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KNOWLEDGE GAPS IN ORAL AND MAXILLOFACIAL SURGERY: A SYSTEMATIC MAPPING

Published online by Cambridge University Press:  14 June 2017

Marie Österberg ,
Anders Holmlund ,
Bo Sunzel ,
Sofia Tranæus ,
Svante Twetman  and
Bodil Lund
Marie Österberg
Affiliation:
Swedish Agency for Health Technology Assessment and Assessment of Social [email protected]
Anders Holmlund
Affiliation:
Department of Dental Medicine, Karolinska Institutet, Department of Oral and Maxillofacial Surgery, Karolinska University Hospital
Bo Sunzel
Affiliation:
Department of Oral and Maxillofacial Surgery, Skanes University Hospital
Sofia Tranæus
Affiliation:
Swedish Agency for Health Technology Assessment and Assessment of Social Services, Department of Dental Medicine; Karolinska Institutet Health Technology Assessment – Odontology, Faculty of Odontology, Malmö University
Svante Twetman
Affiliation:
Faculty of Health and Medical Sciences, University of Copenhagen
Bodil Lund
Affiliation:
Department of Dental Medicine, Karolinska Institutet, Department of Oral and Maxillofacial Surgery, Karolinska University Hospital
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Abstract

Objectives: The aim of this study was to evaluate available knowledge and identify knowledge gaps within the field of oral and maxillofacial surgery, by systematically collecting and evaluating systematic reviews. Twelve specific domains were selected: surgical removal of teeth, antibiotic and corticosteroid prophylaxis, orofacial infections, dental and facial trauma, orthognathic surgery, reconstructive surgery, benign tumors, cysts, premalignant lesions, oral complications of treatment of malignant tumors, hyperbaric oxygen therapy, temporomandibular joint surgery, cost effectiveness of different surgical treatments, and ethics.

Methods: The literature search, covering four databases, was conducted during September 2014: PubMed, The Cochrane library, Centre for Reviews and Dissemination and EBSCO dentistry and oral science source. Retrieved systematic reviews were quality assessed by AMSTAR.

Results: In all, 1,778 abstracts were identified, of which 200 met the inclusion criteria. Forty-five systematic reviews were assessed as of high to moderate quality. The results disclosed some existing evidence in a few domains, such as surgical removal of teeth and implant survival after sinus lifts. However, in all domains, the search revealed a large number of knowledge gaps. Also of concern was the lack of data regarding health economics and ethics.

Conclusions: In conclusion, there is a need for well-conducted clinical research in the fields of oral and maxillofacial surgery.

Keywords

Maxillofacial surgeryOral surgeryScientific uncertaintiesSystematic mappingEthics
Type
Assessments
Information
International Journal of Technology Assessment in Health Care , Volume 33 , Issue 1 , 2017 , pp. 93 - 102
Copyright
Copyright © Cambridge University Press 2017 

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References

REFERENCES

1. UK Database of Uncertainties about the Effects of Treatments (DUETs) [Internet]. National Institute for Health and Care Excellence (NICE). http://www.library.nhs.uk/duets/ (accessed October 25, 2015).Google Scholar
2. SBU database of Scientific Uncertainties [Internet]. Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU). http://www.sbu.se/en/Published/Scientific-Uncertainties/ (accessed October 25, 2015).Google Scholar
3. Moher, D, Shamseer, L, Clarke, M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4:1.Google Scholar
4. Shamseer, L, Moher, D, Clarke, M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: Elaboration and explanation. BMJ. 2015;349:g7647.Google Scholar
5. Shea, BJ, Grimshaw, JM, Wells, GA, et al. Development of AMSTAR: A measurement tool to assess the methodological quality of systematic reviews. BMC Med Res Methodol. 2007;7:10.Google Scholar
6. Whitlock, EP, Lin, JS, Chou, R, Shekelle, P, Robinson, KA. Using existing systematic reviews in complex systematic reviews. Ann Intern Med. 2008;148:776–782.Google Scholar
7. Carrasco-Labra, A, Brignardello-Petersen, R, Yanine, N, Araya, I, Guyatt, G. Secondary versus primary closure techniques for the prevention of postoperative complications following removal of impacted mandibular third molars: A systematic review and meta-analysis of randomized controlled trials. J Oral Maxillofac Surg. 2012;70:e441-e457.Google Scholar
8. Coulthard, P, Bailey, E, Esposito, M, Furness, S, Renton, T, Worthington, H. Surgical techniques for the removal of mandibular wisdom teeth. Cochrane Database Syst Rev. 2014:CD004345.Google Scholar
9. Tan, WL, Wong, TL, Wong, MC, Lang, NP. A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans. Clin Oral Implants Res. 2012;23:1–21.CrossRefGoogle ScholarPubMed
10. Van der Weijden, F, Dell'Acqua, F, Slot, DE. Alveolar bone dimensional changes of post-extraction sockets in humans: A systematic review. J Clin Periodontol. 2009;36:1048–1058.CrossRefGoogle ScholarPubMed
11. Vignoletti, F, Matesanz, P, Rodrigo, D, Figuero, E, Martin, C, Sanz, M. Surgical protocols for ridge preservation after tooth extraction. A systematic review. Clin Oral Implants Res. 2012;23:22–38.Google Scholar
12. Horvath, A, Mardas, N, Mezzomo, LA, Needleman, IG, Donos, N. Alveolar ridge preservation. A systematic review. Clin Oral Investig. 2013;17:341–363.Google Scholar
13. Costa, MG, Pazzini, CA, Pantuzo, MC, Jorge, ML, Marques, LS. Is there justification for prophylactic extraction of third molars? A systematic review. Braz Oral Res. 2013;27:183–188.CrossRefGoogle ScholarPubMed
14. Mettes, TD, Ghaeminia, H, Nienhuijs, ME, Perry, J, van der Sanden, WJ, Plasschaert, A. Surgical removal versus retention for the management of asymptomatic impacted wisdom teeth. Cochrane Database Syst Rev. 2012:Cd003879.Google Scholar
15. Long, H, Zhou, Y, Liao, L, Pyakurel, U, Wang, Y, Lai, W. Coronectomy vs. total removal for third molar extraction: A systematic review. J Dent Res. 2012;91:659–665.Google Scholar
16. Eliyas, S, Al-Khayatt, A, Porter, RW, Briggs, P. Dental extractions prior to radiotherapy to the jaws for reducing post-radiotherapy dental complications. Cochrane Database Syst Rev. 2013:Cd008857.Google Scholar
17. Ker, K, Beecher, D, Roberts, I. Topical application of tranexamic acid for the reduction of bleeding. Cochrane Database Syst Rev. 2013:CD010562.Google Scholar
18. Del Fabbro, M, Bortolin, M, Taschieri, S. Is autologous platelet concentrate beneficial for post-extraction socket healing? A systematic review. Int J Oral Maxillofac Surg. 2011;40:891–900.Google Scholar
19. Yengopal, V, Mickenautsch, S. Chlorhexidine for the prevention of alveolar osteitis. Int J Oral Maxillofac Surg. 2012;41:1253–1264.Google Scholar
20. Alexander, L, Hall, E, Eriksson, L, Rohlin, M. The combination of non-selective NSAID 400 mg and paracetamol 1000 mg is more effective than each drug alone for treatment of acute pain. A systematic review. Swed Dent J. 2014; 38:1–14.Google Scholar
21. Bailey, E, Worthington, H, van Wijk, A, Yates, JM, Coulthard, P, Afzal, Z. Ibuprofen and/or paracetamol (acetaminophen) for pain relief after surgical removal of lower wisdom teeth. Cochrane Database Syst Rev. 2013:CD004624.Google Scholar
22. Aframian, DJ, Lalla, RV, Peterson, DE. Management of dental patients taking common hemostasis-altering medications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(Suppl):S45e1-S45e11.CrossRefGoogle ScholarPubMed
23. Oomens, MA, Forouzanfar, T. Antibiotic prophylaxis in third molar surgery: A review. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;114:e5–e12.Google Scholar
24. Glenny, AM, Oliver, R, Roberts, GJ, Hooper, L, Worthington, HV. Antibiotics for the prophylaxis of bacterial endocarditis in dentistry. Cochrane Database Syst Rev. 2013:CD003813.Google Scholar
25. SBU. Antibiotic prophylaxis for surgical procedures. Stockholm: Swedish Council on Health Technology Assessment (SBU); 2010. SBU report no 200 (in Swedish).Google Scholar
26. Nasser, M, Pandis, N, Fleming, PS, Fedorowicz, Z, Ellis, E, Ali, K. Interventions for the management of mandibular fractures. Cochrane Database Syst Rev. 2013:CD006087.Google Scholar
27. Bobrowski, AN, Sonego, CL, Chagas Junior, OL. Postoperative infection associated with mandibular angle fracture treatment in the presence of teeth on the fracture line: A systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2013;42:1041–1048.CrossRefGoogle Scholar
28. M, Alves Jr, Baratieri, C, Araújo, MT, Souza, MM, Maia, LC. Root damage associated with intermaxillary screws: A systematic review. Int J Oral Maxillofac Surg. 2012;41:1445–1450.Google Scholar
29. Coulthard, P, Yong, SL, Adamson, L, et al. Domestic violence screening and intervention programmes for adults with dental or facial injury. Cochrane Database Syst Rev. 2010:CD004486.Google Scholar
30. Jayaratne, YS, Zwahlen, RA, Lo, J, Cheung, LK. Facial soft tissue response to anterior segmental osteotomies: A systematic review. Int J Oral Maxillofac Surg. 2010;39:1050–1058.Google Scholar
31. Choi, WS, Samman, N. Risks and benefits of deliberate hypotension in anaesthesia: A systematic review. Int J Oral Maxillofac Surg. 2008;37:687–703.Google Scholar
32. Song, G, Yang, P, Hu, J, Zhu, S, Li, Y, Wang, Q. The effect of tranexamic acid on blood loss in orthognathic surgery: A meta-analysis of randomized controlled trials. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;115:595–600.Google Scholar
33. Liu, X, Zhu, S, Hu, J. Modified versus classic alar base sutures after LeFort I osteotomy: A systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;117:37–44.CrossRefGoogle Scholar
34. Al-Riyami, S, Cunningham, SJ, Moles, DR. Orthognathic treatment and temporomandibular disorders: A systematic review. Part 2. Signs and symptoms and meta-analyses. Am J Orthod Dentofacial Orthop. 2009;136:626.e621-e616, discussion e626-e627.Google Scholar
35. Coulthard, P, Kushnerev, E, Yates, JM, et al. Interventions for iatrogenic inferior alveolar and lingual nerve injury. Cochrane Database Syst Rev. 2014:Cd005293.Google Scholar
36. Joss, CU, Joss-Vassalli, IM, Kiliaridis, S, Kuijpers-Jagtman, AM. Soft tissue profile changes after bilateral sagittal split osteotomy for mandibular advancement: A systematic review. J Oral Maxillofac Surg. 2010;68:1260–1269.Google Scholar
37. Minami-Sugaya, H, Lentini-Oliveira, DA, Carvalho, FR, et al. Treatments for adults with prominent lower front teeth. Cochrane Database Syst Rev. 2012:Cd006963.Google Scholar
38. Paul, JE, Ling, E, Lalonde, C, Thabane, L. Deliberate hypotension in orthopedic surgery reduces blood loss and transfusion requirements: A meta-analysis of randomized controlled trials. Can J Anaesth. 2007;54:799–810.Google Scholar
39. Esposito, M, Worthington Helen, V. Interventions for replacing missing teeth: Dental implants in zygomatic bone for the rehabilitation of the severely deficient edentulous maxilla. Cochrane Database Syst Rev. 2013:CD004151.Google ScholarPubMed
40. Donos, N, Mardas, N, Chadha, V. Clinical outcomes of implants following lateral bone augmentation: Systematic assessment of available options (barrier membranes, bone grafts, split osteotomy). J Clin Periodontol. 2008;35:173–202.Google Scholar
41. Esposito, M, Grusovin, MG, Felice, P, Karatzopoulos, G, Worthington, HV, Coulthard, P. Interventions for replacing missing teeth: Horizontal and vertical bone augmentation techniques for dental implant treatment. Cochrane Database Syst Rev. 2009:Cd003607.Google Scholar
42. Esposito, M, Felice, P, Worthington, HV. Interventions for replacing missing teeth: Augmentation procedures of the maxillary sinus. Cochrane Database Syst Rev. 2014:CD008397.Google ScholarPubMed
43. Lau, SL, Samman, N. Recurrence related to treatment modalities of unicystic ameloblastoma: A systematic review. Int J Oral Maxillofac Surg. 2006;35:681–690.Google Scholar
44. Januzzi, E, Nasri-Heir, C, Grossmann, E, Leite, FM, Heir, GM, Melnik, T. Combined palliative and anti-inflammatory medications as treatment of temporomandibular joint disc displacement without reduction: A systematic review. Cranio. 2013;31:211–225.Google Scholar
45. Guo, C, Shi, Z, Revington, P. Arthrocentesis and lavage for treating temporomandibular joint disorders. Cochrane Database Syst Rev. 2009:Cd004973.Google Scholar
46. The publication has been withdrawn after finishing the systematic map.Google Scholar
47. Vos, LM, Huddleston Slater, JJ, Stegenga, B. Lavage therapy versus nonsurgical therapy for the treatment of arthralgia of the temporomandibular joint: A systematic review of randomized controlled trials. J Orofac Pain. 2013;27:171–179.Google Scholar
48. Al-Baghdadi, M, Durham, J, Araujo-Soares, V, Robalino, S, Errington, L, Sreele, J. TMJ disc displacement without reduction management: A systematic review. J Dent Res. 2014;93:37s-51s.Google Scholar
49. Fedorowicz, Z, van Zuuren, EJ, Schoones, J. Botulinum toxin for masseter hypertrophy. Cochrane Database Syst Rev. 2013:CD007510.Google Scholar
50. Kinnersley, P, Phillips, K, Savage, K, et al. Interventions to promote informed consent for patients undergoing surgical and other invasive healthcare procedures. Cochrane Database Syst Rev. 2013:CD009445.Google Scholar
51. Mahar, P, Wasiak, J, Batty, L, Fowler, S, Cleland, H, Gruen, RL. Interventions for reducing wrong-site surgery and invasive procedures. Cochrane Database Syst Rev. 2012:Cd009404.Google Scholar
52. Straus, S, Moher, D. Registering systematic reviews. CMAJ. 2010;182:13–14.Google Scholar
53. Booth, A, Clarke, M, Ghersi, D, Moher, D, Petticrew, M, Steward, L. An international registry of systematic-review protocols. Lancet. 2011;377:108–109.CrossRefGoogle ScholarPubMed
54. Sackett, DL, Rosenberg, WM, Gray, JA, Haynes, RB, Richardson, WS. Evidence based medicine: What it is and what it isn't. BMJ. 1996;312: 71–72.Google Scholar
55. James Lind Alliance (JLA) [Internet]. Southampton: National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre (NETSCC). James Lind Alliance. http://www.jla.nihr.ac.uk/jla-guidebook/ (accessed October 25, 2015).Google Scholar
56. SBU. Methods of diagnosis and treatment in endodontics. Stockholm: Swedish Council on Health Technology Assessment (SBU); 2010. SBU report no 203 (in Swedish).Google Scholar