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Authors
Advisor(s)
Abstract(s)
Introdução
A agenesia dentária é a anomalia dentária de desenvolvimento mais reconhecida
nos seres humanos e pode ser desafiante clinicamente.
No caso do inicisivo lateral superior, a frequência é de 1-2% bilateral,
acometendo quer homens quer mulheres, todas os estudos mostram maior
prevalência no sexo feminino.
A etiologia da agenesia dentária pode relacionar-se com fatores locais,
sistémicos e genéticos.
Possíveis soluções ortodônticas passam pela extração do incisivo lateral, fecho
de espaço simétrico com substituição canina bilateral, fecho de espaço unilateral
em combinação a restauração protética para a assimetria dentária ou a abertura
de espaço para uma substituição protética do incisivo lateral em falta com
posterior alargamento igual dos dois incisivos laterais.
Materiais e métodos
Esta revisão sistemática será realizada através da metodologia Preferred
Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA).
Foi executada uma pesquisa eletrónica, de modo a responder à questão de
investigação, nas bases de dados: PubMed/MEDLINE® e Web of Science”.
A avaliação da qualidade dos estudos incluídos foi realizada,
independentemente, por dois investigadores. Através do preenchimento do
questionário de qualidade Newcastle - Ottawa Quality Assessment Scale.
Resultados
Foram indentificados 101 artigos resultantes da pesquisa nas bases de dados.
Seguidamente foram selecionados 27 pelos critérios de inclusão/exclusão
(título).
Destes foram excluídos 9 por não responderem aos critérios de
inclusão/exclusão (leitura de abstract). Assim, transitaram para a fase seguinte
18 artigos para leitura integral. Após essa leitura, excluíram-se 7. Logo, foram
incluídos na presente revisão sistemática 11 artigos.
Conclusão
Concluimos que existe necessidade de mais evidência científica com base em
estudos clínicos randomizados que acalaçem protocolos baseados em evidência
de forma ao ortodontista poder selecionar o melhor tratamento.
Ambos os tipos de tratamento apresentam vantagens e desvantagens,
limitações e indicações que devem ser conhecidas.
Introduction Tooth agenesis is the most recognized developmental dental anomaly in humans and can be challenging clinically. In the case of maxillary lateral incisor, the frequency is 1-2% bilateral, affecting both males and females, all studies show higher prevalence in females. The etiology of tooth agenesis can be related to local, systemic and genetic factors. Possible orthodontic solutions include extraction of the lateral incisor, symmetrical space closure with bilateral canine replacement, unilateral space closure in combination with prosthetic restoration for dental asymmetry, or space opening for a prosthetic replacement of the missing lateral incisor with subsequent equal widening of both lateral incisors. Materials and Methods This systematic review will be performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) methodology. An electronic search was performed in order to answer the research question in the PubMed/MEDLINE® and Web of Science" databases. Quality assessment of the included studies was performed independently by two researchers. Through the completion of the Newcastle - Ottawa Quality Assessment Scale questionnaire. Results A total of 101 articles were identified as a result of the database search. Then, 27 were selected by inclusion/exclusion criteria (title). Of these, 9 were excluded for not meeting the inclusion/exclusion criteria (abstract reading). Thus, 18 articles were transferred to the next phase for full reading. After this reading, 7 articles were excluded, so 11 articles were included in this systematic review. Conclusion We conclude that there is a need for more scientific evidence based on randomized clinical trials that link evidence-based protocols so that orthodontists can select the best treatment. Both types of treatment have advantages and disadvantages, limitations and indications that should be known.
Introduction Tooth agenesis is the most recognized developmental dental anomaly in humans and can be challenging clinically. In the case of maxillary lateral incisor, the frequency is 1-2% bilateral, affecting both males and females, all studies show higher prevalence in females. The etiology of tooth agenesis can be related to local, systemic and genetic factors. Possible orthodontic solutions include extraction of the lateral incisor, symmetrical space closure with bilateral canine replacement, unilateral space closure in combination with prosthetic restoration for dental asymmetry, or space opening for a prosthetic replacement of the missing lateral incisor with subsequent equal widening of both lateral incisors. Materials and Methods This systematic review will be performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) methodology. An electronic search was performed in order to answer the research question in the PubMed/MEDLINE® and Web of Science" databases. Quality assessment of the included studies was performed independently by two researchers. Through the completion of the Newcastle - Ottawa Quality Assessment Scale questionnaire. Results A total of 101 articles were identified as a result of the database search. Then, 27 were selected by inclusion/exclusion criteria (title). Of these, 9 were excluded for not meeting the inclusion/exclusion criteria (abstract reading). Thus, 18 articles were transferred to the next phase for full reading. After this reading, 7 articles were excluded, so 11 articles were included in this systematic review. Conclusion We conclude that there is a need for more scientific evidence based on randomized clinical trials that link evidence-based protocols so that orthodontists can select the best treatment. Both types of treatment have advantages and disadvantages, limitations and indications that should be known.
Description
Keywords
Agenesia dentária Incisivo lateral superior Tratamento ortodôntico Fecho de espaço Abertura de espaço Tooth agenesis Upper lateral incisor Orthodontic treatment Space closure Space opening