用酸盐和刷治疗粘膜炎和周围植入物疾病:系统性审查
Cristian Pappolla Sessa1,2, Adrián Pappolla Sessa3, Andrea Martín-Vacas2
1Departamento de Medicina y Especialidades Médicas, Facultad de Medicina y Ciencias de la Salud, Universidad de Alcalá de Henares, 28871 Madrid, Spain.
Journal of clinical medicine
|December 11, 2025
概括
酸和的刷子是安全的周植入体疾病治疗,但没有明显的优势比传统方法. 需要进一步的研究来证实它们在治疗周植入炎和粘膜炎方面的临床益处.
科学领域:
- 牙科植入物学 牙科植入物学
- 牙周病学 牙周病学
- 生物材料科学 生物材料科学
背景情况:
- 周植入体疾病 (粘膜炎,周植入体炎) 是导致骨损失的炎症性疾病.
- 细菌生物膜驱动这些疾病,需要有效管理植入物寿命.
研究的目的:
- 系统地审查基托或刷的临床优势,而不是用于治疗周植入物疾病的传统方法.
- 评估探测口袋深度 (PPD) 和出血指数的减少.
主要方法:
- 遵循PRISMA 2020指导方针;注册了PROSPERO.
- 在PubMed,科学网,科克兰图书馆 (2024年12月,更新至2025年11月) 的搜索.
- 使用Cochrane RoB 2工具评估的偏差风险.
主要成果:
- 包括9项研究 (7项RCT,2项案例系列);5项关于素的研究,3项关于刷的研究.
- 基托桑刷显示了组内PPD和出血的改善.
- 刷在再生疗法的外科手术方案中显示出好处.
结论:
- 酸和的刷子是安全的植入物消毒在周围植入物疾病.
- 没有发现比传统方法具有统计学意义的优越性.
- 需要进一步的大规模RCT来确定它们的临床作用.
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