基于当前证据的牙漂白的临床决策:叙述性审查
Matheus Kury1, Bianca Bem Prunes2, Cintia Helena C Saraceni1
1Dental Research Division, Paulista University, Sao Paulo, Brazil, Rua Doutor Bacelar, 1212, Sao Paulo 04026-002 Brazil..
概括
牙医监督的牙漂白是有效的,使用在家用碳胺过氧化物或在办公室用过氧化. 新兴技术可能会提高结果并降低牙敏感性.
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:
- 牙漂白是美容牙科的一个关键手术.
- 临床医生面临着各种漂白选项和管理牙敏感性等不良影响的挑战.
研究的目的:
- 审查和巩固当前关于牙医监督的牙美白对重要牙的科学知识.
- 根据临床试验数据,比较家庭和办公室的漂白方案.
主要方法:
- 随机临床试验 (RCT) 和分析的系统审查,遵循CONSORT指南.
- 搜索了PubMed,Scopus和Web of Science数据库,使用"牙漂白"和"随机临床试验"等术语.
- 分析了203项精选的研究,比较了临床方案,颜色变化和不良影响.
主要成果:
- 每天在家用10%的碳胺过氧化物或更低度的过氧化进行白化,持续3-4周是有效的.
- 在办公室的漂白方案因过氧化度和凝pH值而有所不同.
- 像紫色LED和红外激光器这样的新技术显示出提高效率和降低灵敏度的潜力.
结论:
- 有效的漂白方案存在于家庭和办公室治疗中.
- 持续的研究对于开发更好的脱敏策略来管理牙敏感性至关重要.
- 新兴技术需要进一步研究它们在牙美白和患者舒适性方面的作用.
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