing (128 studies, 30%), Survival [of an asymptomatic tooth (48 studies, 12%), or of a procedure code in administrative databases (31 studies, 7%)], Pain Assessment (14 studies, 3%), and Quality of Life (11 studies, 3%). Clinician-centered outcomes have been most frequently studied since the 1980s (71%), in academic settings (76%), using prospective design (45%). Patient-centered outcomes were reported in 19% of studies prior to 2010 and 30% since 2010. They were more common among retrospective studies (49%). Conclusions Patient-centered outcome measures are lacking in endodontic studies. The state of available research can provide a baseline for development of a core outcome set in endodontics, which should represent the important patient-centered outcomes in conjunction with well validated clinician-centered outcomes. |
| Databáze: | OpenAIRE |
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