Accepted for/Published in: JMIR Research Protocols
Date Submitted: Aug 2, 2023
Date Accepted: Oct 5, 2023
Reasons for Crown Failures in Primary Teeth: A Systematic Review and Meta-Analysis Protocol.
ABSTRACT
Background:
There is a tendency nowadays to restore large defects in primary dentition with pediatric crowns instead of conventional restorations. Thus, understanding the factors contributing to the survival or failure of dental crowns in pediatric dentistry is essential for optimizing treatment outcomes.
Objective:
The primary objective of this protocol is to outline the methodological approach for analyzing data from observational studies and randomized controlled trials to investigate reasons for failure of dental crowns in primary teeth and to compute their survival and failure rates.
Methods:
A comprehensive literature review will be performed in electronic databases including PubMed/MEDLINE, Cochrane, Embase and Web of Science. As per a pre-defined inclusion criteria, observational studies (prospective clinical studies) and randomized clinical trials with an English abstract and involving children aged 1-10 years undergoing crown restorations will be included. two independent reviewers will independently screen all retrieved records, full-text articles, and extract data. The study’s methodological quality will be appraised using suitable tools. Assessments of publication bias will be performed using funnel plots. The findings will be described qualitatively for the systematic review. If possible, a meta-analysis will be performed to estimate failure rates by dividing the number of failures by the total exposure time and a Poisson regression model, assuming constant event rates will be used to compute 3-year and 5-year survival proportions. The Pearson goodness-of-fit statistics were used to assess the heterogeneity for the model. A p-value < 0.05 will be considered significant. All analyses will be performed using R Statistical Software (v4.1.2, R Core Team 2021).
Results:
This systematic review and synthesis aims to assess the survival and failure rates of dental crowns in pediatric dentistry. By following this rigorous methodology, we seek to provide valuable insights into the factors contributing to the success or failure of these restorations. The results of our full review will have implications for pediatric dentists, researchers, and policymakers, helping to improve dental care for children.
Conclusions:
This systematic review protocol helps in establishing a thorough protocol when reviewing failures in pediatric crowns. By following this methodology, standardization and transparency of the process will be ensured together with accountability for the stated methods and outcomes. The findings of this review and analysis will provide useful data on survival of crowns to pediatric dentists and researchers. Clinical Trial: PROSPERO CRD42023442266; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=442266
Citation
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Copyright
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