Accepted for/Published in: JMIR Research Protocols
Date Submitted: Aug 2, 2023
Date Accepted: Oct 5, 2023
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Reasons for Failure of Crowns in Pediatric Dentistry: Protocol for a Systematic Review and Meta-analysis.
ABSTRACT
Background:
Several biological and technical factors contribute to survival of crowns in pediatric dentistry. Understanding these associations will provide useful data on long-term survival of crowns to pediatric dentists and researchers.
Objective:
This systematic review and meta-analysis will evaluate the survival rates and reasons for failure of crowns in pediatric dentistry.
Methods:
This review will include data from randomized controlled trials and observational studies reporting survival rates of dental crowns and reasons for their failures in children under 18 years of age. Articles published in languages other than English, qualitative interviews, single-case studies, and series of single-case studies will be excluded. Two independent reviewers will search, assess methodological quality and extract data from electronic databases including PubMed, Cochrane and Scopus. Disagreements with respect to quality assessments and inclusion of studies will be resolved through discussions with a third reviewer. A narrative synthesis will be performed to summarize the findings, and if feasible, a meta-analysis will be conducted to estimate the prevalence of restoration failures in pediatric dentistry. Failure rates resulting from biological and technical failures will be calculated by dividing the number of failures by the total exposure time. A Poisson regression model will be used to analyze the survival proportions for 3 years, 5 years, and 10 years with an assumption of constant event rates.
Results:
Publication of this systematic review protocol will help in establishing and maintaining the transparency of the process followed and accountability for the stated methods and outcomes.
Conclusions:
The findings of this review and analysis will provide useful data on survival of crowns to pediatric dentists and researchers. Clinical Trial: PROSPERO registration number: CRD42023442266
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Copyright
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