Abstract:
:The objective of this study was twofold, namely to evaluate the effectiveness of a dental clinical practice guideline on the management of asymptomatic impacted lower third molars (i) on referral rates and (ii) on dentists' change in knowledge. A two-arm cluster randomized controlled trial, with pre- and post-test assessments, was conducted. A guideline was implemented by multifaceted interventions (i.e. feedback, reminders, and an interactive meeting). The effect was evaluated after 1 yr by repeating the baseline questionnaire and by monitoring the number of patients who were referred for removal of their asymptomatic impacted mandibular third molars. Instruments were questionnaires for detecting changes in knowledge, patient records, and panoramic radiographs. The knowledge of dentists regarding asymptomatic mandibular third molar management was found to increase significantly in the intervention group as compared to the control group. There was no statistically significant difference between the groups in guideline-consistent patient referral rates at the post-test assessment. It was concluded that the methodology employed for dissemination and implementation of a clinical practice guideline on asymptomatic mandibular third molar management improves dentists' knowledge on this topic and is effective in improving decision-making in simulated cases; however, no clinical effect was demonstrated.
journal_name
Eur J Oral Scijournal_title
European journal of oral sciencesauthors
van der Sanden WJ,Mettes DG,Plasschaert AJ,Grol RP,Mulder J,Verdonschot EHdoi
10.1111/j.1600-0722.2005.00232.xsubject
Has Abstractpub_date
2005-10-01 00:00:00pages
349-54issue
5eissn
0909-8836issn
1600-0722pii
EOS232journal_volume
113pub_type
杂志文章,随机对照试验abstract::Prostaglandins, especially prostaglandin E2 (PGE2), play a crucial role in the pathogenesis of periodontal disease. We have previously reported that inflammatory mediators interleukin-1 (IL-1) and tumor necrosis factor alpha (TNFalpha) increase the production of PGE2 in human gingival fibroblasts. In this study, we in...
journal_title:European journal of oral sciences
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doi:10.1034/j.1600-0722.2001.00999.x
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journal_title:European journal of oral sciences
pub_type: 杂志文章
doi:10.1111/j.1600-0722.2009.00625.x
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abstract::The amelogenin proteins are required for normal enamel development, and the most abundant amelogenins expressed from alternatively spliced mRNAs are M180 and leucine-rich amelogenin protein (LRAP). The X-Chromosomal Amelogenin (Amelx) null [knockout (KO)] mouse has an enamel defect similar to human X-linked amelogenes...
journal_title:European journal of oral sciences
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journal_title:European journal of oral sciences
pub_type: 杂志文章
doi:10.1111/j.1600-0722.1995.tb00171.x
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abstract::The aim of this study was to validate the use of digitized periapical radiographs in evaluating orthodontically induced apical root resorption against micro-computed tomography (micro-CT) scanning as a criterion standard test. In a standardized experimental protocol, 29 premolars in 16 subjects were tipped buccally fo...
journal_title:European journal of oral sciences
pub_type: 杂志文章,随机对照试验
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journal_title:European journal of oral sciences
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journal_title:European journal of oral sciences
pub_type: 杂志文章
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abstract::Improving access to National Health Service (NHS) dentistry is a public health issue that has been a focus for successive governments and policy makers in the UK. To inform this process, commissioners of services need to understand trends in service use and demands of the local population. This study explored inequali...
journal_title:European journal of oral sciences
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journal_title:European journal of oral sciences
pub_type: 杂志文章
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journal_title:European journal of oral sciences
pub_type: 杂志文章
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journal_title:European journal of oral sciences
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journal_title:European journal of oral sciences
pub_type: 杂志文章,随机对照试验
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journal_title:European journal of oral sciences
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journal_title:European journal of oral sciences
pub_type: 杂志文章
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journal_title:European journal of oral sciences
pub_type: 杂志文章
doi:10.1111/eos.12085
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journal_title:European journal of oral sciences
pub_type: 杂志文章
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journal_title:European journal of oral sciences
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pub_type: 杂志文章,随机对照试验
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journal_title:European journal of oral sciences
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journal_title:European journal of oral sciences
pub_type: 杂志文章
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journal_title:European journal of oral sciences
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journal_title:European journal of oral sciences
pub_type: 杂志文章
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journal_title:European journal of oral sciences
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pub_type: 杂志文章
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