What are the important outcomes in traumatic dental injuries? An international approach to the development of a core outcome set

Kenny, Kate; Day, Peter; Sharif, Mohammad Owaise; Parashos, Peter; Lauridsen, Eva; Feldens, Carlos Alberto; Cohenca, Nestor; Skapetis, Tony; Levin, Liran; Kenny, David J.; Djemal, Serpil; Malmgren, Olle; Chen, Yongjin; Tsukisboshi, Misuhiro; Andersson, Lars

doi:10.1111/edt.12367

Cited by 70 publications

(83 citation statements)

References 22 publications

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“…Treatment is justifiable in certain circumstances, for example, to reduce the risk of traumatic dental injury (TDI), as there is evidence demonstrating a strong association of TDI in patients with prominent or large overjets . This malocclusion feature has consequently been categorized as having a very great need for treatment, due to the significant effect of TDI affecting the longevity of affected teeth, amongst other factors . On the other hand, orthodontic treatment cannot be justified with the purpose of improving psychosocial functioning or dental health; there is no evidence that untreated individuals, regardless of malocclusion severity, are at a disadvantage compared to treated patients .…”

Section: Discussionmentioning

confidence: 99%

The long‐term influence of orthodontic treatment on adults’ psychosocial outcomes: An Australian cohort study

Doğramacı

Brennan

2019

Orthod Craniofacial Res

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Objectives To assess the influence of orthodontic treatment on psychosocial outcomes in 30‐year‐olds. The research hypothesis tested was that participants previously treated orthodontically would have better psychosocial outcomes. Setting and Sample Population A prospective longitudinal cohort design was used to follow‐up a sample of 1859 30‐year‐olds from Adelaide, South Australia, who had previously participated in an oral epidemiology study. Materials and methods Clinical examination in 1988‐1989 recorded participants’ malocclusion severity. In 2005‐2006, participants were invited to complete a questionnaire collecting data on socio‐demographic characteristics, dental health behaviours, receipt of orthodontic treatment and psychosocial factors. Data were analysed descriptively and by linear regression models. Results Data for 448 participants were available; 56% of participants were female. Over a third of participants had received orthodontic treatment. Higher income earners had the best psychosocial outcomes while participants with a basic level of secondary education had the lowest. Regardless of initial malocclusion severity, orthodontic treatment was not associated with better psychosocial outcomes. Instead, a pattern of better psychosocial outcome was observed amongst untreated participants, regardless of malocclusion severity, this being significant for optimism. Adjusted models controlling for socio‐demographic, dental health behaviour and malocclusion severity showed no association between orthodontic treatment and self‐efficacy, health competence or social support. There was, however, a strong association with optimism. Conclusion There was no difference in long‐term psychosocial outcomes based on orthodontic treatment. Our study does not support the contention that orthodontic treatment produces better psychosocial functioning later in life.

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Section: Discussionmentioning

confidence: 99%

The long‐term influence of orthodontic treatment on adults’ psychosocial outcomes: An Australian cohort study

Doğramacı

Brennan

2019

Orthod Craniofacial Res

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“…This is particularly important in the field of dental trauma where RCTs are not feasible. This will hopefully change in the near future with the introduction of a core outcome set . The core outcome set was developed by an expert working group comprised of specialists in oral and maxillofacial surgery, emergency dentistry, endodontics, restorative dentistry, pediatrics, periodontology, orthodontics, and general dentistry.…”

Section: Discussionmentioning

confidence: 99%

“…These outcomes are to be assessed at the follow‐up intervals as recommended by the IADT . A description of the measurement methods is also provided in the core outcome set . The primary purpose of the core outcome set is to help guide reporting of traumatic dental injuries to facilitate more accurate evidence regarding the outcomes of these injuries.…”

Section: Discussionmentioning

confidence: 99%

“…This will hopefully change in the near future with the introduction of a core outcome set. 25 The core outcome set was developed by an expert working group comprised of specialists in oral and maxillofacial surgery, emergency dentistry, endodontics, restorative dentistry, pediatrics, periodontology, orthodontics, and general dentistry. The group assessed possible outcomes and agreed on the inclusion of six core outcomes (also considered generic outcomes).…”

Section: Discussionmentioning

confidence: 99%

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Prognosis and complications of immature teeth following lateral luxation: A systematic review

Clark

Levin

2018

Dental Traumatology

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Accurate prognosis evaluation of traumatic dental injuries is difficult due to the nature of current studies being retrospective or prospective cohort studies. Lateral luxation is a common traumatic dental injury and has life-long concerns for a patient. It is important for future studies to report on the same outcomes to increase the quality of evidence regarding prognosis and treatment interventions, not only for lateral luxation injuries, but for all traumatic dental injuries.

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“…For this reason, it is important to agree on a classification, the important outcomes and findings to be registered. The International Association of Dental Traumatology has recently published their agreement of a core outcome set for TDI which fulfills the minimum requirement of registration and should be taken into consideration when planning future studies . Anyone planning studies of TDI should, therefore, consult these recommendations to make sure these minimum criteria for registrations are used (http://www.iadt-dentaltrauma.org).…”

Section: Introductionmentioning

confidence: 99%

Eden Baysal Dental Trauma Index: Face and content validation

Eden

Baysal

Andersson

2019

Dental Traumatology

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Background/Aim Recording of traumatic dental injuries in the emergency situation with a simple and easily recordable index that will also enable computer registration is advantageous. The aim of this paper is to present a new index to facilitate recording traumatic dental injuries and assess its face and content validity. Materials and methods The index included information on the type of injury related to the affected structures (enamel, dentin, cement, pulp, periodontal ligament, and alveolar bone) in accordance with Andreasen's classification. In addition, injuries to the alveolar bone and the maturity of the root were included. Fifteen dental trauma experts from 11 different countries rated the codes and content of the “Eden Baysal Dental Trauma Index” using the RAND modified e‐Delphi consensus method. A statement was considered valid after reaching 75% consensus among panel members. Two rounds were necessary for reaching consensus on seven statements and the definition. The last version of the index was then presented online to a feedback group that included 10 experts from five countries to determine the external validity by representative cases. Results The wording of the definition showed 92.8% agreement in the first round. Statements 1 and 2 gave information about the structure of the index and both reached 90% agreement in the first round. Definition and statements from 1 to 7 reached agreement as 93.3%, 93.3%, 100%, 93.3%, 80%, 93.3%, 80%, and 93.3%, respectively, in the second round. Most of the experts in the feedback group reported that the index was useful and user‐friendly. Conclusion After a total of two rounds with the panel members and one round with the feedback group, the “Eden Baysal Dental Trauma Index” was approved for face and content validity and external validity was obtained.

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What are the important outcomes in traumatic dental injuries? An international approach to the development of a core outcome set

Abstract: Background/Aims: There are numerous treatment options following traumatic dental

Cited by 70 publications

References 22 publications

The long‐term influence of orthodontic treatment on adults’ psychosocial outcomes: An Australian cohort study

The long‐term influence of orthodontic treatment on adults’ psychosocial outcomes: An Australian cohort study

Prognosis and complications of immature teeth following lateral luxation: A systematic review

Eden Baysal Dental Trauma Index: Face and content validation

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