Pulp necrosis and crown discoloration: a systematic review and meta-analysis
| Autor: | Michele Bolan, Bárbara Suelen Moccelini, Lucianne Cople Maia, Mariane Cardoso, Marcela Baraúna Magno, Nashalie Andrade de Alencar |
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| Rok vydání: | 2018 |
| Předmět: |
Web of science
business.industry medicine.medical_treatment MEDLINE Dentistry 030206 dentistry Cochrane Library Crown (dentistry) stomatognathic diseases 03 medical and health sciences 0302 clinical medicine stomatognathic system Meta-analysis Medicine 030212 general & internal medicine business Methodological quality General Dentistry Pulp necrosis Systematic search |
| Zdroj: | International Journal of Paediatric Dentistry. 28:432-442 |
| ISSN: | 0960-7439 |
| Popis: | Background The association between pulp necrosis and crown discoloration in traumatized primary teeth has not been clearly determined yet. Aim The study verified whether there is an association of pulp necrosis and crown discoloration in traumatized primary teeth through a systematic review and meta-analysis. Methods A systematic literature search was conducted in PubMed/Medline, Lilacs/BBO, Scopus, Web of Science, Cochrane Library databases, and grey literature. A methodological quality assessment appraisal was independently conducted by two researchers. Random-effects models were employed, and heterogeneity was tested (I2 index/P ≤ 0.05). Results Eight studies with low risk of bias were included in the analysis. A total of 1,494 traumatized primary teeth participated in the pooled meta-analysis. Diagnosis of pulp necrosis was evaluated in 1,414 teeth through clinical and/or radiographic analyses, and the analysis demonstrated a positive association (P = 0.0005/OR 8.37 [2.51, 27.90], I2 = 87%). Eighty teeth were diagnosed with pulp necrosis through endodontic access, and there was no statistically significant association (P = 0.36/OR 2.46 [0.36, 16.94], I2 = 54%). The pooled meta-analysis showed a positive association (P = 0.0003/OR 5.93 [2.24, 15.72], I2 = 83%). Conclusion The positive association between pulp necrosis and crown discoloration should be considered with caution once the diagnosis of pulp necrosis was performed by limited criteria. |
| Databáze: | OpenAIRE |
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