改善牙周疾病的成年人口腔卫生的行为干预措施
Lucy O'Malley1, Sharon R Lewis1, Philip M Preshaw2
1Cochrane Oral Health, Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
The Cochrane database of systematic reviews
|January 28, 2026
概括
行为干预措施在改善患有牙周疾病的成年人口腔卫生方面的有效性非常不确定. 需要更多的研究来了解它们对牙炎和牙周炎临床指标的影响.
科学领域:
- 牙周病学 牙周病学
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 牙周病,包括牙周炎和牙周炎,是常见的慢性炎症,影响成人生活质量.
- 最佳口腔卫生对于牙周健康和治疗成功至关重要.
- 需要有效的策略来支持患有牙周病的成年人保持口腔卫生.
研究的目的:
- 评估旨在增强患有牙周疾病的成年人口腔卫生的行为干预措施的影响.
- 评估行为改变技术 (BCT) 在改善牙炎或牙周炎的成年人口腔卫生实践中的有效性.
主要方法:
- 一个系统的审查和综合没有元分析 (SWiM) 的25个随机对照试验 (RCTs) 涉及1422名成年人.
- 搜索了多个数据库 (CENTRAL,MEDLINE) 和试验注册到2024年7月和2025年2月.
- 干预措施使用行为改变技术 (BCT) 分类法进行分类;结果包括临床标志物 (出血,炎症,斑块,PPD,CAL) 和自我报告的行为.
主要成果:
- 由于存在偏见,不一致性和不准确性的风险,对所有结果的证据确定性被认为非常低.
- 对于牙周炎,出血,牙炎和斑块的结果不一致或在行为干预和积极对照之间几乎没有/没有差异.
- 对于牙炎,一些研究表明牙出血减少,但临床结果和自我报告行为的总体证据仍然非常不确定.
结论:
- 目前没有足够的证据来证实行为干预对牙和牙周疾病临床指标的有效性.
- 关于这些干预措施在改善患有牙周疾病的成年人口腔卫生方面的有效性,无法得出结论.
- 未来的研究应该集中在具有可信机制的干预措施上,解决方法上的局限性,并确保全面,透明的报告.
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