Pulp necrosis and crown discoloration: a systematic review and meta‐analysis

Moccelini, Bárbara Suelen; Alencar, Nashalie Andrade de; Bolan, Michele; Magno, Marcela Baraúna; Maia, Lucianne Cople; Cardoso, Mariane

doi:10.1111/ipd.12372

Cited by 10 publications

(22 citation statements)

References 22 publications

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“…Out of the included SRs, the oldest one was published in 1999 12 and two were published between 2000 and 2010 16,17 . Forty‐four SRs had been published in last six years (2015‐2020) 18‐78 . Twenty‐eight of the SRs had been published in Dental Traumatology, 16,17,20‐27,29,30,36,39‐41,44,45,59,60,67,69,71,74,75,77,78 and five were from the Cochrane database 38,46,50,53,70 .…”

Section: Resultsmentioning

confidence: 99%

Evidence mapping and quality assessment of systematic reviews in dental traumatology

Tewari

Mathur

Kaur

et al. 2020

Dental Traumatology

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Background/Aims: Evidence mapping of systematic reviews (SRs) systematically and comprehensively identifies, organizes, and summarizes the distribution of scientific evidence in a field. The aims of this study were to delineate domains in dental traumatology (DT), evaluate the existing SRs within the domains, and identify the paucity of evidence for future research. Methods: Domains and sub-domains of DT were established according to the methods of qualitative research. The protocol for evidence mapping was prepared as per the guidelines of GEM and PRISMA. The search strategy was formulated using words and MeSH terms in eight databases without restriction of languages and year of publication. Gray literature, protocol registries, and references of selected articles were also searched. Duplicates were removed, and the final selection of SRs was completed. Data extraction and quality analysis using the ROBIS tool and the PRISMA checklist were performed. Results: The overall search resulted in 64 SRs from 1999 to 2020 with 44 published in last six years. The highest number of SRs had been performed in the Prognostic domain (n = 19) followed by the domains of Epidemiology (n = 15), Therapeutics (n = 10), Oral Biology (n = 7), Diagnostics (n = 6), Preventive (n = 5), and Research Methods (n = 2). Within each domain, there were variabilities in the number of reviewers, a priori protocols, search limitations, risk of bias methods, and meta-analysis. Of the SRs, including 4 Cochrane reviews, 28.4% were inconclusive. A low risk of bias was found in 48.4% of the SRs. Among the registered and ongoing SRs, six were from the domain of epidemiology, two in the domain of therapeutics, five from prognostics, and one each in the domains of prevention and research methods. Conclusion: The SRs in DT could be mapped in seven domains with variabilities in the methods. The majority had an a priori registered protocol and a low risk of reporting errors. Within the Epidemiology and Preventive domains, SRs were present in all the sub-domains with the majority demonstrating low-risk of bias (ROB). The domain of prognosis had SRs in most sub-domains but with a high ROB. Insufficient numbers

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Section: Resultsmentioning

confidence: 99%

Evidence mapping and quality assessment of systematic reviews in dental traumatology

Tewari

Mathur

Kaur

et al. 2020

Dental Traumatology

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“…In the present study, in the clinical and radiographic follow-up of traumatized teeth of up to 12 months, it was observed that the main clinical sequelae found in primary teeth was crown discoloration (24.3%), data similar to other reports in literature [25,26], which also observed discoloration as the most frequent sequela, and often trauma is only noticed by parents due to the aesthetic change of tooth color. However, there are controversies regarding the appropriate treatment for primary teeth that have changed crown color, since the traumatized primary tooth can become rosy, yellowish or grayish [24,[26][27][28].…”

Section: Discussionmentioning

confidence: 99%

“…Grayish discolorations are the most controversial in relation to treatment, and may be related to slight pulp changes, that is, evidence of periapical inflammation in 1 to 2 months after trauma, and coloration may disappear in a few weeks; however, if the grayish color remains, and the normality of the periodontal structures is verified, follow-up and further examinations must be performed at 6 and 12 months [24,[26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Clinical and Radiographic Sequelae in Primary Teeth due to Dental Trauma

Lopes

Santin

Marengoni

et al. 2019

Pesqui. bras. odontopediatria clín. integr.

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Objective: To evaluate the presence of clinical and radiographic sequelae in primary teeth affected by dental trauma and its association with age at the time of trauma in children attended at a Public Higher Education Institution. Material and Methods: This is a longitudinal clinical study, in which 229 patients with history of dental trauma in primary teeth were examined, totaling 390 traumatized teeth. Relative frequency analysis was used, and for associations, the Chi-square test was used to verify the relationship of age at the time of trauma with variables such as type of trauma. Results: The most prevalent age group was over 24 months, and fall from own height as the main etiological factor; 71.0% of traumas had involvement of 2 teeth, 9.5% had history of anterior trauma and 66.6% of traumas involved supporting tissues. Regarding the type of injury to dental tissue, the most prevalent was enamel fracture (58.3%) and to periodontium, lateral dislocation (30.8%). Children older than two years had less trauma related to dental tissue (p<0.01), higher number of injuries to the periodontium (p=0.03); and most of them did not present extra-oral changes associated with trauma (p=0.01). During the 12month period, 325 teeth were examined, and the most frequent clinical sequelae observed was crown discoloration. In the radiographic evaluation, inflammatory root resorption was the most prevalent. Conclusion: Children older than two years presented more injuries to the periodontium. After 12 months, the main clinical sequelae observed was enamel discoloration and the main radiographic sequelae was inflammatory root resorption.

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“…To improve the reliability of the systematic review, the risk of bias of the sixteen studies was conducted using the Fowkes and Fulton 19 checklist. This quality assessment tool has been used in many recent systematic reviews 38‐40 and provides a standard summary of methodological topics considered important when assessing the risk of bias in observational studies. According to the critical analysis, four studies produced interesting results, but had problems 32,34,36,37 ; three of these 32,34,36 had no methodological soundness because they did not collect data on confounding factors and so their observed associations may have occurred by chance, and one study 37 had these flaws as well as the possibility of an erroneously association.…”

Section: Discussionmentioning

confidence: 99%

Association between dental pain and oral health‐related quality of life in children and adolescents: A systematic review and meta‐analysis

Barasuol

Santos

Moccelini

et al. 2020

Comm Dent Oral Epid

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Objective The aim of this systematic review and meta‐analysis was to determine the impact of dental pain on oral health‐related quality of life (OHRQoL) in children and adolescents. Methods Electronic and manual searches were performed with no restrictions of language or year of publication. The PECO strategy was used to identify observational studies involving participants up to 19 years of age with dental pain and to those without dental pain to determine the impact of this condition on OHRQoL. The methodological quality of the studies was appraised using the Fowkes and Fulton checklist. Meta‐analysis was conducted by subgroups, based on OHRQoL questionnaires and effect measures. The quality of evidence was evaluated using the GRADE approach. Results Sixteen studies were included in the systematic review and fourteen in the meta‐analysis. The methodological quality of four of these studies was considered poor. The pooled results of the subgroup analysis (SOHO‐5, B‐ECOHIS and Child‐OIDP) showed that children with dental pain had a 3.64‐fold greater chance of a negative impact on OHRQoL ([log] 95% CI: 2.80‐4.72; I20%; P < .001). The second meta‐analysis (Child‐OIDP, SOHO‐5 and CPQ8‐10) demonstrated statistical significance (SMD 0.79; 95% CI: 0.43‐1.16; I292%; P < .001), as did the pooled results considering the B‐ECOHIS ([log] OR 7.75; 95% CI: 4.59‐13.11; I284%; P < .001). The certainty of evidence in all meta‐analyses was low. Conclusions Although the quality of the evidence is low, dental pain has a negative impact on OHRQoL.

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Pulp necrosis and crown discoloration: a systematic review and meta‐analysis

Abstract: 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.

Cited by 10 publications

References 22 publications

Evidence mapping and quality assessment of systematic reviews in dental traumatology

Evidence mapping and quality assessment of systematic reviews in dental traumatology

Clinical and Radiographic Sequelae in Primary Teeth due to Dental Trauma

Association between dental pain and oral health‐related quality of life in children and adolescents: A systematic review and meta‐analysis

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