电刺激用于人类的加速牙科:系统性审查和元分析
Shubhobrata Dutta1, Tanisha Rout1, Amol Somaji Patil2
1Department of Orthodontics and Dentofacial Orthopedics, Bharati Vidyapeeth (deemed to be university) Dental college and Hospital, Pune, Maharashtra, India.
Evidence-based dentistry
|March 16, 2024
概括
这项系统性审查发现,电刺激可能会加速人类的正统牙运动. 然而,有限的研究和偏见风险需要进一步研究才能得出明确的结论.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 生物医学工程 生物医学工程
- 牙科研究 牙科研究
背景情况:
- ортодонтика牙运动 (OTM) 是一个复杂的生物过程.
- 加快OTM是一个重要的临床目标.
- 电刺激 (ES) 已经成为增强OTM的潜在方式.
研究的目的:
- 系统地审查和评估ES在加速人类患者OTM中的有效性.
- 通过元分析评估ES干预下的OTM率.
主要方法:
- 在PubMed,CENTRAL,Scopus和谷歌学者的系统搜索随机对照试验 (RCT).
- 使用Cochrane的ROB-2工具,手动搜索正学期刊和偏差风险评估.
- 精选的4项研究的元分析,比较使用标准化平均差异 (SMD) 的第3个月和第5个月的OTM率.
主要成果:
- 最初确定了1080项研究,4项符合定性分析的纳入标准.
- 分析 (n=2项研究) 显示SMD在3个月时为0.69,在5个月时为1.64.
- 证据的强度中等,没有发现出版偏差.
结论:
- 在ES和加速OTM之间存在正相关性.
- 包括的研究显示了选择和绩效偏差的风险.
- 建议进一步进行高质量的人体研究,以获得确的结果.
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The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.