“…The group MInCir developed and validated a scale to assess the MQ of studies on therapy or therapeutic procedures (Manterola et al, 2003;Manterola et al, 2006;Manterola et al, 2009;Moraga et al, 2013), which has been used to measure the MQ in surgical and dental areas (Aravena et al, 2013;Cartes-Velasquez et al, 2014). Similarly, this scale has been used for conducting systematic reviews (SR) with an alternative methodology (Arias et al, 2012;Claros et al, 2007;Manterola et al, 2005aManterola et al, , 2005bManterola et al, , 2007Moraga et al, 2014;Santander et al, 2013), allowing for the use of primary studies with different designs and evidence levels, thus overcoming the limitation of traditional methodology that only uses clinical trials (CT) as primary sources .…”