Ng Ethan, Byun Roy, Spahr Axel, Divnic-Resnik Tihana
Quintessence Int. 2018;49(6):453-467. doi: 10.3290/j.qi.a40341.
This systematic review analyzes existing literature on the clinical efficacy of air polishing devices (APDs), discussing the evidence-based data available for justifying their use as an alternative to conventional periodontal debridement in supportive periodontal therapy. The main objective of the review was to assess whether APD was as equally efficient or superior in obtaining successful treatment outcomes when compared with conventional methods.
Following PRISMA guidelines, a systematic literature search of articles in English, up to December 2016, was conducted using PubMed, Cochrane, and Medline. Relevant articles were selected based on specific criteria. Seven studies were selected for the final assessment. One more study was added after a manual search of the literature. Due to considerable heterogeneity in study designs and outcome variables measured, only clinical parameters (probing depth, bleeding on probing, and clinical attachment level) were selected for meta-analysis.
The studies selected for this systematic review provide some evidence that APDs as monotherapy could be an alternative to conventional debridement of single- and multi-rooted teeth with no furcation involvement, during supportive periodontal therapy. Comparing clinical and microbiologic outcomes, APDs seem to be as effective as conventional treatments. The primary advantage for the use of APDs in supportive periodontal therapy seems to be their ability to efficiently remove biofilm, without causing damage to the periodontal soft tissues or tooth and root structure. There may also be an advantage regarding patient comfort and time consumed.
本系统评价分析了关于空气抛光设备（APD）临床疗效的现有文献，讨论了可用于证明其在支持性牙周治疗中作为传统牙周清创术替代方法的循证数据。该评价的主要目的是评估与传统方法相比，APD在获得成功治疗结果方面是否同样有效或更具优势。
遵循PRISMA指南，于2016年12月前使用PubMed、Cochrane和Medline对英文文章进行了系统的文献检索。根据特定标准选择相关文章。最终评估选取了7项研究。在对文献进行人工检索后又增加了1项研究。由于研究设计和所测量的结局变量存在相当大的异质性，仅选择临床参数（探诊深度、探诊出血和临床附着水平）进行荟萃分析。
为本系统评价所选的研究提供了一些证据，表明在支持性牙周治疗期间，APD作为单一疗法可替代对单根牙和多根牙且无根分叉病变的传统清创术。比较临床和微生物学结局，APD似乎与传统治疗同样有效。在支持性牙周治疗中使用APD的主要优势似乎在于其能够有效去除生物膜，而不会对牙周软组织或牙齿及牙根结构造成损害。在患者舒适度和耗时方面可能也有优势。
