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光动力疗法对口腔癌前病变的影响:一项系统评价。

The Effect of Photodynamic Therapy on Oral-Premalignant Lesions: A Systematic Review.

作者信息

Choudhary Ruchika, Reddy Sujatha S, Nagi Ravleen, Nagaraju Rakesh, Kunjumon Sreekanth P, Sen Ritu

机构信息

Assistant Professor. Department of Oral Medicine and Radiology, NIMS Dental College and Hospital, Jaipur, Rajasthan.

Professor. Department of Oral Medicine and Radiology, Faculty of Dental Sciences, MS Ramaiah University of Applied Sciences, MSRIT post Mathikere, 560054, Bangalore, India.

出版信息

J Clin Exp Dent. 2022 Mar 1;14(3):e285-e292. doi: 10.4317/jced.59348. eCollection 2022 Mar.

Abstract

BACKGROUND

Dentists now have access to a wide range of unique treatment methods as a result of substantial scientific and technological breakthroughs in the field of dentistry. Photodynamic therapy (PDT) is a non-invasive treatment procedure that use photosensitizers, a specific wavelength of light, and the production of singlet oxygen and reactive oxygen species (ROS) to kill undesired eukaryotic cells (such as oral tumors) and harmful microbes. In several disciplines of dentistry, it is seen as a valid therapeutic option. The purpose of this study was to examine the effectiveness and side effects of PDT in the treatment of oral premalignant lesions.

MATERIAL AND METHODS

Three search engines (PubMed, ISI Web of Science, and the Cochrane Library) were used to conduct a systematic review using the phrases photodynamic therapy and PDT in combination with other terms. To define our study eligibility criteria, we used the Population, Intervention and Comparison, Outcomes, and Study design technique.

RESULTS

Initial results were 33. Definitely, 18 studies met our selection criteria.

CONCLUSIONS

Our analysis suggests ALA- PDT as a promising therapeutic modality for OEL lesions which should be treated first with the topical ALA-PDT using either the LED or laser light for successful clinical outcome for OEL lesions. Photodynamic Therapy, Photosensitizer, Aminolevulinic Acid (ALA), Methylene Blue (MB), Toludine Blue, Oral Leukoplakia, Oral Erythroplakia, Oral Verrucous hyperplasia, Oral Lichen Planus.

摘要

背景

由于牙科领域取得了重大的科学技术突破,牙医现在可以使用多种独特的治疗方法。光动力疗法(PDT)是一种非侵入性治疗程序,它使用光敏剂、特定波长的光以及单线态氧和活性氧(ROS)的产生来杀死不需要的真核细胞(如口腔肿瘤)和有害微生物。在牙科的多个学科中,它被视为一种有效的治疗选择。本研究的目的是检验光动力疗法治疗口腔癌前病变的有效性和副作用。

材料与方法

使用三个搜索引擎(PubMed、ISI科学网和考克兰图书馆),结合光动力疗法和PDT与其他术语进行系统评价。为了确定我们的研究纳入标准,我们采用了人群、干预措施与对照、结局和研究设计方法。

结果

初步结果有33项。当然,18项研究符合我们的选择标准。

结论

我们的分析表明,ALA-PDT作为一种有前景的治疗方式用于口腔上皮异常增生性病变,对于该病变,为获得成功的临床结果,应首先使用LED或激光进行局部ALA-PDT治疗。光动力疗法、光敏剂、氨基乙酰丙酸(ALA)、亚甲蓝(MB)、甲苯胺蓝、口腔白斑、口腔红斑、口腔疣状增生、口腔扁平苔藓。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc76/8916595/7774e0308182/jced-14-e285-g001.jpg

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