Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Quality analysis of the clinical practice guidelines for management of impacted maxillary central incisors: a systematic review

Evidence-Based Dentistry volume 25, pages 110–111 (2024)Cite this article

Subjects

Abstract

Purpose

To assess the quality of clinical practice guidelines (CPG) for management of impacted central incisors.

Methods

Search was performed in PubMed, LILACS, Web of Science, EMBASE, Scopus, and Cochrane databases, and guideline-focused databases/repositories on 15-09-2022 without any limitations and was updated on 15-07-2023. Grey literature search was also performed. Two independent reviewers were involved in the study selection and data extraction. Quality assessment of the included CPG was performed by four independent appraisers using the AGREE-II instrument. The degree of agreement among the appraisers was calculated using the intraclass correlation coefficient (ICC).

Results

Five CPG were included in the review. The Ministry of Health, Malaysia (MHM) guideline obtained the highest scores in all six domains of AGREE-II and an overall score of 73% demonstrating the “highest” quality. The remaining four guidelines obtained overall “low-quality” scores ranging from 34.57-37.52%. The ICC scores ranged from 0.530 to 0.990 for various domains of AGREE-II.

Conclusion

MHM guidelines demonstrated high-quality scores in domains of ‘scope and purpose’, ‘clarity of presentation’, ‘applicability domain’, and ‘editorial independence’, while others were found to have moderate or low quality. This review identified areas that can be addressed by future guideline developers to avoid these discrepancies.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on SpringerLink
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Crawford LB. Impacted maxillary central incisor in mixed dentition treatment. Am J Orthod Dentofacial Orthop. 1997;112:1–7.

    Article  CAS  PubMed  Google Scholar 

  2. Brin I, Zilberman Y, Azaz B. The unerupted maxillary central incisor: review of its etiology and treatment. ASDC J Dent Child. 1982;49:352–6.

    CAS  PubMed  Google Scholar 

  3. Becker A. Early treatment for impacted maxillary incisors. Am J Orthod Dentofacial Orthop. 2002;121:586–7.

    Article  PubMed  Google Scholar 

  4. Betts NJ, Vanarsdall RL, Barber HD, Higgins-Barber K, Fonseca RJ. Diagnosis and treatment of transverse maxillary deficiency. Int J Adult Orthodon Orthognath Surg. 1995;10:75–96.

    CAS  PubMed  Google Scholar 

  5. Brin I, Becker A, Shalhav M. Position of the maxillary permanent canine in relation to anomalous or missing lateral incisors: a population study. Eur J Orthod. 1986;8:12–16.

    Article  CAS  PubMed  Google Scholar 

  6. Zilberman Y, Cohen B, Becker A. Familial trends in palatal canines, anomalous lateral incisors, and related phenomena. Eur J Orthod. 1990;12:135–9.

    Article  CAS  PubMed  Google Scholar 

  7. Shaw WC, O’Brien KD, Richmond S, Brook P. Quality control in orthodontics: risk/benefit considerations. Br Dent J. 1991;170:33–37.

    Article  CAS  PubMed  Google Scholar 

  8. Chaushu S, Becker T, Becker A. Impacted central incisors: factors affecting prognosis and treatment duration. Am J Orthod Dentofacial Orthop. 2015;147:355–62.

    Article  PubMed  Google Scholar 

  9. Jain S, Raza M, Sharma P, Kumar P. Unraveling impacted maxillary incisors: the why, when, and how. Int J Clin Pediatr Dent. 2021;14:149–57.

    Article  PubMed  PubMed Central  Google Scholar 

  10. American Academy of Pediatric Dentistry. Management of the developing dentition and occlusion in pediatric dentistry. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2021. p. 408–25.

  11. American Academy of Pediatric Dentistry. Management considerations for pediatric oral surgery and oral pathology. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2021. p. 450–60.

  12. Ayers E, Kennedy D, Wiebe C. Clinical recommendations for management of mesiodens and unerupted permanent maxillary central incisors. Eur Arch Paediatr Dent. 2014;15:421–8.

    Article  CAS  PubMed  Google Scholar 

  13. Seehra J, Yaqoob O, Patel S, O'Neill J, Bryant C, Noar J, et al. National clinical guidelines for the management of unerupted maxillary incisors in children. Br Dent J. 2018;224:779–85.

    Article  CAS  PubMed  Google Scholar 

  14. Oral Health division, MOH. Malaysia Publications Management of Unerupted Maxillary Incisor, 2nd ed. moh.gov.my. Accessed on 08-08- 2023.

  15. Sarkies MN, Jones LK, Gidding SS, Watts GF. Improving clinical practice guidelines with implementation science. Nat Rev Cardiol. 2022;19:3–4.

    Article  PubMed  Google Scholar 

  16. Institute of Medicine (US) Committee on Standards for Developing Trustworthy Clinical Practice Guidelines, Graham R, Mancher M, Miller Wolman D, Greenfield S, Steinberg E, eds. Clinical Practice Guidelines We Can Trust. Washington (DC): National Academies Press (US); 2011.

  17. Moher D, et al. Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4:1.

  18. Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA, eds. Cochrane Handbook for Systematic Reviews of Interventions Version 6.2 (updated February 2021). Cochrane, 2021. Available from training.cochrane.org/handbook.

  19. Appraisal of guidelines for research and evaluation II AGREE Tools | AGREE Enterprise website (agreetrust.org) [Assessed on 13-05- 2023].

  20. Saikia A, Muthu MS, Orenuga OO, Mossey P, Ousehal L, Yan S, et al. Systematic Review of Clinical Practice Guidelines for Oral Health in Children with Cleft Lip and Palate. Cleft Palate Craniofac J. 2022;59:800–14.

    Article  PubMed  Google Scholar 

  21. Djulbegovic B, Guyatt GH. Progress in evidence‐based medicine: a quarter century on. Lancet. 2017;390:415–23.

    Article  PubMed  Google Scholar 

  22. Woolf S, Schünemann HJ, Eccles MP, Grimshaw JM, Shekelle P. Developing clinical practice guidelines: types of evidence and outcomes; values and economics, synthesis, grading, and presentation and deriving recommendations. Implement Sci. 2012;7:61.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Lunny C, Ramasubbu C, Puil L, Liu T, Gerrish S, Salzwedel DM, et al. Over half of clinical practice guidelines use non-systematic methods to inform recommendations: A methods study. PLoS One. 2021;16:e0250356.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Hoffmann-Eßer W, Siering U, Neugebauer EAM, Lampert U, Eikermann M. Systematic review of current guideline appraisals performed with the Appraisal of Guidelines for Research & Evaluation II instrument-a third of AGREE II users apply a cut-off for guideline quality. J Clin Epidemiol. 2018;95:120–7.

    Article  PubMed  Google Scholar 

  25. Grilli R, Magrini N, Penna A, Mura G, Liberati A. Practice guidelines developed by specialty societies: the need for a critical appraisal. Lancet. 2000;355:103–6.

    Article  CAS  PubMed  Google Scholar 

  26. Seiffert A, Zaror C, Atala-Acevedo C, Ormeño A, Martínez-Zapata MJ, Alonso-Coello P. Dental caries prevention in children and adolescents: a systematic quality assessment of clinical practice guidelines. Clin Oral Investig. 2018;22:3129–41.

    Article  PubMed  Google Scholar 

  27. Deana NF, Zaror C, Seiffert A, Aravena-Rivas Y, Muñoz-Millán P, Espinoza-Espinoza G, et al. Quality appraisal of clinical practice guidelines on provision of dental services during the first months of the covid-19 pandemic. J Evid Based Dent Pract. 2021;21:101633.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, Osman A, Sarquis-Adamson Y, Close J, et al. Evaluation of Clinical Practice Guidelines on Fall Prevention and Management for Older Adults: A Systematic Review. JAMA Netw Open. 2021;4:e2138911.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Saikia A, Patil SS, Ms M, Cv D, Sabarish R, Pandian S, et al. Systematic review of clinical practice guidelines for traumatic dental injuries. Dent Traumatol. 2023;39:371–80.

    Article  PubMed  Google Scholar 

  30. Lygidakis NN, Chatzidimitriou K, Theologie-Lygidakis N, Lygidakis NA. Εvaluation of a treatment protocol for unerupted maxillary central incisors: retrospective clinical study of 46 children. Eur Arch Paediatr Dent. 2015;16:153–64.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India

    Rathika Asaithambi, Mohammad Atif, Nitesh Tewari, Saurabh Sharma, Vijay Prakash Mathur, Rahul Morankar & Kalpana Bansal

Authors
  1. Rathika Asaithambi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mohammad Atif
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Nitesh Tewari
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Saurabh Sharma
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Vijay Prakash Mathur
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Rahul Morankar
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Kalpana Bansal
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

The idea was conceptualized by RT and NT. The team comprising all the co-authors designed the protocol and the methods of the study. The extraction of data was conducted by RT and MA. The steps of analysis were conducted by VM, RT, MA, and SS. The initial draft of the manuscript was prepared by NT, RT. It was revised by all the authors.

Corresponding author

Correspondence to Nitesh Tewari.

Ethics declarations

Competing interests

The authors declare no competing interests.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Asaithambi, R., Atif, M., Tewari, N. et al. Quality analysis of the clinical practice guidelines for management of impacted maxillary central incisors: a systematic review. Evid Based Dent 25, 110–111 (2024). https://doi.org/10.1038/s41432-023-00965-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41432-023-00965-6

Search

Advanced search

Quick links