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KNOWLEDGE GAPS IN ORAL AND MAXILLOFACIAL SURGERY: A SYSTEMATIC MAPPING

Published online by Cambridge University Press:  14 June 2017

Marie Österberg ,
Anders Holmlund ,
Bo Sunzel ,
Sofia Tranæus ,
Svante Twetman  and
Bodil Lund
Marie Österberg
Affiliation:
Swedish Agency for Health Technology Assessment and Assessment of Social [email protected]
Anders Holmlund
Affiliation:
Department of Dental Medicine, Karolinska Institutet, Department of Oral and Maxillofacial Surgery, Karolinska University Hospital
Bo Sunzel
Affiliation:
Department of Oral and Maxillofacial Surgery, Skanes University Hospital
Sofia Tranæus
Affiliation:
Swedish Agency for Health Technology Assessment and Assessment of Social Services, Department of Dental Medicine; Karolinska Institutet Health Technology Assessment – Odontology, Faculty of Odontology, Malmö University
Svante Twetman
Affiliation:
Faculty of Health and Medical Sciences, University of Copenhagen
Bodil Lund
Affiliation:
Department of Dental Medicine, Karolinska Institutet, Department of Oral and Maxillofacial Surgery, Karolinska University Hospital
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Abstract

Objectives: The aim of this study was to evaluate available knowledge and identify knowledge gaps within the field of oral and maxillofacial surgery, by systematically collecting and evaluating systematic reviews. Twelve specific domains were selected: surgical removal of teeth, antibiotic and corticosteroid prophylaxis, orofacial infections, dental and facial trauma, orthognathic surgery, reconstructive surgery, benign tumors, cysts, premalignant lesions, oral complications of treatment of malignant tumors, hyperbaric oxygen therapy, temporomandibular joint surgery, cost effectiveness of different surgical treatments, and ethics.

Methods: The literature search, covering four databases, was conducted during September 2014: PubMed, The Cochrane library, Centre for Reviews and Dissemination and EBSCO dentistry and oral science source. Retrieved systematic reviews were quality assessed by AMSTAR.

Results: In all, 1,778 abstracts were identified, of which 200 met the inclusion criteria. Forty-five systematic reviews were assessed as of high to moderate quality. The results disclosed some existing evidence in a few domains, such as surgical removal of teeth and implant survival after sinus lifts. However, in all domains, the search revealed a large number of knowledge gaps. Also of concern was the lack of data regarding health economics and ethics.

Conclusions: In conclusion, there is a need for well-conducted clinical research in the fields of oral and maxillofacial surgery.

Keywords

Maxillofacial surgeryOral surgeryScientific uncertaintiesSystematic mappingEthics
Type
Assessments
Information
International Journal of Technology Assessment in Health Care , Volume 33 , Issue 1 , 2017 , pp. 93 - 102
Copyright
Copyright © Cambridge University Press 2017 

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