Oliveira Ludmila Smith de Jesus, de Bragança Rafaella Mariana Fontes, Sarkis-Onofre Rafael, Faria-E-Silva André Luis
Graduate Program in Health Sciences, Federal University of Sergipe, Aracaju, Brazil.
Graduate Program in Dentistry, Federal University of Sergipe, Aracaju, Brazil.
Restor Dent Endod. 2021 Jun 18;46(3):e37. doi: 10.5395/rde.2021.46.e37. eCollection 2021 Aug.
This systematic review evaluated the efficacy of the supplementary use of the XP-endo Finisher on bacteria content reduction in the root canal system.
studies evaluating the use of the XP-endo Finisher on bacteria content were searched in four databases in July 2020. Two authors independently screened the studies for eligibility. Data were extracted, and risk of bias was assessed. Data were meta-analyzed by using random-effects model to compare the effect of the supplementary use (experimental) or not (control) of the XP-endo Finisher on bacteria counting reduction, and results from different endodontic protocols were combined. Four studies met the inclusion criteria while 1 study was excluded from the meta-analysis due to its high risk of bias and outlier data. The 3 studies that made it to the meta-analysis had an unclear risk of bias for at least one criterion.
No heterogeneity was observed among the results of the studies included in the meta-analysis. The study excluded from the meta-analysis assessing the bacteria counting deep in the dentin demonstrated further bacteria reduction upon the use of the XP-endo Finisher.
This systematic review found no evidence supporting the supplementary use of the XP-endo Finisher on further bacteria counting the reduction in the root canal.
本系统评价评估了辅助使用XP-endo Finisher对减少根管系统中细菌含量的疗效。
2020年7月在四个数据库中检索了评估使用XP-endo Finisher对细菌含量影响的研究。两名作者独立筛选研究的纳入资格。提取数据，并评估偏倚风险。采用随机效应模型对数据进行荟萃分析，以比较辅助使用（实验组）或不使用（对照组）XP-endo Finisher对细菌计数减少的影响，并合并不同牙髓治疗方案的结果。四项研究符合纳入标准，一项研究因偏倚风险高和数据异常而被排除在荟萃分析之外。纳入荟萃分析的三项研究至少在一项标准上存在偏倚风险不明确的情况。
荟萃分析纳入的研究结果之间未观察到异质性。被排除在荟萃分析之外的评估牙本质深层细菌计数的研究表明，使用XP-endo Finisher后细菌进一步减少。
本系统评价未发现证据支持辅助使用XP-endo Finisher进一步减少根管内细菌计数。
