Document Detail

Overview of the evidence for clinical interventions in pediatric dentistry.
MedLine Citation:
PMID:  15839388     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The purpose of this report was to describe the quantity of published literature and types of studies supporting the use of 4 pediatric dentistry procedures: (1) ferric sulfate pulpotomy; (2) stainless steel crowns; (3) space maintainers; and (4) atraumatic restorative technique (ART). METHODS: When available, titles and abstracts of reports written in English and published over a 36-year period (1966-2002) concerning these procedures were retrieved from MEDLINE. They were classified using a modified classification scheme that, in addition to the study designs, also considered the 4 dimensions of measuring dental outcomes. RESULTS: The quantity of available literature concerning each dental procedure varied considerably. Even though many reports were published on treatments, only a small proportion of the published literature for each procedure was found to evaluate outcomes, regardless of outcome dimension. Besides outcomes evaluations, studies on techniques, material properties, and review articles comprised a large proportion of the literature. Clinical dimension of outcomes was most commonly studied. Case series and case reports were the most frequently used study designs to report outcomes. CONCLUSIONS: The outcomes-related literature to support some of the commonly performed treatments is limited both in quantity and study types. More reports are needed to develop the evidence base to support the commonly performed procedures in pediatric dental practice. Additional analyses reporting of the literature are also needed to assess internal and external validity of the studies.
Yogita Butani; Steven M Levy; Arthur J Nowak; Michael J Kanellis; Keith Heller; Arthur J Hartz; Deborah V Dawson; Catherine A Watkins
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Pediatric dentistry     Volume:  27     ISSN:  0164-1263     ISO Abbreviation:  Pediatr Dent     Publication Date:    2005 Jan-Feb
Date Detail:
Created Date:  2005-04-20     Completed Date:  2005-05-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7909102     Medline TA:  Pediatr Dent     Country:  United States    
Other Details:
Languages:  eng     Pagination:  6-11     Citation Subset:  D; IM    
Department of Preventive and Community Dentistry, College of Dentistry University of lowa, Iowa City, Iowa, USA.
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MeSH Terms
Child, Preschool
Dental Care for Children / methods*
Dental Restoration, Permanent / methods
Evidence-Based Medicine*
Ferric Compounds
Pediatric Dentistry*
Pulpotomy / methods
Space Maintenance / instrumentation
Stainless Steel
Treatment Outcome
Reg. No./Substance:
0/Ferric Compounds; 10028-22-5/ferric sulfate; 12597-68-1/Stainless Steel
Comment In:
Pediatr Dent. 2005 May-Jun;27(3):183   [PMID:  16173218 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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