Evidence map›Paper›PMID 25879578›Full record

ArticleInternational dental journal2015

Decision making in third molar surgery: a survey of Brazilian oral and maxillofacial surgeons.

Igor Batista Camargo, Auremir Rocha Melo, André Vajgel Fernandes, Larry L Cunningham, José R Laureano Filho, Joseph E Van Sickels

Open access · greenAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in International dental journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Igor Batista CamargoDepartment of Oral and Maxillofacial Surgery, College of Dentistry of Pernambuco, University of Pernambuco, Camaragibe, Brazil.
Auremir Rocha MeloDepartment of Oral and Maxillofacial Surgery, College of Dentistry of Pernambuco, University of Pernambuco, Camaragibe, Brazil.
André Vajgel FernandesDepartment of Oral and Maxillofacial Surgery, College of Dentistry of Pernambuco, University of Pernambuco, Camaragibe, Brazil.
Larry L CunninghamDivision of Oral and Maxillofacial Surgery, University of Kentucky, Lexington, KY, USA.
José R Laureano FilhoOral and Maxillofacial Surgery Dental School at Pernambuco, University of Pernambuco, Camaragibe, Brazil.
Joseph E Van SickelsDepartment of Oral and Maxillofacial Surgery, University of Kentucky, Lexington, KY, USA.
Universidade de Pernambuco · BRUniversity of Kentucky · USUnited States Army · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study was designed to evaluate the variations in decision making among Brazilian oral and maxillofacial surgeons (OMFS) and trainees in relation to third molar surgery. A survey on 18 diverse clinical situations related to the assessment and treatment of the third molar surgeries was conducted during the 20th Brazilian National OMFS meeting. Participants were divided into three groups according to their level of training. Another variable studied was length of experience. Correlation between the question answers and the variables was analysed using the chi-square test and the f test. The mean age of participants was 32.68 years, and their mean length of experience was 5.24 years. There were no statistical differences between the level of training and number of years of experience and the responses to 15 of the 18 questions on clinical situations. However, differences were found in responses to prophylactic extraction of asymptomatic third molars, use of non-steriodal anti-inflammatory drugs (NSAIDs) during the preoperative surgical period and the use of additional imaging to plan extractions. The group with shorter time of experience (3.8 ± 3.94 years) tended to recommend extractions of asymptomatic third molars more frequently compared with the more experienced surgeons (P = 0.041). More experienced surgeons used NSAIDs in the preoperative surgical period, whereas the majority of the youngest surgeons (4.1 ± 5.96 years of experience) did not (P = 0.0042). The certificated trained and in practice group tended to treat deep lower third molar impactions based on the findings of a panoramic radiograph, without obtaining additional imaging [cone beam computed tomography (CBCT)] before treatment (P = 0.0132). Decision making regarding third molar treatment differs according to the level of training and is influenced by the number of years of experience. Therefore, further continuous education programmes in this area are warranted to make recommendations regarding third molars consistent with the current literature.

Indexed as

Attitude of Health PersonnelDecision MakingSurgery, OralAdultAnti-Inflammatory Agents, Non-SteroidalBrazilClinical CompetenceCone-Beam Computed TomographyHumansMolar, ThirdPatient Care PlanningPremedicationRadiography, PanoramicTooth CrownTooth ExtractionTooth, ImpactedAnti-Inflammatory Agents, Non-Steroidaldecision makingextractionoral surgerysurveyThird molar

Identifiers

PMID25879578
PMCPMC9376505
OpenAlexW2154506999

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.