Cargando…

Screening for periodontal diseases by non-dental health professionals: a protocol for a systematic review and overview of reviews

BACKGROUND: Periodontal diseases are responsible for a vast burden of disease globally and are associated with other severe illnesses such as cardiovascular diseases or diabetes. Tests for early diagnosis of periodontal diseases and effective treatments are available. The effectiveness of screening...

Descripción completa

Detalles Bibliográficos
Autores principales: Teufer, Birgit, Sommer, Isolde, Nussbaumer-Streit, Barbara, Titscher, Viktoria, Bruckmann, Corinna, Klerings, Irma, Gartlehner, Gerald
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388477/
https://www.ncbi.nlm.nih.gov/pubmed/30803450
http://dx.doi.org/10.1186/s13643-019-0977-9
_version_ 1783397772153585664
author Teufer, Birgit
Sommer, Isolde
Nussbaumer-Streit, Barbara
Titscher, Viktoria
Bruckmann, Corinna
Klerings, Irma
Gartlehner, Gerald
author_facet Teufer, Birgit
Sommer, Isolde
Nussbaumer-Streit, Barbara
Titscher, Viktoria
Bruckmann, Corinna
Klerings, Irma
Gartlehner, Gerald
author_sort Teufer, Birgit
collection PubMed
description BACKGROUND: Periodontal diseases are responsible for a vast burden of disease globally and are associated with other severe illnesses such as cardiovascular diseases or diabetes. Tests for early diagnosis of periodontal diseases and effective treatments are available. The effectiveness of screening for periodontal diseases to detect periodontal diseases at an early stage during periodic health examinations at primary care facilities, however, is unclear. The objective of this systematic review is to assess the benefits and risks of screening for periodontal diseases in adults during the periodic health examinations. METHODS: We will use two methodological approaches: (1) a systematic review to assess the effectiveness and risk of harms of screening for periodontal diseases during periodic health examinations and (2) an overview of systematic reviews to determine the effectiveness of treatment approaches for early periodontal disease. We will search electronic databases (Ovid MEDLINE, Embase.com, the Cochrane Library, Epistemonikos, Centre for Reviews and Dissemination databases, PubMed (non-MEDLINE content)) for published studies as well as sources for grey literature to detect unpublished studies. Two authors will independently screen abstracts and full texts using pre-defined eligibility criteria, select studies, extract data, and assess the risk of bias of included studies or reviews. In general, we will conduct a systematic narrative synthesis. Criteria for conducting meta-analyses were defined a priori. Our primary outcomes of interest are tooth loss, loosening of teeth, and depletion of bone tissue. Secondary outcomes are gingivitis/gum inflammation, pocket depths, dental hygiene, lifestyle modifications (e.g., smoking, alcohol, nutrition), and toothache. We consulted a panel of experts and patient representatives to prioritize these outcomes. Two investigators will assess independently the certainty of the evidence for each outcome using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach. DISCUSSION: We anticipate that our review will highlight the gaps in the available evidence about the effectiveness of screening for periodontal diseases during periodic health examinations. Implications for screening programs may be based on linked evidence about the validity of available screening tools and the effectiveness of early treatment. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42017081150 ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13643-019-0977-9) contains supplementary material, which is available to authorized users.
format Online
Article
Text
id pubmed-6388477
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-63884772019-03-19 Screening for periodontal diseases by non-dental health professionals: a protocol for a systematic review and overview of reviews Teufer, Birgit Sommer, Isolde Nussbaumer-Streit, Barbara Titscher, Viktoria Bruckmann, Corinna Klerings, Irma Gartlehner, Gerald Syst Rev Protocol BACKGROUND: Periodontal diseases are responsible for a vast burden of disease globally and are associated with other severe illnesses such as cardiovascular diseases or diabetes. Tests for early diagnosis of periodontal diseases and effective treatments are available. The effectiveness of screening for periodontal diseases to detect periodontal diseases at an early stage during periodic health examinations at primary care facilities, however, is unclear. The objective of this systematic review is to assess the benefits and risks of screening for periodontal diseases in adults during the periodic health examinations. METHODS: We will use two methodological approaches: (1) a systematic review to assess the effectiveness and risk of harms of screening for periodontal diseases during periodic health examinations and (2) an overview of systematic reviews to determine the effectiveness of treatment approaches for early periodontal disease. We will search electronic databases (Ovid MEDLINE, Embase.com, the Cochrane Library, Epistemonikos, Centre for Reviews and Dissemination databases, PubMed (non-MEDLINE content)) for published studies as well as sources for grey literature to detect unpublished studies. Two authors will independently screen abstracts and full texts using pre-defined eligibility criteria, select studies, extract data, and assess the risk of bias of included studies or reviews. In general, we will conduct a systematic narrative synthesis. Criteria for conducting meta-analyses were defined a priori. Our primary outcomes of interest are tooth loss, loosening of teeth, and depletion of bone tissue. Secondary outcomes are gingivitis/gum inflammation, pocket depths, dental hygiene, lifestyle modifications (e.g., smoking, alcohol, nutrition), and toothache. We consulted a panel of experts and patient representatives to prioritize these outcomes. Two investigators will assess independently the certainty of the evidence for each outcome using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach. DISCUSSION: We anticipate that our review will highlight the gaps in the available evidence about the effectiveness of screening for periodontal diseases during periodic health examinations. Implications for screening programs may be based on linked evidence about the validity of available screening tools and the effectiveness of early treatment. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42017081150 ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13643-019-0977-9) contains supplementary material, which is available to authorized users. BioMed Central 2019-02-25 /pmc/articles/PMC6388477/ /pubmed/30803450 http://dx.doi.org/10.1186/s13643-019-0977-9 Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Protocol
Teufer, Birgit
Sommer, Isolde
Nussbaumer-Streit, Barbara
Titscher, Viktoria
Bruckmann, Corinna
Klerings, Irma
Gartlehner, Gerald
Screening for periodontal diseases by non-dental health professionals: a protocol for a systematic review and overview of reviews
title Screening for periodontal diseases by non-dental health professionals: a protocol for a systematic review and overview of reviews
title_full Screening for periodontal diseases by non-dental health professionals: a protocol for a systematic review and overview of reviews
title_fullStr Screening for periodontal diseases by non-dental health professionals: a protocol for a systematic review and overview of reviews
title_full_unstemmed Screening for periodontal diseases by non-dental health professionals: a protocol for a systematic review and overview of reviews
title_short Screening for periodontal diseases by non-dental health professionals: a protocol for a systematic review and overview of reviews
title_sort screening for periodontal diseases by non-dental health professionals: a protocol for a systematic review and overview of reviews
topic Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388477/
https://www.ncbi.nlm.nih.gov/pubmed/30803450
http://dx.doi.org/10.1186/s13643-019-0977-9
work_keys_str_mv AT teuferbirgit screeningforperiodontaldiseasesbynondentalhealthprofessionalsaprotocolforasystematicreviewandoverviewofreviews
AT sommerisolde screeningforperiodontaldiseasesbynondentalhealthprofessionalsaprotocolforasystematicreviewandoverviewofreviews
AT nussbaumerstreitbarbara screeningforperiodontaldiseasesbynondentalhealthprofessionalsaprotocolforasystematicreviewandoverviewofreviews
AT titscherviktoria screeningforperiodontaldiseasesbynondentalhealthprofessionalsaprotocolforasystematicreviewandoverviewofreviews
AT bruckmanncorinna screeningforperiodontaldiseasesbynondentalhealthprofessionalsaprotocolforasystematicreviewandoverviewofreviews
AT kleringsirma screeningforperiodontaldiseasesbynondentalhealthprofessionalsaprotocolforasystematicreviewandoverviewofreviews
AT gartlehnergerald screeningforperiodontaldiseasesbynondentalhealthprofessionalsaprotocolforasystematicreviewandoverviewofreviews