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在家与办公室漂白:更新的系统审查和元分析.

J L de Geus, Acr Martins, A Reis

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    此摘要是机器生成的。

    与办公室治疗相比,在家白化提供更低的牙敏感度强度和更大的颜色变化 (ΔE). 然而,敏感性风险和整体漂白效率 (ΔSGU) 在方法之间没有显著差异,低质量的证据支持这些发现.

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    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:

    • 牙漂白是一种常见的美容牙科手术.
    • 家庭和办公室的漂白方法都被广泛使用.
    • 之前的审查已经比较了这些技术,需要更新新证据.

    研究的目的:

    • 系统地审查和分析家庭与办公室美白牙敏感性的疗效,风险和强度.
    • 更新现有的系统审查数据与最近的随机临床试验.

    主要方法:

    • 在多个数据库 (MEDLINE,EMBASE,Cochrane Library) 和手动搜索中进行了全面的文献搜索.
    • 包括随机临床试验,比较成人患者的家庭和办公室漂白.
    • 提取了数据,评估了偏差风险,并使用标准化平均差异 (SMD) 和相对风险 (RR) 进行了元分析.

    主要成果:

    • 在家用漂白表明牙敏感度强度显著降低 (SMD -0.78;p=0.04) 和 ΔE 颜色变化更大 (SMD 0.49;p=0.006).
    • 在 ΔSGU 的牙敏感性风险 (RR 0.82; p=0.19) 或漂白效率 (SMD 0.04; p=0.68) 中没有发现显著差异.
    • 总共有32项研究被纳入定性分析,其中23项用于元分析.

    结论:

    • 在家用漂白可以在降低灵敏度强度和改善颜色变化 (ΔE) 中提供优势.
    • 用 ΔSGU 测量的牙敏感性风险和漂白效率在两种方法之间没有显著差异.
    • 支持这些发现的证据的整体质量被认为是低的.