长期使用皮质类固醇与牙破之间的关联:系统性审查
Basil M Jan1, Mohammed A Khayat2, Anaan I Bushnag3
1Orthodontics, Jacksonville University, Jacksonville, USA.
Cureus
|September 5, 2023
概括
长期使用皮质类固醇 (CSs) 可能会增加牙的风险,特别是在吸入器配方中. 需要更多的研究来证实在使用CSs的患者中这种关联.
科学领域:
- 口腔健康 口腔健康
- 药理学 药理学是指药理学的学科.
- 临床研究 临床研究
背景情况:
- 皮质类固醇 (CSs) 广泛用于炎症和免疫疾病.
- 长期使用CS与牙周病和牙等口腔健康问题有关.
- 了解 CS 对牙腐烂流行率的具体影响至关重要.
研究的目的:
- 评估在接受皮质类固醇治疗的患者中牙损伤的流行率.
- 综合现有证据,关于CSs使用和牙损伤之间的关系.
- 为了确定与脏病风险增加相关的特定CSs配方.
主要方法:
- 使用PubMed和Cochrane数据库进行了全面的文献审查.
- 搜索策略采用PICO框架 (人口,干预,比较,结果) 的关键词是"类固醇"和"癌症".
- 分析了21项符合条件的研究 (2001-2023) 的数据,重点是DMFT/DMFS得分.
主要成果:
- 在最初识别的1,206个文章中,最终分析包括了21个.
- 十四项研究表明,与CS使用相关的牙损伤的患病率增加.
- 七项研究没有发现CS使用与脏病发病率之间存在显著的关联.
结论:
- 目前的证据表明,慢性皮质类固醇使用与牙损伤风险增加之间存在相关性.
- 皮质类固醇的吸入器配方似乎特别与脏病风险的增加有关.
- 进一步高质量的随机对照试验是必要的,以巩固这些发现.
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