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1.
J Dent ; 84: 44-48, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-30862555

RESUMEN

OBJECTIVE: Qualitative research is being increasingly ingrained within dentistry. The aim of the study was to assess whether recent qualitative studies involving interviews and focus groups in the dental literature comply with the consolidated criteria for reporting qualitative research (COREQ) checklist. METHODS: Qualitative studies in dentistry, involving interviews and focus groups with patients, parents or caregivers published between January 2017 and June 2018 were identified through electronic and hand searching with no language restrictions. The characteristics of the included studies and adherence to the COREQ checklist were assessed. RESULTS: A total of 7137 studies were identified. Following initial screening, 244 full-text articles were obtained; of these, 100 met the inclusion criteria. The majority of the identified studies were in the field of dental public health (30%) with just half published in dental journals. The median sample size was 20 participants (IQR 38.5). Data analysis was most commonly undertaken using thematic analysis or the framework approach 59% (53/90), with purposive sampling used in 54% (36/67) of those describing sampling methods. On average, 17 (±5.3) of 32 of the COREQ checklist items were presented within the individual studies. Overall, the quality of reporting of individual studies was typically categorised as either moderate (51%) or poor (34%). CONCLUSION: As qualitative research in dentistry becomes more established, improved adherence to the COREQ checklist should be encouraged to ensure transparent reporting, in order to maximally influence the delivery of care, policy and clinical practice.


Asunto(s)
Lista de Verificación , Investigación Dental , Proyectos de Investigación , Grupos Focales , Humanos , Investigación Cualitativa , Informe de Investigación
2.
J Oral Maxillofac Surg ; 77(4): 703.e1-703.e16, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-30611694

RESUMEN

PURPOSE: The wound closure technique for lower third molar surgery (LTMS) is an operative factor that influences wound healing and the occurrence of early postoperative complications. The present study investigated 2 closure techniques (partial closure using 1 suture and the suture-less technique) after use of a modified buccal envelope flap for LTMS. MATERIALS AND METHODS: We performed a prospective, randomized, double-blind, split-mouth, controlled trial. Partial closure using 1 suture was compared with closure using the sutureless technique. The surgical sites were divided into 2 groups, group A (1 suture) and group B (sutureless). Each patient received both treatments at the same surgery. During the first postoperative week, all patients were asked to daily assess pain, facial swelling, and bleeding using self-assessment scales. All patients attended the follow-up appointment at 1 week to objectively assess facial swelling and wound healing and at 1 month to assess wound healing. An analysis of data was performed using the statistical package SPSS Statistics, version 24 (IBM Corp, Armonk, NY). A P value ≤ .05 was accepted as statistically significant. RESULTS: A total of 37 patients with bilateral impacted third molars of similar surgical difficulty were recruited. Of the 37 patients, 34 successfully completed the study. The results showed a statistically significant difference between the 2 techniques in postoperative pain at days 5 (P = .046) and 6 (P = .034); socket healing at 1 week (P = .002) and 1 month (P = .014), and soft tissue healing at 1 week (P = .016). CONCLUSION: We found the 1-suture technique for LTMS to be superior to the sutureless technique in the reduction of postoperative pain and improving wound healing during the early postoperative period. We found no difference between the 2 techniques in the reduction of postoperative swelling.


Asunto(s)
Tercer Molar/cirugía , Técnicas de Sutura , Extracción Dental , Diente Impactado/cirugía , Cicatrización de Heridas , Adolescente , Adulto , Método Doble Ciego , Edema , Femenino , Humanos , Masculino , Dolor Postoperatorio , Complicaciones Posoperatorias , Estudios Prospectivos , Suturas , Adulto Joven
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