Intervalos de visita para la salud oral en pacientes de atención primaria
Appendices
Appendix 1. Cochrane Oral Health Group's Trials Register search strategy
1 ((“routine check up” or “routine inspect*” or “routine appointment*” or “routine examin*” or “routine attend*” or “ routine recall” or “routine visit*”):ti,ab) AND (INREGISTER)
2 ((“regular check up” or “regular inspect*” or “regular appointment*” or “regular examin*” or “regular attend*” or “ regular recall” or “regular visit*”):ti,ab) AND (INREGISTER)
3 ((“periodic check up” or “periodic inspect*” or “periodic appointment*” or “periodic examin*” or “periodic attend*” or “ periodic recall” or “periodic visit*”):ti,ab) AND (INREGISTER)
4 ((“six month check up” or “six month inspect*” or “six month appointment*” or “six month examin*” or “six month attend*” or “ six month recall” or “six month visit*”):ti,ab) AND (INREGISTER)
5 ((“6 month check up” or “6 month inspect*” or “6 month appointment*” or “6 month examin*” or “6 month attend*” or “6 month recall” or “6 month visit*”):ti,ab) AND (INREGISTER)
6 ((“three month check up” or “three month inspect*” or “three month appointment*” or “three month examin*” or “three month attend*” or “three month recall” or “three month visit*”):ti,ab) AND (INREGISTER)
7 ((“3 month check up” or “3 month inspect*” or “3 month appointment*” or “3 month examin*” or “3 month attend*” or “3 month recall” or “3 month visit*”):ti,ab) AND (INREGISTER)
8 ((“nine month check up” or “nine month inspect*” or “nine month appointment*” or “nine month examin*” or “nine month attend*” or “nine month recall” or “nine month visit*”):ti,ab) AND (INREGISTER)
9 ((“9 month check up” or “9 month inspect*” or “9 month appointment*” or “9 month examin*” or “9 month attend*” or “9 month recall” or “9 month visit*”):ti,ab) AND (INREGISTER)
10 ((“twelve month check up” or “twelve month inspect*” or “twelve month appointment*” or “twelve month examin*” or “twelve month attend*” or “twelve month recall” or “twelve month visit*”):ti,ab) AND (INREGISTER)
11 ((“12 month check up” or “12 month inspect*” or “12 month appointment*” or “12 month examin*” or “12 month attend*” or “12 month recall” or “12 month visit*”):ti,ab) AND (INREGISTER)
12 ((recall and interval):ti,ab) AND (INREGISTER)
13 (#1 or #2 or #3 or #4 or #5 or #6 or #7 or #8 or #9 or #10 or #11 or #12) AND (INREGISTER)
Appendix 2. CENTRAL search strategy
#1 [mh "Stomatognathic diseases"]
#2 [mh Dentistry]
#3 [mh ^"Oral health"]
#4 [mh ^"Dentists practice patterns"]
#5 "oral health"
#6 (tooth or teeth or dental or dentist)
#7 {or #1‐#6}
#8 [mh ^"Appointments and schedules"]
#9 (routine* near/5 ("check up" or inspect* or appointment* or examin* or attend* or recall* or visit*))
#10 (regular* near/5 ("check up" or inspect* or appointment* or examin* or attend* or recall* or visit*))
#11 (periodic* near/5 ("check up" or inspect* or appointment* or examin* or attend* or recall* or visit*))
#12 (("six month*" or six‐month* or three‐month* or "three month*" or nine‐month* or "nine month*" or "twelve month*" or twelve‐month* or "6 month*" or "3 month*" or "9 month*" or "12 month*") next ("check up" or inspect* or appointment* or examin* or attend* or recall* or visit*))
#13 (recall* near/3 interval*)
#14 {or #8‐#13}
#15 #7 and #14
Appendix 3. MEDLINE (OVID) search strategy
1. exp Stomatognathic diseases/
2. exp Dentistry/
3. Oral health/
4. Dentists practice patterns/
5. "oral health".ti,ab.
6. (tooth or teeth or dental or dentist).ti,ab.
7. or/1‐6
8. "Appointments and schedules"/
9. (routine$ adj5 ("check up" or inspect$ or appointment$ or examin$ or attend$ or recall$ or visit$)).ti,ab.
10. (regular adj5 ("check up" or inspect$ or appointment$ or examin$ or attend$ or recall$ or visit$)).ti,ab.
11. (periodic adj5 ("check up" or inspect$ or appointment$ or examin$ or attend$ or recall$ or visit$)).ti,ab.
12. (("six month$" or six‐month$ or three‐month$ or "three month$" or nine‐month$ or "nine month$" or "twelve month$" or twelve‐month$ or "6 month$" or "3 month$" or "9 month$" or "12 month$") adj ("check up" or inspect$ or appointment$ or examin$ or attend$ or recall$ or visit$)).ti,ab.
13. (recall$ adj3 interval$).ti,ab.
14. or/8‐13
15. 7 and 14
The above subject search was linked to the Cochrane Highly Sensitive Search Strategy (CHSSS) for identifying randomised trials in MEDLINE: sensitivity maximising version (2008 revision) as referenced in Chapter 6.4.11.1 and detailed in box 6.4.c of theCochrane Handbook for Systematic Reviews of Interventions, Version 5.1.0 [updated March 2011] (Higgins 2011).
1. randomized controlled trial.pt.
2. controlled clinical trial.pt.
3. randomized.ab.
4. placebo.ab.
5. drug therapy.fs.
6. randomly.ab.
7. trial.ab.
8. groups.ab.
9. or/1‐8
10. exp animals/ not humans.sh.
11. 9 not 10
Appendix 4. EMBASE (OVID) search strategy
1. exp Mouth disease/
2. exp Dentistry/
3. "oral health".ti,ab.
4. (tooth or teeth or dental or dentist).ti,ab.
5. or/1‐4
6. (routine$ adj5 ("check up" or inspect$ or appointment$ or examin$ or attend$ or recall$ or visit$)).ti,ab.
7. (regular adj5 ("check up" or inspect$ or appointment$ or examin$ or attend$ or recall$ or visit$)).ti,ab.
8. (periodic adj5 ("check up" or inspect$ or appointment$ or examin$ or attend$ or recall$ or visit$)).ti,ab.
9. (("six month$" or six‐month$ or three‐month$ or "three month$" or nine‐month$ or "nine month$" or "twelve month$" or twelve‐month$ or "6 month$" or "3 month$" or "9 month$" or "12 month$") adj ("check up" or inspect$ or appointment$ or examin$ or attend$ or recall$ or visit$)).ti,ab.
10. (recall$ adj3 interval$).ti,ab.
11. or/6‐10
12. 5 and 11
The above subject search was linked to the Cochrane Oral Health Group filter for identifying RCTs in EMBASE via OVID:
1. random$.ti,ab.
2. factorial$.ti,ab.
3. (crossover$ or cross over$ or cross‐over$).ti,ab.
4. placebo$.ti,ab.
5. (doubl$ adj blind$).ti,ab.
6. (singl$ adj blind$).ti,ab.
7. assign$.ti,ab.
8. allocat$.ti,ab.
9. volunteer$.ti,ab.
10. CROSSOVER PROCEDURE.sh.
11. DOUBLE‐BLIND PROCEDURE.sh.
12. RANDOMIZED CONTROLLED TRIAL.sh.
13. SINGLE BLIND PROCEDURE.sh.
14. or/1‐13
15. (exp animal/ or animal.hw. or nonhuman/) not (exp human/ or human cell/ or (human or humans).ti.)
16. 14 NOT 15
Appendix 5. US National Institutes of Health Trials Register (ClinicalTrials.gov) search strategy
recall and (dental or dentist)
Appendix 6. WHO International Clinical Trials Registry Platform search strategy
recall and dental or recall and dentist or recall and dentistry
Study flow diagram.
Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
Comparison 1 Clinical examination at 12 months versus clinical examination at 24 months, Outcome 1 Caries (dmfs/DMFS increment).
Comparison 1 Clinical examination at 12 months versus clinical examination at 24 months, Outcome 2 Total time (minutes).
| Clinical examination at 12 months compared with clinical examination at 24 months for oral health | ||||
| Patient or population: children and adults Settings: public dental clinic Intervention: clinical examination at 12 months Comparison: clinical examination at 24 months | ||||
| Outcomes | Illustrative comparative risks* (95% CI) | No of participants | Quality of the evidence | |
| Assumed risk | Corresponding risk | |||
| 12‐month recall | 24‐month recall | |||
| Caries (dmfs/DMFS increment) ‐ 3‐5 year olds (primary teeth) Higher values represent worse caries Follow‐up: 2 years | The mean caries score in the 12‐month group was 0.9 | The mean caries score in the 24‐month group was 0.9 higher (1.96 higher to 0.16 lower) | 58 | ⊕⊝⊝⊝ |
| Caries (dmfs/DMFS increment) ‐ 16‐20 year olds (permanent teeth) Higher values represent worse caries Follow‐up: 2 years | The mean caries score in the 12‐month group was 0.79 | The mean caries score in the 24‐month group was 0.86 higher (1.75 higher to 0.03 lower) | 127 | ⊕⊝⊝⊝ |
| Total time (minutes) ‐ 3‐5 year olds (primary teeth) Higher values represent worse time/cost outcomes Follow‐up: 2 years | The mean total time used by each participant in the 12‐month group was 52 minutes | The mean total time used by each participant in the 24‐month group was 10 minutes lower (6.7 higher to 26.7 lower) | 58 | ⊕⊝⊝⊝ |
| Total time (minutes) ‐ 16‐20 year olds (permanent teeth) Higher values represent worse time/cost outcomes Follow‐up: 2 years | The mean total time used by each participant in the 12‐month group was 86.2 minutes | The mean total time used by each participant in the 24‐month group was 23.7 minutes lower (4.12 lower to 43.28 lower) | 127 | ⊕⊝⊝⊝ |
| CI: confidence interval; dmfs/DMFS: decayed, missing, filled surfaces | ||||
| GRADE Working Group grades of evidence | ||||
| 1 Single study at high risk of performance and detection bias with unclear methods of sequence generation and allocation concealment 2 Only low risk participants who had previously received regular dental care, including health promotion and preventive services were included 3 Low sample size | ||||
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Caries (dmfs/DMFS increment) Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 1.1 3‐5 year olds (primary teeth) | 1 | Mean Difference (IV, Fixed, 95% CI) | 0.0 [0.0, 0.0] | |
| 1.2 16‐20 year olds (permanent teeth) | 1 | Mean Difference (IV, Fixed, 95% CI) | 0.0 [0.0, 0.0] | |
| 2 Total time (minutes) Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 2.1 3‐5 year olds (primary teeth) | 1 | Mean Difference (IV, Fixed, 95% CI) | 0.0 [0.0, 0.0] | |
| 2.2 16‐20 year olds (permanent teeth) | 1 | Mean Difference (IV, Fixed, 95% CI) | 0.0 [0.0, 0.0] | |
