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):15-28. doi: 10.1111/idh.12120. Epub 2015 Feb 17.
Air-polishing devices are used for the instrumentation of the root surface. Their potential of harm to the hard and/or soft tissues needs to be considered during periodontal treatment. The objective of this systematic review was to analyse the effects of air polishing devices on oral tissues.
The electronic databases MEDLINE, EMBASE and the Cochrane Library were screened for studies published through 18 November 2013. The surface modifications on human cementum, dentine or gingiva after the instrumentation were considered as outcomes.
Of the 1266 abstracts screened, 17 studies were included in the analysis. Different air polishing powders consisting of sodium bicarbonate, calcium carbonate, pumice or glycine were used in different ex vivo or in vitro settings. Thirteen publications reported data on the effects of air polishing devices on cementum and dentine. Hard tissue modifications, including defect depths and volume, caused by sodium bicarbonate or calcium carbonate powders were significantly greater compared to powders consisting of glycine. The soft tissue modifications using different modes of instrumentation were assessed in four publications. The data demonstrate less potential of harm to the gingiva after spraying with glycine powder compared to sodium bicarbonate powder or instrumentation with curettes.
Glycine powder air polishing may be safely applied to human root surfaces and gingivae.
空气抛光设备用于牙根表面的器械操作。在牙周治疗过程中，需要考虑其对硬组织和/或软组织造成损害的可能性。本系统评价的目的是分析空气抛光设备对口腔组织的影响。
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。器械操作后人类牙骨质、牙本质或牙龈的表面变化被视为研究结果。
在筛选的1266篇摘要中，17项研究纳入分析。不同的体外或体内实验使用了由碳酸氢钠、碳酸钙、浮石或甘氨酸组成的不同空气抛光粉末。13篇出版物报告了空气抛光设备对牙骨质和牙本质影响的数据。与甘氨酸粉末相比，由碳酸氢钠或碳酸钙粉末引起的硬组织变化，包括缺损深度和体积，明显更大。4篇出版物评估了使用不同器械操作方式对软组织的影响。数据表明，与碳酸氢钠粉末或刮治器器械操作相比，喷洒甘氨酸粉末后对牙龈造成损害的可能性更小。
甘氨酸粉末空气抛光可安全应用于人类牙根表面和牙龈。
