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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/81963
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dc.creatorSicilia Rezende Oliveirapt_BR
dc.creatorTatiana Fernandes Araújo Almeidapt_BR
dc.creatorTarcília Aparecida da Silvapt_BR
dc.creatorRicardo Alves de Mesquitapt_BR
dc.creatorLucas Guimarães Abreupt_BR
dc.date.accessioned2025-04-29T18:49:30Z-
dc.date.available2025-04-29T18:49:30Z-
dc.date.issued2020-12-
dc.citation.volume121pt_BR
dc.citation.issue6pt_BR
dc.citation.spage704pt_BR
dc.citation.epage712pt_BR
dc.identifier.doihttps://doi.org/10.1016/j.jormas.2020.06.005pt_BR
dc.identifier.issn2468-7855pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/81963-
dc.description.resumoAim: The aim of this systematic review and meta-analysis was to compare the occurrence of tissue artifacts in punch and scalpel biopsies of oral and maxillofacial lesions. Methods: Electronic searches were conducted in four databases (PubMed, Scopus, Web of Science and Ovid). Study selection, data extraction, and quality assessment of the included articles were performed independently by two authors. An evaluation of the strength of the evidence (GRADE) and meta-analysis were conducted. Odds ratio and confidence intervals (CI) were provided. Results: After the removal of duplicates, 466 references were identified. Four studies evaluating artifacts, such as crush, fragmentation, splits, hemorrhage, curling, and orientation artifacts and also those induced by improper surgical removal, were included. Specimens obtained using scalpel biopsy were 2.98 times more likely (CI=1.53-5.80) to present crushes and 12.36 times more likely (CI=2.64-57.83) to present splits than specimens procured using punch biopsy. Scalpel biopsies were also 2.40 times more likely to present fragmentation than punch biopsies (CI=1.01-5.72). No significant differences between scalpel and punch biopsies were found concerning the presence of hemorrhage, curling, or orientation artifacts and those induced by improper surgical removal. After sensitivity analysis, samples obtained from scalpel biopsy were 6.18 times more likely to present hemorrhage than those from a punch biopsy (CI=2.21-17.28). Based on the GRADE evaluation, the confidence in the effect estimate of the sub-group analysis of crush and fragmentation was moderate. For the other subgroup analysis, the confidence was low or very low. Conclusion: Punch biopsies were less likely to produce artifacts, such as crush, fragmentation, splits, and hemorrhage, than biopsies obtained with a scalpel.pt_BR
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológicopt_BR
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Geraispt_BR
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superiorpt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentFAO - DEPARTAMENTO DE CLÍNICApt_BR
dc.publisher.departmentFAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofJournal of Stomatology Oral and Maxillofacial Surgerypt_BR
dc.rightsAcesso Restritopt_BR
dc.subjectArtifactspt_BR
dc.subjectBiopsypt_BR
dc.subjectOral surgerypt_BR
dc.subjectPunchpt_BR
dc.subjectScalpelpt_BR
dc.subject.otherArtifactspt_BR
dc.subject.otherBiopsypt_BR
dc.subject.otherSurgery, oralpt_BR
dc.subject.otherLaser therapypt_BR
dc.subject.otherCrush injuriespt_BR
dc.subject.otherOral hemorrhagept_BR
dc.subject.otherBiopsy, needlept_BR
dc.subject.otherCravingpt_BR
dc.subject.otherEvaluation studypt_BR
dc.subject.otherNetwork meta-analysis as topicpt_BR
dc.titleComparison of tissue artifacts in punch and scalpel biopsies of oral and maxillofacial lesions: a systematic review and meta-analysispt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://pubmed.ncbi.nlm.nih.gov/32574868/pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-8164-2122pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0001-9623-7835pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-3216-5649pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0003-3207-4007pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0003-2258-8071pt_BR
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