Pardo Alessia, Fiorini Vera, Zangani Alessandro, Faccioni Paolo, Signoriello Annarita, Albanese Massimo, Lombardo Giorgio
Section of Oral and Maxillofacial Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, 37124 Verona, Italy.
J Clin Med. 2024 Apr 10;13(8):2179. doi: 10.3390/jcm13082179.
: to evaluate the effectiveness of different topical agents in biofilm disaggregation during non-surgical periodontal therapy. : the search strategy was conducted according to the PRISMA 2020 on Pubmed, Cochrane Library, Scopus, and Web of Science, and it was registered in PROSPERO, ID: CRD42023474232. It included studies comparing non-surgical periodontal therapy (NSPT) with and without the application of topical agents for biofilm disruption. A risk of bias analysis, a qualitative analysis, and a quantitative analysis were performed. : out of 1583 records, 11 articles were included: 10 randomized clinical trials and one retrospective analysis. The total number of participants considered in the 11 articles included in the study was 386. The primary outcomes were probing pocket depth (PPD), clinical attachment level (CAL), and bleeding indices. The secondary outcomes were plaque indices, gingival recessions, and microbiological parameters. The meta-analysis revealed the following: [Weighted mean difference (WMD): -0.37; 95% confidence interval (CI) (-0.62, -0.12), heterogeneity I: 79%, statistical significance = 0.004]. : the meta-analysis of probing pocket depth reduction (PPD) between baseline and follow-up at 3-6 months showed a statistically significant result in favor of sulfonated phenolics gel. The scientific evidence is still limited and heterogeneous; further randomized clinical trials are required.
评估不同局部用药在非手术牙周治疗中生物膜分解的有效性。检索策略依据PRISMA 2020在PubMed、Cochrane图书馆、Scopus和科学网进行,并在PROSPERO注册,标识符:CRD42023474232。纳入比较应用和未应用局部用药进行生物膜破坏的非手术牙周治疗(NSPT)的研究。进行了偏倚风险分析、定性分析和定量分析。在1583条记录中,纳入11篇文章:10项随机临床试验和1项回顾性分析。纳入研究的11篇文章中考虑的参与者总数为386名。主要结局指标为探诊深度(PPD)、临床附着水平(CAL)和出血指数。次要结局指标为菌斑指数、牙龈退缩和微生物学参数。荟萃分析结果如下:[加权平均差(WMD):-0.37;95%置信区间(CI)(-0.62,-0.12),异质性I:79%,统计学显著性=0.004]。3至6个月时基线与随访之间探诊深度降低(PPD)的荟萃分析显示,有利于磺化酚醛凝胶的结果具有统计学显著性。科学证据仍然有限且存在异质性;需要进一步的随机临床试验。