Zer - oo1 Treatments for intrusive luxation in permanent teeth: a systematic review and meta-analysis

Autores

  • Luciana Artioli Costa
  • Cecília Cláudia Costa Ribeiro
  • Luana Martins Cantanhede
  • Joel Ferreira Santiago Júnior
  • Marcos Rogério de Mendonça
  • Alex Luiz Pozzobon Pereira

Resumo

Intrusive luxation (IL) is a severe form of dental trauma and there is no consensus regarding its management on permanent teeth. It was performed a systematic review and meta-analysis to identify the appropriate treatment for teeth with IL. PubMed/MEDLINE, EMBASE, US Clinical Trials, and ISRCTN Registry electronic databases were used to search for articles in English and unpublished studies without a date limit. The eligible studies evaluated periodontal results (root resorption (RR) as a primary outcome; marginal bone defects (MBD) and/or pulpal changes (PC) as secondary outcomes) after spontaneous re-eruption (SRE), orthodontic repositioning (ORP), or surgical repositioning (SRP) for patients with one or more traumatically intruded permanent teeth. Risk ratios with a 95% confidence interval were used to compare treatments. Meta-analysis revealed no significant difference (p>0.05) between SRP and SRE for RR. For secondary outcomes, SRE was significantly better than SRP (p<0.05). Subgroups analyses showed no significant differences among treatments in teeth with completely formed roots (p>0.05) and better prognosis when SRE was performed in teeth with incompletely formed roots (p<0.05). The available evidence does not allow us to conclude on the best treatment for traumatically intruded teeth. More reliable evidence is needed.

Descriptors: Tooth Injuries; Dentition, Permanent; Meta-Analysis.

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Publicado

2016-08-04

Como Citar

Costa, L. A., Ribeiro, C. C. C., Cantanhede, L. M., Santiago Júnior, J. F., Mendonça, M. R. de, & Pereira, A. L. P. (2016). Zer - oo1 Treatments for intrusive luxation in permanent teeth: a systematic review and meta-analysis. ARCHIVES OF HEALTH INVESTIGATION, 5. Recuperado de https://archhealthinvestigation.com.br/ArcHI/article/view/1337