A systematic map of systematic reviews in pediatric dentistry : what do we really know?

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A systematic map of systematic reviews in pediatric dentistry : what do we really know?

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Publication Article, peer reviewed scientific
Title A systematic map of systematic reviews in pediatric dentistry : what do we really know?
Author(s) Mejàre, Ingegerd ; Klingberg, Gunilla ; Mowafi, Frida K ; Stecksén-Blicks, Christina ; Twetman, Svante H ; Tranaeus, Sofia H
Date 2015
English abstract
OBJECTIVES: To identify, appraise and summarize existing knowledge and knowledge gaps in practice-relevant questions in pediatric dentistry. METHODS: A systematic mapping of systematic reviews was undertaken for domains considered important in daily clinical practice. The literature search covered questions in the following domains: behavior management problems/dental anxiety; caries risk assessment and caries detection including radiographic technologies; prevention and non-operative treatment of caries in primary and young permanent teeth; operative treatment of caries in primary and young permanent teeth; prevention and treatment of periodontal disease; management of tooth developmental and mineralization disturbances; prevention and treatment of oral conditions in children with chronic diseases/developmental disturbances/obesity; diagnosis, prevention and treatment of dental erosion and tooth wear; treatment of traumatic injuries in primary and young permanent teeth and cost-effectiveness of these interventions. Abstracts and full text reviews were assessed independently by two reviewers and any differences were solved by consensus. AMSTAR was used to assess the risk of bias of each included systematic review. Reviews judged as having a low or moderate risk of bias were used to formulate existing knowledge and knowledge gaps. RESULTS: Out of 81 systematic reviews meeting the inclusion criteria, 38 were judged to have a low or moderate risk of bias. Half of them concerned caries prevention. The quality of evidence was high for a caries-preventive effect of daily use of fluoride toothpaste and moderate for fissure sealing with resin-based materials. For the rest the quality of evidence for the effects of interventions was low or very low. CONCLUSION: There is an urgent need for primary clinical research of good quality in most clinically-relevant domains in pediatric dentistry
DOI http://dx.doi.org/10.1371/journal.pone.0117537 (link to publisher's fulltext)
Publisher Public Library of Science
Host/Issue PLOS ONE;2
Volume 10
ISSN 1932-6203
Pages e0117537
Language eng (iso)
Subject(s) Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/19573 (link to this page)

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