臭氧疗法作为牙周治疗的补充方法
Shubham Sareen1, Shipra Gupta2, Lata Goyal3
1Oral Health Sciences Centre, Post Graduate Institute of Medical Education & Research, Chandigarh, India. shubham725358@gmail.com.
Evidence-based dentistry
|May 13, 2025
概括
在牙周炎治疗中,辅助臭氧疗法显著改善了探针深度和牙炎症,而不是单独进行缩放和根平 (SRP). 然而,它对探测出血,斑块水平或附着损失没有显著的益处.
科学领域:
- 牙周病学 牙周病学
- 生物医学工程 生物医学工程
- 臭氧疗法是一种臭氧疗法.
背景情况:
- 牙周炎是一种普遍的炎症状况,影响牙和支持骨结构.
- 传统的治疗包括缩放和根平整 (SRP),但正在探索辅助疗法以提高结果.
- 臭氧治疗,利用臭氧化水或气态臭氧,由于其抗微生物和抗炎性质,已成为潜在的辅助药物.
研究的目的:
- 系统地审查和元分析臭氧治疗作为SRP治疗慢性牙周炎的辅助剂的疗效.
- 评估辅助臭氧疗法对关键牙周牙科临床参数的影响.
主要方法:
- 在PubMed,Embase和CENTRAL数据库中进行了系统的搜索.
- 包括的研究是随机对照试验 (RCT),将SRP加臭氧治疗与单独的SRP或安慰剂进行比较.
- 用元分析提取和分析了探测深度,牙指数,探测出血,斑块指数和临床附着水平的数据.
主要成果:
- 辅助臭氧治疗显著降低了探测深度 (WMD = -0.26 mm,P = 0.01) 并改善了牙指数 (WMD = -0.15,P = 0.0006).
- 在探测出血 (P = 0.23),斑块指数或临床附着水平方面没有观察到显著差异.
- 探测深度和临床附着水平的异质性很高,这表明应用方法的变化可能会影响结果.
结论:
- 与单独使用SRP相比,当作为SRP的辅助剂使用时,臭氧疗法在减少探测深度和牙炎症方面表现出更高的有效性.
- 目前的证据不支持臭氧治疗对探针,斑块控制或临床附着水平出血的显著益处.
- 在包括的研究中,臭氧治疗被报告为安全且耐受良好,没有发现任何不良事件.
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