Kessler Philipp, Türp Jens Christoph
University School of Dental Medicine and Oral Health, Danube Private University (DPU), Krems, Austria.
Department of Oral Health & Medicine, University Center for Dental Medicine Basel, University of Basel, Basel, Switzerland.
Swiss Dent J. 2020 Dec 7;130(12):983-993. doi: 10.61872/sdj-2020-12-02.
This analysis was conducted to assess the impact of Coca-Cola on orthodontic materials compared to that of other fluids. Electronical searches were carried out in PubMed, Livivo, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov, supplemented by manual searches in the reference lists of the articles selected for full text evaluation. The risk of bias was assessed on the basis of a "risk of bias summary." A total of 216 bibliographic summaries of articles were obtained, eleven of which were relevant. Nine of these papers showed a low risk, while two publications from one in vivo study exhibited a high risk of bias. The continuing influence of Coca-Cola caused significant discoloration of elastomeric materials and resulted in significantly lower shear bond strength of the brackets and higher corrosion. With regard to orthodontic appliances, additional in situ and in vivo studies are desirable. Special attention should be paid to an appropriate number of samples or patients, as most investigations lacked a sufficient number of test subjects. In addition, investigations with long observation periods and documented beverage consumption should be preferred. The intake of cola-containing beverages during orthodontic therapy and the exposure duration of these beverages to orthodontic material should be reduced to a minimum, as this can impair the adhesive strength and lead to corrosion of orthodontic brackets. The interval between orthodontic appointments should be short to avoid discoloration of orthodontic elastomeric ligatures.
本分析旨在评估与其他液体相比，可口可乐对正畸材料的影响。在PubMed、Livivo、Cochrane对照试验中央注册库和ClinicalTrials.gov进行了电子检索，并通过对选定进行全文评估的文章参考文献列表进行手动检索加以补充。基于“偏倚风险总结”评估偏倚风险。共获得216篇文章的书目摘要，其中11篇相关。这些论文中有9篇显示低风险，而一项体内研究的两篇出版物显示出高偏倚风险。可口可乐的持续影响导致弹性材料显著变色，并导致托槽的剪切粘结强度显著降低以及更高的腐蚀性。关于正畸矫治器，需要进行更多的原位和体内研究。应特别注意样本或患者数量要合适，因为大多数研究缺乏足够数量的受试对象。此外，应优先选择观察期长且记录了饮料摄入量的研究。正畸治疗期间含可乐饮料的摄入量以及这些饮料与正畸材料的接触时间应减至最短，因为这会损害粘结强度并导致正畸托槽腐蚀。正畸复诊间隔应缩短，以避免正畸弹性结扎丝变色。
