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用于治疗牙齿过敏的现有牙本质脱敏剂的有效性:一项系统评价

The effectiveness of current dentin desensitizing agents used to treat dental hypersensitivity: a systematic review.

作者信息

da Rosa Wellington Luiz de Oliveira, Lund Rafael Guerra, Piva Evandro, da Silva Adriana Fernandes

机构信息

Faculty of Dentistry, Federal University of Pelotas, Pelotas, Brazil.

出版信息

Quintessence Int. 2013 Jul;44(7):535-46. doi: 10.3290/j.qi.a29610.

DOI:10.3290/j.qi.a29610
PMID:23616976
Abstract

OBJECTIVE

Dentin desensitizing agents are used in the treatment of dentin hypersensitivity, which is defined as a painful response in the exposed dentin to stimuli that are thermal, evaporative, tactile, osmotic, or chemical. A systematic review was conducted to analyze the clinical effectiveness of current desensitizer with at least 3 months of follow-up.

METHOD AND MATERIALS

Eight electronic databases were searched: MedLine (PubMed), Embase, Lilacs, Ibecs, Web of Science, Scopus, Scielo, and The Cochrane Library. Only those clinical trials published from 2000 to 2012 were included.

RESULTS

A total of 3,029 relevant records were identified. After title and abstract examination, 2,645 articles were excluded. A data extraction form was designed and completed by reviewers from the selected studies for a retrospective comparison. From the 99 studies retrieved for detailed review, only 17 had an evaluation time of at least 3-months follow-up and fulfilled the selection criteria.

CONCLUSION

Cervitec Plus, SE Bond & Protect Liner F, laser, and iontophoresis have shown satisfactory posttreatment results between 3 and 6 months. However, additional clinical trials are warranted to better compare the different types of treatments and their effectiveness in the longer term.

摘要

目的

牙本质脱敏剂用于治疗牙本质过敏症,牙本质过敏症被定义为暴露的牙本质对热、蒸发、触觉、渗透或化学刺激产生的疼痛反应。进行了一项系统评价,以分析随访至少3个月的当前脱敏剂的临床疗效。

方法和材料

检索了八个电子数据库:医学在线(PubMed)、Embase、Lilacs、Ibecs、科学网、Scopus、Scielo和考克兰图书馆。仅纳入2000年至2012年发表的那些临床试验。

结果

共识别出3029条相关记录。经过标题和摘要审查,排除了2645篇文章。设计了数据提取表,由选定研究的评审人员填写以进行回顾性比较。在检索的99项详细审查研究中,只有17项的评估时间为至少3个月的随访且符合选择标准。

结论

Cervitec Plus、SE Bond & Protect Liner F、激光和离子导入法在3至6个月间显示出令人满意的治疗后结果。然而,需要更多的临床试验来更好地比较不同类型的治疗方法及其长期有效性。

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