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Development of a clinical practice guideline for orthodontically induced external apical root resorption
OBJECTIVES: To develop a clinical practice guideline on orthodontically induced external apical root resorption (EARR), with evidence-based and, when needed, consensus-based recommendations concerning diagnosis, risk factors, management during treatment, and after-treatment care. MATERIALS AND METHO...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109605/ https://www.ncbi.nlm.nih.gov/pubmed/31087032 http://dx.doi.org/10.1093/ejo/cjz034 |
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author | Sondeijker, Caroline F W Lamberts, Antoon A Beckmann, Stefan H Kuitert, Reinder B van Westing, Koen Persoon, Saskia Kuijpers-Jagtman, Anne Marie |
author_facet | Sondeijker, Caroline F W Lamberts, Antoon A Beckmann, Stefan H Kuitert, Reinder B van Westing, Koen Persoon, Saskia Kuijpers-Jagtman, Anne Marie |
author_sort | Sondeijker, Caroline F W |
collection | PubMed |
description | OBJECTIVES: To develop a clinical practice guideline on orthodontically induced external apical root resorption (EARR), with evidence-based and, when needed, consensus-based recommendations concerning diagnosis, risk factors, management during treatment, and after-treatment care. MATERIALS AND METHODS: The Appraisal of Guidelines for Research and Evaluation II instrument and the Dutch Method for Evidence-Based Guideline Development were used to develop the guideline. Based on a survey of all Dutch orthodontists, we formulated four clinical questions regarding EARR. To address these questions, we conducted systematic literature searches in MEDLINE and Embase, and we performed a systematic literature review. The quality of evidence was assessed with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. After discussing the evidence, a Task Force formulated considerations and recommendations. The drafted guideline was sent for comments to all relevant stakeholders. RESULTS: Eight studies were included. The quality of evidence (GRADE) was rated as low or very low. Only the patient-related risk factors, ‘gender’ and ‘age’, showed a moderate quality of evidence. The Task Force formulated 13 final recommendations concerning the detection of EARR, risk factors, EARR management during treatment, and after-treatment care when EARR has occurred. Stakeholder consultation resulted in 51 comments on the drafted guideline. After processing the comments, the final guideline was authorized by the Dutch Association of Orthodontists. The entire process took 3 years. LIMITATIONS: The quality of the available evidence was mainly low, and patient-reported outcome measures were lacking. CONCLUSIONS/IMPLICATIONS: This clinical practice guideline allows clinicians to respond to EARR based on current knowledge, although the recommendations are weak due to low-quality evidence. It may reduce variation between practices and aid in providing patients appropriate information. |
format | Online Article Text |
id | pubmed-7109605 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-71096052020-04-06 Development of a clinical practice guideline for orthodontically induced external apical root resorption Sondeijker, Caroline F W Lamberts, Antoon A Beckmann, Stefan H Kuitert, Reinder B van Westing, Koen Persoon, Saskia Kuijpers-Jagtman, Anne Marie Eur J Orthod Articles OBJECTIVES: To develop a clinical practice guideline on orthodontically induced external apical root resorption (EARR), with evidence-based and, when needed, consensus-based recommendations concerning diagnosis, risk factors, management during treatment, and after-treatment care. MATERIALS AND METHODS: The Appraisal of Guidelines for Research and Evaluation II instrument and the Dutch Method for Evidence-Based Guideline Development were used to develop the guideline. Based on a survey of all Dutch orthodontists, we formulated four clinical questions regarding EARR. To address these questions, we conducted systematic literature searches in MEDLINE and Embase, and we performed a systematic literature review. The quality of evidence was assessed with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. After discussing the evidence, a Task Force formulated considerations and recommendations. The drafted guideline was sent for comments to all relevant stakeholders. RESULTS: Eight studies were included. The quality of evidence (GRADE) was rated as low or very low. Only the patient-related risk factors, ‘gender’ and ‘age’, showed a moderate quality of evidence. The Task Force formulated 13 final recommendations concerning the detection of EARR, risk factors, EARR management during treatment, and after-treatment care when EARR has occurred. Stakeholder consultation resulted in 51 comments on the drafted guideline. After processing the comments, the final guideline was authorized by the Dutch Association of Orthodontists. The entire process took 3 years. LIMITATIONS: The quality of the available evidence was mainly low, and patient-reported outcome measures were lacking. CONCLUSIONS/IMPLICATIONS: This clinical practice guideline allows clinicians to respond to EARR based on current knowledge, although the recommendations are weak due to low-quality evidence. It may reduce variation between practices and aid in providing patients appropriate information. Oxford University Press 2020-04 2019-05-14 /pmc/articles/PMC7109605/ /pubmed/31087032 http://dx.doi.org/10.1093/ejo/cjz034 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of the European Orthodontic Society http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Articles Sondeijker, Caroline F W Lamberts, Antoon A Beckmann, Stefan H Kuitert, Reinder B van Westing, Koen Persoon, Saskia Kuijpers-Jagtman, Anne Marie Development of a clinical practice guideline for orthodontically induced external apical root resorption |
title | Development of a clinical practice guideline for orthodontically induced external apical root resorption |
title_full | Development of a clinical practice guideline for orthodontically induced external apical root resorption |
title_fullStr | Development of a clinical practice guideline for orthodontically induced external apical root resorption |
title_full_unstemmed | Development of a clinical practice guideline for orthodontically induced external apical root resorption |
title_short | Development of a clinical practice guideline for orthodontically induced external apical root resorption |
title_sort | development of a clinical practice guideline for orthodontically induced external apical root resorption |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109605/ https://www.ncbi.nlm.nih.gov/pubmed/31087032 http://dx.doi.org/10.1093/ejo/cjz034 |
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