牙周炎和牙腐烂是否存在关联? 一个系统的审查与元分析
Pierluigi Romandini1,2, Crystal Marruganti1, William Giuseppe Romandini3
1Unit of Periodontology, Endodontology and Restorative Dentistry, Department of Medical Biotechnologies, University of Siena, Siena, Italy.
Journal of clinical periodontology
|December 12, 2023
概括
牙周炎患者患有未经治疗的牙病变和出现牙的风险明显更高. 这一系统性审查强调了牙周炎和牙损伤增加之间的关联,强调了有针对性的预防策略的必要性.
科学领域:
- 口腔卫生流行病学 口腔卫生流行病学
- 牙周病学 牙周病学
- 皮肤病学 皮肤病学 皮肤病学
背景情况:
- 牙周炎和牙腐烂之间的流行病学联系受到争论,缺乏全面的证据综合.
- 现有的研究尚未确定牙周炎是否会增加牙的风险或严重程度.
研究的目的:
- 系统地审查和综合有关牙周炎与未经治疗的病变的存在/数量和成年人病经验之间的联系的证据.
- 为了回答PECO问题:在人类成年人 (P) 中,患有牙周炎 (E) 的受试者是否比不患有牙周炎 (C) 的受试者有更高的存在/未经治疗的病变和病经验 (O)?
主要方法:
- 一个系统的审查和随机效应的观测研究的元分析.
- 纳入标准侧重于研究解决PECO关于成人牙周炎和牙损伤问题的研究.
- 数据提取,偏差风险评估和元分析由独立审稿人进行.
主要成果:
- 分析了18项涉及135018名参与者的研究.
- 牙周炎与未经治疗的牙病变 (OR=1.63) 和牙经历 (OR=1.27) 的更高存在率显著相关.
- 患有牙周炎的个体有更多的腐烂/填充牙表面和牙,特别是根.
结论:
- 牙周炎与根病变的发病率和数量增加有关.
- 对于被诊断患有牙周炎的人来说,应考虑采取化物应用等牙具体的预防措施.
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