局部的临床效果 作为牙周治疗的辅助:一个系统的审查和元分析
Chengzhi Xie1, Zhihui Jing2, Mingyu Xue2
1Department of Clinical Medicine, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
The journal of evidence-based dental practice
|November 25, 2025
概括
作为扩展和根平面化 (SRP) 的辅助剂,通过减少探针口袋深度和临床附着水平,改善了牙周健康. 然而,有限的证据阻止了最终的临床建议.
科学领域:
- 牙周病学 牙周病学
- 口腔健康 口腔健康
- 天然疗法自然疗法
背景情况:
- 牙周病影响了成年人口的很大一部分.
- 非手术性牙周治疗,包括缩放和根平整 (SRP),是标准的治疗方法.
- 研究诸如阿洛韦拉之类的辅助疗法可以为改善治疗结果提供新的方法.
研究的目的:
- 系统地审查和元分析作为SRP的辅助剂的临床疗效.
- 评估花对关键牙周参数的影响.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 搜索了PubMed,Cochrane图书馆,Embase和科学网的相关研究.
- 来自三个RCT的数据汇总,将花与安慰剂对照进行比较.
主要成果:
- 辅助的可以显著降低3,6和12个月的探测口袋深度 (PPD).
- 在6个月和12个月后,临床依恋水平 (CAL) 显著改善.
- 6个月后,斑块指数 (PI) 或出血指数 (BI) 没有显著降低,但在12个月后BI有所降低.
结论:
- 与单独使用SRP相比,与SRP配合的补充阿洛韦拉改善了牙周治疗结果.
- Vera 的下注射显示了在治疗牙周疾病方面潜在的临床疗效.
- 由于目前的研究数量和质量的局限性,需要进一步进行高质量的研究.
相关概念视频
Local Anesthetics: Pharmacokinetics
1.2K
The potency and duration of action of local anesthetics (LAs) are determined by their pharmacokinetics. Pharmacokinetics describes how LAs are absorbed, distributed, metabolized, and eliminated from the body. When administered to the vascular tissues, LAs are quickly absorbed and enter the systemic circulation, reducing their localized effects. Adding vasoconstrictors such as epinephrine to LAs reduces their absorption into the systemic circulation, making them clinically effective. The...
1.2K
Local Anesthetics: Adverse Effects
742
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
742
Local Anesthetics: Common Agents and Their Applications
871
Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
871
Local Anesthetics: Mechanism of Action
3.2K
Local anesthetics (LAs) block sensory and motor impulses by inhibiting the sodium channels on the nerve cell membranes. This induces temporary loss of sensation, relieving pain in a specific body area.
Local anesthetics are amphiphilic molecules consisting of a hydrophobic aromatic part linked to a hydrophilic group by an ester or amide linkage. They are weak bases and are usually available as salts, which increases their solubility and stability. Once administered, LAs exist in the body either...
Local anesthetics are amphiphilic molecules consisting of a hydrophobic aromatic part linked to a hydrophilic group by an ester or amide linkage. They are weak bases and are usually available as salts, which increases their solubility and stability. Once administered, LAs exist in the body either...
3.2K


