漂白剂对健康乳液,白斑和各种病变的影响:系统性审查和元分析
Grigoria Gkavela1, Vlassios Kakouris1, Eftychia Pappa1
1Department of Operative Dentistry, Dental School, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Dentistry journal
|May 24, 2024
概括
牙漂白剂可能不会显著改变牙面膜的微观结构或细菌数量,特别是胺过氧化物. 由于研究偏差很大,牙科研究方法也各不相同,因此需要进一步研究.
科学领域:
- 牙科科学 牙科科学
- 生物材料科学 生物材料科学
背景情况:
- 牙漂白是一种常见的美容牙科手术.
- 有关其对牙质和细菌粘附的影响存在担忧.
研究的目的:
- 系统地审查各种漂白剂对健康乳液和初始损的影响.
- 评估对细菌粘附和质微观结构的影响.
主要方法:
- 临床,体外和观察性研究的系统审查.
- 搜索了MEDLINE和Scopus数据库的英语语言研究.
- 两名独立评估员进行了数据提取和质量评估.
主要成果:
- 在研究中存在偏差和方法异质的高风险.
- 一些研究表明细菌附着增加,其他研究表明细菌附着减少,许多研究显示没有差异.
- 碳胺过氧化物漂白没有显示微生物数量或质微观结构的临床显著变化.
结论:
- 目前的证据受到研究质量和异质性的限制,阻止了最终的结论.
- 碳胺过氧化物在细菌粘附和质完整性方面似乎是安全的.
- 需要进一步进行高质量的研究,以澄清不同漂白剂的影响.
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