后生物和牙损:一个系统的审查
Faezeh Heidari1, Artak Heboyan2,3,4, Dinesh Rokaya5,6
1Department of Pediatric Dentistry, Faculty of Dentistry, Shahed University, Tehran, Iran.
Clinical and experimental dental research
|March 11, 2025
概括
后生物药物通过抑制有害细菌和改善口腔健康,有望预防牙损伤. 这些化合物在安全性和稳定性方面比益生菌提供了优势,用于口腔护理产品.
科学领域:
- 微生物学 微生物学
- 牙科科学 牙科科学
- 口腔健康 口腔健康
背景情况:
- 牙损仍然是一个重要的全球健康问题.
- 目前的预防策略存在局限性.
- 需要新的治疗药物来治疗.
研究的目的:
- 系统地审查关于后生菌药物预防牙损伤的证据.
- 为了评估后生菌的有效性,机制,剂量和管理.
- 为了比较后生菌与口腔护理中的益生菌.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science,Cochrane Library) 中进行全面的文献搜索.
- 包括各种研究设计:RCT,准实验,观察和体外研究.
- 由于研究异质性,根据PRISMA指南进行定性综合.
主要成果:
- 包括21项研究 (18项试验室,3项RCT).
- 来自Lactobacillus物种的后生物抑制了Streptococcus mutans的生长,生物膜的形成和毒性.
- 机制包括抗菌活性,粘附抑制,生物膜破坏,免疫调节和pH缓冲.
- 人类试验显示唾液中S. mutans的减少和唾液pH的增加.
结论:
- 后生物药物代表了一种新的,有效的方法,用于预防牙损伤.
- 它们向菌细菌,调节口腔微生物群.
- 后生物质比益生菌提供更高的安全性,稳定性和配方优势.
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