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正畸治疗后 6 个月浸润树脂处理后牙面白斑颜色和亮度变化的系统评价和荟萃分析。

Changes in the Color and Brightness of White Spots Associated with Orthodontic Treatment 6 Months after the Application of Infiltrative Resins: Systematic Review and Meta-Analysis.

机构信息

Department of Oral Surgery, Orthodontics Postgraduate, Universidad de Salamanca, 37007 Salamanca, Spain.

Department of Dentistry, Universidad Católica de Murcia, 30107 Murcia, Spain.

出版信息

Int J Environ Res Public Health. 2022 Jul 29;19(15):9277. doi: 10.3390/ijerph19159277.

DOI:10.3390/ijerph19159277
PMID:35954634
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9368113/
Abstract

One of the risks that we find after orthodontic treatment is the secondary appearance of white spot lesions (WLS) after the removal of fixed multi-bracket appliances. Today, there are several treatment methods, resin infiltration being the most used in the most serious cases. The objective of this study is to carry out a systematic review and meta-analysis to determine the efficacy and stability in the variables of color and gloss, six months after resin infiltration. A comprehensive search was performed in the following databases: PubMed, Embase, Google Scholar, Scopus, Medline, and Web of Science. Articles published in the last 10 years were selected, including in vivo studies with a six-month follow-up. PRISMA guidelines were followed to carry out this systematic review. All studies where the application of resin was performed on carious lesions were discarded. Once the inclusion and exclusion criteria were applied, a final sample of four articles was obtained, on which the review and meta-analysis were carried out. Once examined, all authors considered that there was an immediate improvement in both variables. However, statistically significant differences were obtained in the color change outcome, but not in the brightness outcome in the subgroup analysis after six months of icon resin infiltration.

摘要

正畸治疗后我们发现的其中一个风险是固定多托槽矫治器拆除后继发性出现白色斑点病变(WLS)。如今,有多种治疗方法,树脂渗透法是在最严重的情况下最常使用的方法。本研究的目的是进行系统评价和荟萃分析,以确定树脂渗透治疗后六个月时颜色和光泽变量的疗效和稳定性。在以下数据库中进行了全面搜索:PubMed、Embase、Google Scholar、Scopus、Medline 和 Web of Science。选择了过去 10 年发表的体内研究,随访时间为六个月。按照 PRISMA 指南进行了这项系统评价。所有对龋齿病变应用树脂的研究均被排除在外。在应用纳入和排除标准后,最终获得了四篇文章的样本,对其进行了综述和荟萃分析。所有作者都认为在这两个变量上都有即时改善。然而,在六个月后的 icon 树脂渗透亚组分析中,在颜色变化结果上得到了统计学上的显著差异,但在亮度结果上没有差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5d/9368113/25c72f715f67/ijerph-19-09277-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5d/9368113/52a482002b58/ijerph-19-09277-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5d/9368113/eb90a6781113/ijerph-19-09277-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5d/9368113/c8e38d7e7390/ijerph-19-09277-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5d/9368113/8e7600fe1c62/ijerph-19-09277-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5d/9368113/6542b80483a5/ijerph-19-09277-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5d/9368113/25c72f715f67/ijerph-19-09277-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5d/9368113/52a482002b58/ijerph-19-09277-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5d/9368113/eb90a6781113/ijerph-19-09277-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5d/9368113/c8e38d7e7390/ijerph-19-09277-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5d/9368113/8e7600fe1c62/ijerph-19-09277-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5d/9368113/6542b80483a5/ijerph-19-09277-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5d/9368113/25c72f715f67/ijerph-19-09277-g006.jpg

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本文引用的文献

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Biofilm formation following chitosan-based varnish or chlorhexidine-fluoride varnish application in patients undergoing fixed orthodontic treatment: a double blinded randomised controlled trial.壳聚糖基涂料或洗必泰-氟化物涂料在固定正畸治疗患者中的应用对生物膜形成的影响:一项双盲随机对照试验。
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