糖尿病是否会增加牙根充满牙的频率:观察性研究的系统审查和元分析
María León-López1, Daniel Cabanillas-Balsera1, Jenifer Martín-González1
1DDS, PhD. Department of Stomatology (Endodontic Section), School of Dentistry, University of Sevilla, C/ Avicena s/n, 41009-Sevilla, Spain.
Journal of clinical and experimental dentistry
|December 11, 2023
概括
与非糖尿病人相比,糖尿病患者的牙根充满 (RFT) 的患病率几乎是糖尿病患者的两倍,这表明存在显著的关联. 牙医应该考虑对经常接受根管治疗 (RCT) 的患者进行糖尿病查.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 牙周炎 (AP) 在糖尿病患者中很常见.
- 根管治疗 (RCT) 是AP的标准.
- 糖尿病可能会影响AP患病率和RCT结果.
研究的目的:
- 与非糖尿病对照组相比,系统地审查和元分析糖尿病成年患者根充满牙 (RFT) 的患病率.
- 为了确定糖尿病是否会影响接受根管治疗的可能性.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 在PubMed-MEDLINE,Embase和Scielo数据库中进行文献搜索.
- 包括放射性研究,比较糖尿病患者和对照组中RFT患病率.
主要成果:
- 包括五项研究,包括701名参与者和15882颗牙.
- 糖尿病患者的RFT患病率为6.1%,对照组为3% (OR=1.7,p=0.065).
- 报告发现证据的确定性较低.
结论:
- 糖尿病患者的RFT患病率几乎高出两倍,尽管显著性是边际的.
- 牙医应该考虑在患有高频率RCT的患者进行糖尿病查.
- 需要进一步的研究以更高的证据确定性.
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