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Huang J, Gan Y, Li D, Xu H, Han S, Zhu H, Jia L, Li N, Chen H, Li K, Liu Y, Cai Z. Clinical applications and outcomes of the surgical tooth extrusion technique: A bibliometric analysis from 1982 to 2023. J Prosthet Dent 2023:S0022-3913(23)00630-3. [PMID: 37852858 DOI: 10.1016/j.prosdent.2023.09.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Revised: 09/16/2023] [Accepted: 09/18/2023] [Indexed: 10/20/2023]
Abstract
STATEMENT OF PROBLEM The surgical extrusion technique has been advocated for severely damaged teeth as well as for intruded and unerupted teeth. However, a quantitative literature analysis is lacking. PURPOSE The purpose of this bibliometric analysis was to provide a comprehensive overview of surgical extrusion, assess the applications and outcomes, and evaluate topics for future research. MATERIAL AND METHODS An electronic search was conducted in leading databases in April 2023. Human studies with surgical tooth extrusion or synonyms in titles or abstracts were included. A bibliographic analysis, co-occurrence analysis, and coupling of publications were performed. The analysis of variance was used to assess the characteristics of the subgroups based on indications. The survival rate was evaluated by using the Kaplan-Meier method in the R software program (α=.05). RESULTS Fifty-one studies from 1982 to 2023 were included. The Journal of Dental Traumatology and the Journal of Prosthetic Dentistry combined published approximately one-third of the papers and acquired the most citations. The burst detection of keywords revealed 4 popular research topics: the Benex extraction system, chlorhexidine for infection control, rigid or semi-rigid splints to decrease the risk of complications, and novel restorative materials to improve esthetics. An overall survival rate of 96.36% was reported among 316 participants with 330 extruded teeth. No significant differences were found in study types, geographic distribution, year of publication, or citation counts among the 4 subgroups (surgical extrusion for subgingival fractures, extensive caries, intruded teeth, and unerupted teeth). A significant difference was observed among the Kaplan-Meier curves of the 4 subgroups (P=.030). CONCLUSIONS Surgical extrusion may be used to save otherwise nonrestorable teeth, and the procedure has shown promising survival rates when teeth are properly selected and the procedure is well executed. Subgingival fractures and extensive caries near bone level are the predominant indications, as well as intruded and unerupted teeth. Surgical extrusion is a reliable treatment option to facilitate tooth restoration for severely damaged teeth, especially for maxillary anterior teeth.
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Affiliation(s)
- Jinwei Huang
- Attending Dentist, National Center for Stomatology, National Clinical Research Center for Oral Diseases, National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Department of General Dentistry Ⅱ, Peking University School and Hospital of Stomatology, Beijing, PR China
| | - Yena Gan
- Graduate student, Department of Tuina and Pain, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, PR China
| | - Duoduo Li
- Professor, Department of Tuina and Pain, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, PR China
| | - He Xu
- Associate Chief Dentist, National Center for Stomatology, National Clinical Research Center for Oral Diseases, National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology, Beijing, PR China
| | - Sheng Han
- Director, Department of Academic Research, International Research Center for Medicinal Administration, Peking University, Beijing, PR China
| | - He Zhu
- Assistant Research Fellow, Department of Academic Research, International Research Center for Medicinal Administration, Peking University, Beijing, PR China
| | - Lu Jia
- Lab Technician, Dental Laboratory Center, Peking University School and Hospital of Stomatology, Beijing, PR China
| | - Nan Li
- Associate Researcher, Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, PR China
| | - Huimin Chen
- Associate Chief Dentist, National Center for Stomatology, National Clinical Research Center for Oral Diseases, National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Department of General Dentistry Ⅱ, Peking University School and Hospital of Stomatology, Beijing, PR China
| | - Kai Li
- Attending Dentist, National Center for Stomatology, National Clinical Research Center for Oral Diseases, National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Department of General Dentistry Ⅱ, Peking University School and Hospital of Stomatology, Beijing, PR China
| | - Ying Liu
- Attending Dentist, National Center for Stomatology, National Clinical Research Center for Oral Diseases, National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Department of General Dentistry Ⅱ, Peking University School and Hospital of Stomatology, Beijing, PR China
| | - Zhigang Cai
- Professor, National Center for Stomatology, National Clinical Research Center for Oral Diseases, National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, PR China..
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