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- Title
The Impact of Minimal Intervention Dentistry on Patient-Reported and Observation-Based Outcomes in the Pediatric Population: A Systematic Review and Meta-Analysis.
- Authors
Chiu, Hilton Hiu Chun; Lam, Phoebe Pui Ying; Yiu, Cynthia Kar Yung
- Abstract
This review aimed to systematically investigate the effect of minimal intervention dentistry on patient-reported and observation-based outcomes of anxiety, pain and patient cooperation in the pediatric population. Microinvasive treatments (MITs) were compared to conventional treatments, home-based and professionally applied non-invasive treatments (NITs), and between MITs. Two reviewers independently screened studies from four electronic databases, extracted data, assessed the risk of bias and certainty of evidence with the GRADE approach. Ultimately, 26 studies were included for qualitative synthesis, with the data from 12 studies being incorporated into the meta-analysis. No statistically significantly differences in terms of anxiety were noted between MITs and conventional treatments, or between MITs from the meta-analyses. The treatment durations of MITs were not necessarily shorter than conventional treatments but varied with the use of local anesthesia, behavioral and clinical approach, and other confounding factors. The certainties of evidence were deemed low due to high risk of bias of the included studies. NITs evoked less anxiety and pain compared to MITs. Minimal intervention dentistry is an alternative treatment to manage dental caries among children and does not arouse different levels of dental anxiety and pain compared to other treatment modalities. However, further well-designed studies are required to draw an evidence-based conclusion.
- Subjects
MEDICAL databases; ONLINE information services; DENTAL crowns; TOOTHACHE; META-analysis; MEDICAL information storage &; retrieval systems; MINIMALLY invasive procedures; SYSTEMATIC reviews; DENTAL materials; HEALTH outcome assessment; PEDIATRICS; LOCAL anesthesia; TREATMENT duration; FEAR of dentists; RISK assessment; DAMS (Dentistry); RESEARCH funding; DENTISTRY; DENTAL caries; MEDLINE; DENTAL fillings; DISEASE risk factors
- Publication
Healthcare (2227-9032), 2023, Vol 11, Issue 16, p2241
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare11162241