Bühler J, Amato M, Weiger R, Walter C
Department of Periodontology, Endodontology and Cariology, School of Dental Medicine, University of Basel, Basel, Switzerland.
Department of Oral Surgery, School of Dentistry, University of Birmingham, Birmingham, UK.
Int J Dent Hyg. 2016 Feb;14(1):4-14. doi: 10.1111/idh.12119. Epub 2015 Jan 23.
Air polishing devices are used as an alternative to traditional instrumentation of the root surface. The objective of the systematic review was to analyse patient perception, that is pain and discomfort during treatment with air polishing devices in periodontal therapy.
The electronic databases MEDLINE, EMBASE and the Cochrane library were screened for studies published through 18th November 2013. Patient perception served as primary outcome.
Of the 1266 abstracts screened, nine studies reporting data on patient perception using a visual analogue scale or a patient interview were included in the analysis. Different air polishing powders consisting of sodium bicarbonate, glycine or erythritol were used. Reported discomfort of non-surgical periodontal therapy was consistently equal or lower when air polishing powders consisting of glycine or erythritol were applied compared with root surface instrumentation using hand instruments or ultrasonic devices.
Air polishing with powders consisting of glycine seems to be associated with less discomfort during non-surgical periodontal therapy, that is supra- and subgingival air polishing.
空气抛光设备被用作根面传统器械治疗的替代方法。本系统评价的目的是分析患者的感受，即在牙周治疗中使用空气抛光设备时的疼痛和不适。
检索电子数据库MEDLINE、EMBASE和Cochrane图书馆，查找截至2013年11月18日发表的研究。患者感受作为主要结局。
在筛选的1266篇摘要中，有9项研究报告了使用视觉模拟量表或患者访谈得出的患者感受数据，并纳入分析。使用了由碳酸氢钠、甘氨酸或赤藓糖醇组成的不同空气抛光粉。与使用手动器械或超声设备进行根面器械治疗相比，应用由甘氨酸或赤藓糖醇组成的空气抛光粉时，非手术牙周治疗中报告的不适感始终相同或更低。
在非手术牙周治疗（即龈上和龈下空气抛光）中，使用由甘氨酸组成的抛光粉进行空气抛光似乎与较少的不适感相关。
