概括
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.
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.
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