Difference between revisions of "Chen3"
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| − | <span style="line-height:normal">'''<span style="font-size:18.0pt"><span style="font-family: | + | <span style="line-height:normal">'''<span style="font-size:18.0pt"><span style="font-family:"><span style="color:black">Evidence that using hyperbaric oxygen improves the success of young permanent tooth re-implantation</span></span></span>'''</span> |
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| − | <span style="line-height:normal"><span style="height:69.1pt">'''<span style="font-size:16.0pt"><span style="font-family: | + | <span style="line-height:normal"><span style="height:69.1pt">'''<span style="font-size:16.0pt"><span style="font-family:">Clinical Bottom Line:</span></span>'''</span></span> |
| − | <span style="line-height:normal"><span style="height:69.1pt">'''<span style="font-size:16.0pt"><span style="font-family: | + | <span style="line-height:normal"><span style="height:69.1pt">'''<span style="font-size:16.0pt"><span style="font-family:">1. Using hyperbaric oxygen resulted in a high rate of successful re-implantation of young permanent teeth.</span></span>'''</span></span> |
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| − | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family: | + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:"><span style="color:black">Citation/s:</span></span></span>'''<br/> <span style="font-size:12.0pt"><span style="font-family:"><span style="color:black">1. Chen F, Sun H, Jia B. Clinical studies on the use of hyperbaric oxygen in replantation of young permanent teeth. Zhonghua kou qiang yi xue za zhi= Zhonghua kouqiang yixue zazhi= Chinese journal of stomatology. 2000 Jul 1;35(4):271-3.<br/> '''Lead author's name and fax: '''Unknown</span></span></span></span> |
| − | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family: | + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:"><span style="color:black">Three-part Clinical Question:</span></span></span>'''<span style="font-size:12.0pt"><span style="font-family:"><span style="color:black">For young patients having re-implantation of permanent teeth, does the addition of hyperbaric oxygen to standard care result in improved success?<br/> '''Search Terms:''' dentistry; tooth re-implantation; wound healing</span></span></span></span> |
| − | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family: | + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:"><span style="color:black">The Study:</span></span></span>'''<br/> <span style="font-size:12.0pt"><span style="font-family:"><span style="color:black">Non-blinded randomised controlled trial - intention-to-treat unknown.<br/> '''The Study Patients:''' Unclear, but the teeth are described as 'young permanent teeth'.<br/> '''Control group''' (N = 69; 69 analysed): Unclear except teeth were re-implanted after being lost.<br/> '''Experimental group''' (N = 69; 69 analysed): 100% oxygen breathing at 2.5 ATA for 80 minutes daily for 10 days</span></span></span></span> |
| − | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family: | + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:"><span style="color:black">The Evidence:</span></span></span>'''</span> |
{| class="Table" style="border:solid windowtext 1.0pt" | {| class="Table" style="border:solid windowtext 1.0pt" | ||
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| − | | style="width:75.5pt; border:solid windowtext 1.0pt" width="101" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family: | + | | style="width:75.5pt; border:solid windowtext 1.0pt" width="101" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family:">Outcome</span></span>'''</span></p> |
| − | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family: | + | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family:">Time to Outcome</span></span>'''</span></p> |
| − | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family: | + | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family:">Control group</span></span>'''</span></p> |
| − | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family: | + | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family:">HBOT group</span></span>'''</span></p> |
| − | | style="width:76.5pt; border:solid windowtext 1.0pt" width="102" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family: | + | | style="width:76.5pt; border:solid windowtext 1.0pt" width="102" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family:">Relative risk reduction</span></span>'''</span></p> |
| − | | style="width:83.55pt; border:solid windowtext 1.0pt" width="111" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family: | + | | style="width:83.55pt; border:solid windowtext 1.0pt" width="111" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family:">Absolute risk reduction</span></span>'''</span></p> |
| − | | style="width:58.95pt; border:solid windowtext 1.0pt" width="79" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family: | + | | style="width:58.95pt; border:solid windowtext 1.0pt" width="79" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family:">NNT</span></span>'''</span></p> |
|- | |- | ||
| rowspan="2" style="width:75.5pt; border:solid windowtext 1.0pt" width="101" | | | rowspan="2" style="width:75.5pt; border:solid windowtext 1.0pt" width="101" | | ||
| − | <span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family: | + | <span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family:">Successful reimplantation</span></span>'''</span> |
| − | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">Unknown</span></span></span></p> |
| − | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">0.71</span></span></span></p> |
| − | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">0.97</span></span></span></p> |
| − | | style="width:76.5pt; border:solid windowtext 1.0pt" width="102" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:76.5pt; border:solid windowtext 1.0pt" width="102" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">37%</span></span></span></p> |
| − | | style="width:83.55pt; border:solid windowtext 1.0pt" width="111" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:83.55pt; border:solid windowtext 1.0pt" width="111" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">0.27</span></span></span></p> |
| − | | style="width:58.95pt; border:solid windowtext 1.0pt" width="79" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:58.95pt; border:solid windowtext 1.0pt" width="79" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">4</span></span></span></p> |
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| − | | colspan="3" style="width:147.3pt; border:solid windowtext 1.0pt" width="196" | <p align="right" style="margin-bottom:0cm; text-align:right; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | colspan="3" style="width:147.3pt; border:solid windowtext 1.0pt" width="196" | <p align="right" style="margin-bottom:0cm; text-align:right; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">95% CIs:</span></span></span></p> |
| − | | style="width:76.5pt; border:solid windowtext 1.0pt" width="102" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:76.5pt; border:solid windowtext 1.0pt" width="102" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">21% to 54%</span></span></span></p> |
| − | | style="width:83.55pt; border:solid windowtext 1.0pt" width="111" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:83.55pt; border:solid windowtext 1.0pt" width="111" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">0.15 to 0.38</span></span></span></p> |
| − | | style="width:58.95pt; border:solid windowtext 1.0pt" width="79" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:58.95pt; border:solid windowtext 1.0pt" width="79" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">3 to 7</span></span></span></p> |
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| rowspan="2" style="width:75.5pt; border:solid windowtext 1.0pt" width="101" | | | rowspan="2" style="width:75.5pt; border:solid windowtext 1.0pt" width="101" | | ||
| − | <span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family: | + | <span style="line-height:normal">'''<span style="font-size:10.0pt"><span style="font-family:">Proportion with missing teeth</span></span>'''</span> |
| − | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">1 year</span></span></span></p> |
| − | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">0.19</span></span></span></p> |
| − | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:48.1pt; border:solid windowtext 1.0pt" width="64" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">0.01</span></span></span></p> |
| − | | style="width:76.5pt; border:solid windowtext 1.0pt" width="102" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:76.5pt; border:solid windowtext 1.0pt" width="102" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">92%</span></span></span></p> |
| − | | style="width:83.55pt; border:solid windowtext 1.0pt" width="111" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:83.55pt; border:solid windowtext 1.0pt" width="111" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">0.17</span></span></span></p> |
| − | | style="width:58.95pt; border:solid windowtext 1.0pt" width="79" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:58.95pt; border:solid windowtext 1.0pt" width="79" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">6</span></span></span></p> |
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| − | | colspan="3" style="width:147.3pt; border:solid windowtext 1.0pt" width="196" | <p align="right" style="margin-bottom:0cm; text-align:right; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | colspan="3" style="width:147.3pt; border:solid windowtext 1.0pt" width="196" | <p align="right" style="margin-bottom:0cm; text-align:right; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">95% CIs:</span></span></span></p> |
| − | | style="width:76.5pt; border:solid windowtext 1.0pt" width="102" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:76.5pt; border:solid windowtext 1.0pt" width="102" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">41% to 100%</span></span></span></p> |
| − | | style="width:83.55pt; border:solid windowtext 1.0pt" width="111" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:83.55pt; border:solid windowtext 1.0pt" width="111" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">0.08 to 0.27</span></span></span></p> |
| − | | style="width:58.95pt; border:solid windowtext 1.0pt" width="79" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family: | + | | style="width:58.95pt; border:solid windowtext 1.0pt" width="79" | <p align="center" style="margin-bottom:0cm; text-align:center; padding:.75pt .75pt .75pt .75pt"><span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:">4 to 13</span></span></span></p> |
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| − | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family: | + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:"><span style="color:black">Comments:</span></span></span>'''<br/> <span style="font-size:12.0pt"><span style="font-family:"><span style="color:black">1. Abstract only available in English. Methodology unclear.<br/> 2. Timing of 'successful re-implantation' outcome unclear, but ultimate success at one year given.<br/> 3. These figures assume equal numbers of teeth in each group<br/> 4. Full translation awaited</span></span></span></span> |
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| + | <span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:"><span style="color:black">Appraised by:</span></span></span>'''<span style="font-size:12.0pt"><span style="font-family:"><span style="color:black">Mike Bennett m.bennett@unsw.edu.au ; Sunday, 18 July 2021<br/> '''Kill or Update By:''' July 2025</span></span></span></span> | ||
| + | <p style="text-align: center;">[[File:Sumhorsa.gif|center|Sumhorsa.gif]]</p> <p style="text-align: center;"><span style="font-size:xx-large;">[[Physiology|BACK]]</span></p> | ||
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Latest revision as of 21:45, 17 July 2021
Evidence that using hyperbaric oxygen improves the success of young permanent tooth re-implantation
|
Clinical Bottom Line: 1. Using hyperbaric oxygen resulted in a high rate of successful re-implantation of young permanent teeth. |
Citation/s:
1. Chen F, Sun H, Jia B. Clinical studies on the use of hyperbaric oxygen in replantation of young permanent teeth. Zhonghua kou qiang yi xue za zhi= Zhonghua kouqiang yixue zazhi= Chinese journal of stomatology. 2000 Jul 1;35(4):271-3.
Lead author's name and fax: Unknown
Three-part Clinical Question:For young patients having re-implantation of permanent teeth, does the addition of hyperbaric oxygen to standard care result in improved success?
Search Terms: dentistry; tooth re-implantation; wound healing
The Study:
Non-blinded randomised controlled trial - intention-to-treat unknown.
The Study Patients: Unclear, but the teeth are described as 'young permanent teeth'.
Control group (N = 69; 69 analysed): Unclear except teeth were re-implanted after being lost.
Experimental group (N = 69; 69 analysed): 100% oxygen breathing at 2.5 ATA for 80 minutes daily for 10 days
The Evidence:
Outcome |
Time to Outcome |
Control group |
HBOT group |
Relative risk reduction |
Absolute risk reduction |
NNT |
|
Successful reimplantation |
Unknown |
0.71 |
0.97 |
37% |
0.27 |
4 |
95% CIs: |
21% to 54% |
0.15 to 0.38 |
3 to 7 | |||
|
Proportion with missing teeth |
1 year |
0.19 |
0.01 |
92% |
0.17 |
6 |
95% CIs: |
41% to 100% |
0.08 to 0.27 |
4 to 13 | |||
Comments:
1. Abstract only available in English. Methodology unclear.
2. Timing of 'successful re-implantation' outcome unclear, but ultimate success at one year given.
3. These figures assume equal numbers of teeth in each group
4. Full translation awaited
Appraised by:Mike Bennett m.bennett@unsw.edu.au ; Sunday, 18 July 2021
Kill or Update By: July 2025