儿童和青少年的牙周缺陷和牙周健康之间的关系:系统性审查和元分析
Liliana Szyszka-Sommerfeld1, Monika Machoy-Rakoczy2, Alla Belova3
1Laboratory for Propaedeutics of Orthodontics and Facial Congenital Defects, Chair of Maxillofacial Orthopaedics and Orthodontics, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland.
Journal of clinical medicine
|February 13, 2026
概括
某些缺陷,如拥挤和特定的关节关系,可能会增加儿童和青少年的牙周炎风险. 然而,这些证据的确定性非常低,需要进一步进行高质量的研究.
科学领域:
- 儿科牙科 儿科牙科
- 牙周病学 牙周病学
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 年轻人的牙周缺陷和牙周健康之间的关系尚未得到充分证实.
- 现有证据是矛盾的,需要进行全面的审查.
研究的目的:
- 系统地审查和元分析关于儿童和青少年缺口和牙周健康的观察性研究.
- 评估有关这种关联的证据的确定性.
主要方法:
- 四个电子数据库的系统审查和元分析.
- 包括观察性研究,调查18岁以下个体的牙周缺陷和牙周健康状况.
- 使用纽卡斯尔-太华尺度 (NOS) 的质量评估和使用GRADE的证据确定性.
主要成果:
- 在定性分析中包含了19篇文章;四篇用于元分析.
- 错位的牙 (拥挤,间距问题) 和II/III类关关系与更高的牙炎的几率有关 (使用牙出血指数).
- 证据的整体确定性被评为非常低.
结论:
- 非常低的确定性证据表明,特定的缺陷与儿童/青少年的牙周炎风险增加之间存在关联.
- 牙斑的证据是不一致的;因果关系不能推断.
- 需要高质量的纵向研究来证实这些发现.
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