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Sign 43

Sign 43

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Published by: sukantaseal86 on Dec 26, 2009
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01/15/2013

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43
SIGN PublicationNumber
 
ScottishIntercollegiateGuidelinesNetwork
S I G N
September 1999
Management ofUnerupted and ImpactedThird Molar Teeth
A National Clinical Guideline
 
KEY TO EVIDENCE STATEMENTS AND GRADES OF RECOMMENDATIONS
The definitions of the types of evidence and the grading of recommendations used in thisguideline originate from the US Agency for Health Care Policy and Research
1
and are set out inthe following tables.
STATEMENTS OF EVIDENCE
Ia
Evidence obtained from meta-analysis of randomised controlled trials.
Ib
Evidence obtained from at least one randomised controlled trial.
IIa
Evidence obtained from at least one well-designed controlled study withoutrandomisation.
IIb
Evidence obtained from at least one other type of well-designed quasi-experimentalstudy.
III
Evidence obtained from well-designed non-experimental descriptive studies, suchas comparative studies, correlation studies and case studies.
IV 
Evidence obtained from expert committee reports or opinions and/or clinicalexperiences of respected authorities.
GRADES OF RECOMMENDATIONS
ARequires at least one randomised controlled trial as part of a body of literature ofoverall good quality and consistency addressing the specific recommendation.
(Evidence levels Ia, Ib)
BRequires the availability of well conducted clinical studies but no randomisedclinical trials on the topic of recommendation.
(Evidence levels IIa, IIb, III)
CRequires evidence obtained from expert committee reports or opinions and/orclinical experiences of respected authorities. Indicates an absence of directlyapplicable clinical studies of good quality.
(Evidence level IV)
GOOD PRACTICE POINTS
þ
Recommended best practice based on the clinical experience of the guidelinedevelopment group.
 
Contents
Guideline development group(i)Notes for users of the guideline(ii)Summary of recommendations (iii)
1Introduction
1.1Background 11.2The need for a guideline11.3Aim of the guideline 11.4Development of the guideline 11.5Definitions and terminology 2
2Advisability of removal
2.1For which patients is removal not advisable? 32.2For which patients is removal advisable? 4
3Indications for removal
3.1Strong indications for removal63.2Other indications for removal7
4Assessment and referral
4.1Clinical assessment104.2Radiological assessment104.3Referral12
5Clinical management
5.1Preoperative management135.2Anaesthesia135.3Surgical procedure135.4Other procedures145.5Perioperative drug therapy145.6Complications associated with treatment145.7Outcomes of unerupted third molar management165.9Patient information17
6Recommendations for audit and research
19
Annexes
1Details of the systematic review undertaken for this guideline
20
2Key messages for patients
21
References
22
CONTENTS

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