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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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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 |
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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 |
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