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IsoLite系统的效率及患者报告结局:随机对照试验的系统评价

Efficiency and Patient-reported Outcomes for Isolite System: A Systematic Review of Randomized Controlled Trials.

作者信息

Siddalingappa Divya, Reddy Vivek, Nayak Ashwath S, Urala Arun S, Pentapati Kalyana C

机构信息

Department of Orthodontics and Dentofacial Orthopaedics, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Department of Orthodontics, Muscat, Oman.

出版信息

Int J Clin Pediatr Dent. 2025 Mar;18(3):331-338. doi: 10.5005/jp-journals-10005-3081. Epub 2025 Apr 19.

Abstract

INTRODUCTION/OBJECTIVES: The Isolite system is a device designed for moisture control during dental procedures while improving access, visibility, and patient comfort. This systematic review evaluated the efficiency and patient-reported outcomes (PROs) of the Isolite system through a comprehensive analysis of randomized trials.

DATA SOURCES

Electronic searches of Scopus, Embase, Medline, and Web of Science databases were conducted in March 2023 for relevant papers published in the English language. PROSPERO CRD42023428634.

STUDY SELECTION

Randomized studies that explored the efficacy and patient-centered outcomes of comfort and acceptance while using Isolite were included. Study quality was assessed based on the revised Cochrane risk of bias tool. A total of five studies that examined 170 patients were included in the review.

CONCLUSION

The quality of evidence was rated as low due to the limited number of randomized controlled trials (RCTs) and the high risk of bias in the included studies. Most studies reported that the Isolite system was as effective as rubber dams or cotton rolls for isolation and moisture control while reducing chair time. Patient comfort assessments indicated more participants favored the Isolite system with a significant reduction in the need to gag and a lower incidence of taste perception compared to cotton roll isolation. Based on the limited evidence available, there is low-level evidence that the Isolite system is as effective as traditional isolation techniques.

CLINICAL SIGNIFICANCE

Isolite may offer advantages in terms of efficiency and patient comfort compared to conventional isolation techniques and has the potential to improve dental interventions, enhancing the overall dental experience for practitioners and patients.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42023428634.

HOW TO CITE THIS ARTICLE

Siddalingappa D, Reddy V, Nayak AS, . Efficiency and Patient-reported Outcomes for Isolite System: A Systematic Review of Randomized Controlled Trials. Int J Clin Pediatr Dent 2025;18(3):331-338.

摘要

引言/目标:Isolite系统是一种旨在在牙科手术过程中控制湿度,同时改善手术视野、可视性和患者舒适度的设备。本系统评价通过对随机试验的全面分析,评估了Isolite系统的效率和患者报告结局(PROs)。

数据来源

2023年3月对Scopus、Embase、Medline和Web of Science数据库进行了电子检索,以查找以英文发表的相关论文。PROSPERO注册号:CRD42023428634。

研究选择

纳入了探讨使用Isolite时的疗效以及以患者为中心的舒适度和接受度结局的随机研究。根据修订后的Cochrane偏倚风险工具评估研究质量。本评价共纳入了五项研究,涉及170名患者。

结论

由于随机对照试验(RCT)数量有限且纳入研究的偏倚风险较高,证据质量被评为低质量。大多数研究报告称,Isolite系统在隔离和湿度控制方面与橡胶障或棉卷一样有效,同时减少了椅旁时间。患者舒适度评估表明,与棉卷隔离相比,更多参与者更喜欢Isolite系统,恶心感显著降低,味觉感知发生率更低。基于现有有限证据,有低质量证据表明Isolite系统与传统隔离技术一样有效。

临床意义

与传统隔离技术相比,Isolite在效率和患者舒适度方面可能具有优势,并且有可能改善牙科干预措施,提升从业者和患者的整体牙科体验。

系统评价注册

PROSPERO CRD42023428634。

如何引用本文

Siddalingappa D, Reddy V, Nayak AS, 。Isolite系统的效率和患者报告结局:随机对照试验的系统评价。《国际临床儿科牙科学杂志》2025;18(3):331 - 338。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ae/12096859/9484b82820e3/ijcpd-18-3-331-g001.jpg

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