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根管冲洗对根管牙本质矿物质含量的影响：系统评价和荟萃分析。

Effect of Endodontic Irrigation on Mineral Content of Root Canal Dentine: A Systematic Review and Meta-Analysis.

机构信息

Department of Endodontics, School of Dentistry, Golestan University of Medical Sciences, Gorgan, Iran.

Dental Research Center, School of Dentistry, Golestan University of Medical Sciences, Gorgan, Iran.

出版信息

Eur Endod J. 2023 Mar;8(2):114-124. doi: 10.14744/eej.2023.88528.

DOI:10.14744/eej.2023.88528
PMID:37010204
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10098431/
Abstract

A systematic review and meta-analysis were conducted to evaluate the effect of endodontic irrigation on the mineral content of root canal dentine. A systematic search was performed in the following databases: PubMed, Web of Science, Scopus, Cochrane, ProQuest, and Wiley. The quality assessment of the articles was performed. The meta-analysis was carried out using the random effects model in the Stata 16 software (p<0.05). The results showed that Er: YAG Laser had a significant effect on the removal of the phosphorus content of dentine (Hedges' g=-0.49; 95% CI: -0.85, -0.13; I2=0.0%). In addition, the EDTA 5Min had a lower removal effect compared to the control group on the magnesium content of dentine (Hedges' g=0.58; 95% CI: 0.00, 1.16; I2=0.0%). Other irrigations had no significant effect on other on the mineral content of root canal dentine. Evidence was found to support that most root canal irrigation protocols did not have a significantly affected in terms of the mineral content of root dentine. (EEJ-2022-11-140).

摘要

系统评价和荟萃分析评估了牙髓根管冲洗对根管牙本质矿物质含量的影响。在以下数据库中进行了系统搜索：PubMed、Web of Science、Scopus、Cochrane、ProQuest 和 Wiley。对文章进行了质量评估。使用 Stata 16 软件进行荟萃分析，采用随机效应模型（p<0.05）。结果表明，Er:YAG 激光对牙本质磷含量的去除有显著影响（Hedges' g=-0.49；95%CI：-0.85，-0.13；I2=0.0%）。此外，与对照组相比，EDTA 5Min 对牙本质镁含量的去除效果较低（Hedges' g=0.58；95%CI：0.00，1.16；I2=0.0%）。其他冲洗液对根管牙本质的其他矿物质含量没有显著影响。有证据支持大多数根管冲洗方案在根管牙本质的矿物质含量方面没有显著影响。（EEJ-2022-11-140）。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7507/10098431/448346a92ffa/EEJ-8-114-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7507/10098431/aff9e69ef208/EEJ-8-114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7507/10098431/c342a2e78d6d/EEJ-8-114-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7507/10098431/5d279a0fec8a/EEJ-8-114-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7507/10098431/258730f13558/EEJ-8-114-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7507/10098431/448346a92ffa/EEJ-8-114-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7507/10098431/aff9e69ef208/EEJ-8-114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7507/10098431/c342a2e78d6d/EEJ-8-114-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7507/10098431/5d279a0fec8a/EEJ-8-114-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7507/10098431/258730f13558/EEJ-8-114-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7507/10098431/448346a92ffa/EEJ-8-114-g005.jpg

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本文引用的文献

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Front Oral Health. 2022 Jan 31;3:838043. doi: 10.3389/froh.2022.838043. eCollection 2022.
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FEATURES OF DENTINE CHEMICAL COMPOSITION OF INTACT TEETH AND TEETH WITH WEDGE-SHAPED DEFECTS.完整牙和楔形缺损牙牙本质化学成分的特点。
Wiad Lek. 2021;74(8):1869-1875.
3
A matched irrigation and obturation strategy for root canal therapy.根管治疗的匹配冲洗和充填策略。
Sci Rep. 2021 Feb 25;11(1):4666. doi: 10.1038/s41598-021-83849-y.
4
FESEM evaluation of smear layer removal from conservatively shaped canals: laser activated irrigation (PIPS and SWEEPS) compared to sonic and passive ultrasonic activation-an ex vivo study.使用 FESEM 评价保守形根管内玷污层的去除：激光激活冲洗（PIPS 和 SWEEPS）与超声和被动超声荡洗的比较——一项离体研究。
BMC Oral Health. 2021 Feb 22;21(1):81. doi: 10.1186/s12903-021-01427-0.
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Effects of different irrigation protocols on dentin surfaces as revealed through quantitative 3D surface texture analysis.定量 3D 表面纹理分析显示不同冲洗方案对牙本质表面的影响。
Sci Rep. 2020 Dec 16;10(1):22073. doi: 10.1038/s41598-020-79003-9.
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The effect of root canal irrigants on dentin: a focused review.根管冲洗剂对牙本质的影响：聚焦综述
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