Oral surgery, oral medicine, oral pathology and oral radiology · 2025
Complications in coronectomy procedures for removal of lower third molars in contact with the mandibular canal: systematic review and meta-analysis of clinical trials.
СтатьяМетаанализСистематический обзорНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Lira Rivelli Maria de Oliveira, Veras Pedryna Maria Oliveira, Gomes Giselly Dos Santos, Azevedo Bárbara Albuquerque, Loiola Ana Thamires de Paulo, Almeida Antônio Asriel Dos Santos, Silva Paulo Goberlânio de Barros, Cetira Filho Edson Luiz
Аннотация
OBJECTIVE: This systematic review (SR) investigated whether the coronectomy of lower third molars in contact with the mandibular canal influences complications.
STUDY DESIGN: An electronic search was conducted in indexed databases and grey literature. The study selection was performed using the Rayyan software among three researchers. The risk of bias was assessed using the RoB 2.0 tool. The meta-analysis considered P < .05 as significant in RevMan.
RESULTS: The analysis included 1,037 events in the intervention group and 1,054 in the control group for pain outcomes, showing a significant reduction in pain scores (-0.25 [95% CI: -0.46, -0.04], P = .020). There was no significant difference in pain perception between the groups (P = .140, I² = 0%). A significant reduction in the relative risk of paresthesia was observed (0.09 [95% CI: 0.03, 0.25], P < .001) with low heterogeneity (I² = 0%). However, there was no significant reduction in the risk of infection (P = .370, I² = 56%) or dry socket (P = .230, I² = 27%). Despite the low risk of bias, the heterogeneity (I² = 0%-56%) and sample sizes reduced the certainty of the GRADE evidence from very low to moderate.
CONCLUSIONS: This SR demonstrated that coronectomy is effective in preventing nerve damage and controlling pain and edema.
STUDY DESIGN: An electronic search was conducted in indexed databases and grey literature. The study selection was performed using the Rayyan software among three researchers. The risk of bias was assessed using the RoB 2.0 tool. The meta-analysis considered P < .05 as significant in RevMan.
RESULTS: The analysis included 1,037 events in the intervention group and 1,054 in the control group for pain outcomes, showing a significant reduction in pain scores (-0.25 [95% CI: -0.46, -0.04], P = .020). There was no significant difference in pain perception between the groups (P = .140, I² = 0%). A significant reduction in the relative risk of paresthesia was observed (0.09 [95% CI: 0.03, 0.25], P < .001) with low heterogeneity (I² = 0%). However, there was no significant reduction in the risk of infection (P = .370, I² = 56%) or dry socket (P = .230, I² = 27%). Despite the low risk of bias, the heterogeneity (I² = 0%-56%) and sample sizes reduced the certainty of the GRADE evidence from very low to moderate.
CONCLUSIONS: This SR demonstrated that coronectomy is effective in preventing nerve damage and controlling pain and edema.