在牙漂白治疗期间不需要白色饮食:临床研究的系统审查和网络元分析
Eliseu Aldrighi Münchow1, Walkiria Schereschewsky Távora2, Henrique Tedesco de Oliveira3
1Graduate Program in Dentistry, School of Dentistry, Federal University of Rio Grande do Sul, Rua Ramiro Barcelos 2492, Porto Alegre, RS 90035-003, Brazil; Department of Conservative Dentistry, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
Journal of dentistry
|November 18, 2024
概括
在牙漂白过程中,白色饮食并不必不可少. 与限制饮食相比,食用咖啡,茶,葡萄酒或可乐等常见的有色食物不会显著影响漂白的有效性.
科学领域:
- 牙科的美学 牙科的美学
- 基于证据的牙科.
背景情况:
- 饮食限制,特别是白色饮食,通常建议在牙美白后保持结果.
- 特定食品染料对牙漂白疗效的必要性和影响仍在争论中.
研究的目的:
- 系统地审查并进行网络元分析 (NMA) 关于牙漂白期间需要采用白色饮食的必要性.
- 为了确定特定的彩色食物是否显著影响漂白潜力.
主要方法:
- 随后对NMA进行了PRISMA扩展声明,搜索了六个数据库和灰色文献.
- 包括临床试验,比较白色饮食与补充或无限制饮食的漂白疗效.
- 采用贝叶斯的NMA和标准对对元分析 (SPMA) 来对颜色变化数据进行分析,评估偏差风险和证据质量 (GRADE).
主要成果:
- 包括七项具有偏差风险较低的研究 (四项RCT,三项NRCT).
- 网络元分析显示,白色饮食 (对照组) 和饮用葡萄汁,咖啡,茶,葡萄酒,可乐或无限制饮食的组之间颜色变化没有显著差异 (p>0.05).
- 格雷德分析表明证据质量中等.
结论:
- 与白色饮食相比,饮用软可乐,咖啡,黑茶,葡萄汁,红酒或不受限制的饮食不会显著改变牙漂白的有效性.
- 在牙漂白期间限制饮食色素摄入量并不是实现有效结果的必要条件.
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