尽量减少局部应用银二胺化物引起的牙变色:系统性审查
Grace Y Xu1, Iris X Yin1, Irene S Zhao2
1Faculty of Dentistry, The University of Hong Kong, Hong Kong, PR China.
Journal of dentistry
|September 16, 2024
概括
银胺化物 (SDF) 有效地治疗,但导致牙变色. 这篇评论探讨了诸如修复,化学处理和纳米银等方法,以尽量减少这种化品副作用.
科学领域:
- 牙科材料科学 牙科材料科学
- 卡里斯管理 卡里斯管理
- 预防性牙科 预防性牙科
背景情况:
- 局部使用的白银二胺化物 (SDF) 是一种非常有效的药物,可以阻止牙腐烂.
- SDF治疗的一个重大缺点是牙变色的审美问题.
- 尽量减少这种变色对于患者接受和治疗坚持至关重要.
研究的目的:
- 系统地审查和分析旨在减少或防止SDF应用后病变变色的方法.
- 根据现有的科学文献,评估不同干预策略的有效性.
主要方法:
- 在PubMed,Scopus和Web of Science进行了全面的文献搜索,截至2024年4月.
- 包括的研究是原始研究,重点是减少SDF诱导变色的方法,具有比较的颜色变化数据.
- 使用临床试验的Cochrane指导方针和体外研究的相关指导方针来评估偏差风险.
主要成果:
- 包括33个出版物 (26个实验室,7个临床);18个具有偏差的低风险.
- 确定的方法包括用修复进行掩蔽 (9项研究),化学处理 (29项研究) 和用纳米银替代银离子 (4项研究).
- 酸和谷氨等化学剂在减少变色方面表现有前途,特别是在恢复前使用时.
结论:
- 戴口罩,化学处理和纳米银替代是减轻SDF引起的牙变色的可行策略.
- 大多数证据来自实验室研究;进一步的临床试验对于验证这些发现至关重要.
- 解决变色将提高SDF治疗的临床适用性和患者满意度.
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