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局部光动力疗法治疗口腔良性黏膜病变的系统评价。

Topical photodynamic therapy in the treatment of benign oral mucosal lesions: A systematic review.

机构信息

Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania- Luigi Vanvitelli, Naples, Italy.

Medicine and Surgery Department, University of Milan - Bicocca, Monza, Italy.

出版信息

J Oral Pathol Med. 2021 Aug;50(7):639-648. doi: 10.1111/jop.13152. Epub 2020 Dec 27.

Abstract

BACKGROUND

The introduction of photodynamic therapy (PDT) in various branches of the dental field such as endodontics, implantology, periodontology, and restorative dentistry and oral medicine has become useful in recent decades. This systematic review presents an overview of the literature to evaluate the usefulness of topical PDT for the treatment of benign oral soft tissue lesions and to identify limitations in prior studies to improve PDT applications.

METHODS

We performed a review of the literature using different search engines (PubMed, ISI Web of Science, and the Cochrane Library) employing MeSH terms such as "Photodynamic therapy" and "PDT" in conjunction with other terms. We utilized the Population, Intervention, Comparison, Outcomes, and Study design (PICOS) method to define our study eligibility criteria.

RESULTS

Initial results were 1513. Finally, there were only 21 studies that met our selection criteria. We divided the 21 selected items into two groups: inflammatory diseases and infective diseases.

CONCLUSIONS

Although topical PDT is an easy to perform and well-tolerated treatment and appears to be a valid method with promising results in the treatment of benign lesions of the oral cavity's soft tissues, further studies are needed to complete the current knowledge of this technique.

摘要

背景

光动力疗法(PDT)在牙髓学、种植学、牙周病学、修复牙科和口腔医学等牙科领域的应用在近几十年来变得非常有用。本系统评价综述了文献,以评估局部 PDT 治疗口腔软组织良性病变的有效性,并确定先前研究中的局限性,以改进 PDT 的应用。

方法

我们使用不同的搜索引擎(PubMed、ISI Web of Science 和 Cochrane 图书馆),使用主题词如“光动力疗法”和“PDT”以及其他术语进行文献检索。我们采用人群、干预、比较、结局和研究设计(PICOS)方法来确定我们的研究纳入标准。

结果

最初的结果是 1513 篇。最后,只有 21 项研究符合我们的选择标准。我们将这 21 项选定的研究分为两组:炎症性疾病和感染性疾病。

结论

尽管局部 PDT 是一种易于操作且耐受性良好的治疗方法,并且似乎是治疗口腔软组织良性病变的一种有效方法,具有有前景的结果,但仍需要进一步的研究来完善该技术的现有知识。

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