在初级牙中,智能牙和化学机械牙去除系统的比较 - - 一个系统的审查和元分析
Deepshikha Mehrotra1, Sanjana R Kodical, Shilpa Shetty Naik
1Department of Pediatric and Preventive Dentistry, D. Y. Patil University School of Dentistry, Navi Mumbai, Maharashtra, India.
概括
与初级牙中化学机械虫除去 (CMCR) 系统相比,智能牙显示出更高的微生物疗效和效率. 这一系统性审查表明,智能牙刷可以作为小儿牙科学中去除的可行替代方案.
科学领域:
- 牙科 牙科是指牙科的专业.
- 儿科牙科 儿科牙科
- 卡里斯管理 卡里斯管理
背景情况:
- 智能和化学机械除 (CMCR) 系统为传统的腔制备提供了替代方案.
- 临床研究显示,在比较这些技术时,发现的结果是不同的.
- 需要进行系统审查和元分析,以澄清疗效,效率和患者舒适度.
研究的目的:
- 为了比较CMCR系统的有效性,效率和患者舒适性,与初级牙中的智能牙相比.
- 通过系统性审查和元分析,综合现有临床证据.
- 为了确定母牙的最佳牙去除技术.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 搜索了10个数据库,截至2024年5月30日,搜索了体内研究.
- 包括比较CMCR系统和初级牙中智能牙的研究;不包括非临床数据.
- 通过使用ROBINS-I和Cochrane ROB工具评估偏差风险.
- 使用Review Manager 5.4.1与随机效应模型进行了元分析.
主要成果:
- 在元分析中包括了四项研究;总体偏差风险为中度至低.
- 在CMCR系统和智能测试器之间,临床疗效没有统计学上显著的差异 (OR = 0.43).
- 智能片显示出统计学上显著的优越微生物疗效 (446.46) 和效率 (-0.68).
- 由于数据异质性,无法对患者舒适度进行元分析.
结论:
- 智能探针表现出优越的微生物疗效和效率比CMCR系统在初级牙.
- 智能牙可以被认为是CMCR系统的可行替代品,用于清除母牙的.
- 需要进一步的研究,以在比较性研究中标准化患者舒适度评估.
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