硬药使用和牙磨损:一个范围审查
Laura da Silva Fonseca1, André Luiz Rodrigues Mello1, Luiz Alexandre Chisini1
1Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil.
这一范围审查表明,硬药使用和牙磨损之间存在潜在的间接联系,可能是由于乳和唾液pH值降低. 需要进一步的初级研究来证实这一关联.
科学领域:
- 口腔健康研究研究 口腔健康研究
- 成 药物 药物 药物 药物
- 牙科科学 牙科科学
背景情况:
- 牙磨损是公众健康的一个重大问题.
- 硬药使用和牙科磨损之间的关系仍未得到充分研究.
- 了解这种关联对于有针对性的干预至关重要.
研究的目的:
- 系统地绘制现有证据,以确定硬药消费与牙磨损之间的关联.
- 为了回答指导性问题:硬药消费与牙磨损之间的关系是什么?
主要方法:
- 根据PRISMA-ScR指南进行全面的范围审查.
- 2024年3月在PubMed,Embase和其他四个数据库中进行的搜索.
- 包括调查使用硬药物与牙科磨损相关的研究,不论出版日期或语言.
主要成果:
- 包括28项研究:4个病例控制,3个横截面,5个病例报告和16个文献评论.
- 75%的病例控制研究表明药物使用与牙侵蚀之间存在关联.
- 没有横截面研究证实了这一关联,突出了潜在的方法限制.
结论:
- 有证据表明,硬药使用和牙磨损之间存在间接联系,这种联系是由布鲁克斯症和唾液pH值降低等因素介导的.
- 进一步的初级研究对于阐明直接和间接机制至关重要.
- 牙医应考虑在有药物使用史的患者中考虑牙磨损和唾液pH值,以更好地理解和管理牙磨损.
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