Caries Preventive Measures in Orthodontic Practice: The Development of a Clinical Practice Guideline
| Autor: | Barbara C. M. Oosterkamp, Anne Marie Kuijpers-Jagtman, Jo E. Frencken, W.J.M. van der Sanden |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Evidence-based practice Alternative medicine Dentistry Orthodontics Dental Caries Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] 03 medical and health sciences All institutes and research themes of the Radboud University Medical Center 0302 clinical medicine Nominal group technique medicine Humans 030212 general & internal medicine computer.programming_language business.industry Other Research Radboud Institute for Health Sciences [Radboudumc 0] 030206 dentistry Guideline Clinical Practice Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] Systematic review Otorhinolaryngology Family medicine Scale (social sciences) Surgery Oral Surgery business computer Delphi |
| Zdroj: | Informationen aus Orthodontie & Kieferorthopädie, 49, 122-131 Orthodontics and Craniofacial Research, 19, 36-45 Orthodontics and Craniofacial Research, 19, 1, pp. 36-45 Informationen aus Orthodontie & Kieferorthopädie, 49, 2, pp. 122-131 |
| ISSN: | 0020-0336 1601-6335 |
| Popis: | Structured Abstract Objectives White spot lesions (WSLs) are a side effect of orthodontic treatment, causing esthetic problems and a risk of deeper enamel and dentine lesions. Many strategies have been developed for preventing WSLs, but great variability exists in preventive measures between orthodontists. This study developed statements on which a clinical practice guideline (CPG) can be developed in order to help orthodontists select preventive measures based on the best available evidence. Materials and methods A nominal group technique (RAND-e modified Delphi procedure) was used. A multidisciplinary expert panel rated 264 practice- and evidence-based statements related to the management of WSLs. To provide panel members with the same knowledge, a total of six articles obtained from a systematic review of the literature were read by the panel in preparation of three consensus rounds. According to the technique, a threshold of 75% of all ratings within any 3-point section of the 9-point scale regarding a specific statement was accepted as consensus. Results After the first and second consensus rounds, consensus was reached on 37.5 and 31.1% of statements, respectively. For the remaining 31.4% of statements, consensus was reached during a 4-h consensus meeting. Conclusions Statements on the management of WSLs derived from a systematic literature review combined with expert opinion were formally integrated toward consensus through a nominal group technique. These statements formed the basis for developing a CPG on the management of WSLs before and during orthodontic treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text