中国组织工程研究

中国组织工程研究

• 生物材料循证医学 evidence-based medicine of biomaterials • 上一篇    下一篇

不同材料及类型牙周夹板修复治疗牙周病的系统评价

王  星1，何惠宇1，满云娜1，吴燕妮1，吴泰相2   

  1. 1新疆医科大学第一附属医院口腔修复科，新疆维吾尔自治区乌鲁木齐市  830054；  2 四川大学华西医院中国循证医学中心，四川省成都市  610041
  • 出版日期:2010-11-19 发布日期:2010-11-19
  • 通讯作者: 何惠宇，博士，硕士生导师，新疆医科大学第一附属医院口腔修复科，新疆维吾尔自治区乌鲁木齐市 830054 40275668@qq.com
  • 作者简介:王星★，女，1982年生，新疆维吾尔自治区呼图壁县人，汉族，2010年新疆医科大学毕业，硕士，主要从事口腔修复学临床、科研及教学。 wangxing1982@sina.cn
  • 基金资助:

    新疆乌鲁木齐市科技局项目(Y09131002) ，新疆医科大学第一附属医院循证医学科研基金资助项目(2009XZ04)。

System evaluation of different materials and types of periodontal splints in periodontal repair

Wang Xing1, He Hui-yu1, Man Yun-na1, Wu Yan-ni1, Wu Tai-xiang2   

  1. 1 Department of Prosthodontics, First Affiliated Hospital of Xinjiang Medical University, Urumqi   830054, Xinjiang Uygur Autonomous Region, China; 2 Chinese Evidence-Based Medicine Centre, West China Hospital of Sichuan University, Chengdu   610041, Sichuan Province, China
  • Online:2010-11-19 Published:2010-11-19
  • Contact: He Hui-yu, Doctor, Master’s supervisor, Department of Prosthodontics, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China 40275668@qq.com
  • About author:Wang Xing★, Master, Department of Prosthodontics, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China wangxing1982@sina.cn
  • Supported by:

    a grant by Science and Technology Bureau of Urumqi, No. Y09131002*; Evidence-based Medical Research Foundation of the First Affiliated Hospital of Xinjiang Medical University, No. 2009XZ04*

PDF

475

被引次数

25

摘要：

背景：治疗牙周病松动牙是长期困扰口腔医师的一个问题，对于牙周夹板的使用情况仍存在争议。
目的：系统评价牙周夹板对牙周病松动牙治疗的效果和安全性。
方法：计算机检索Cochrane 图书馆(2009年第4期)、MEDLINE(1966/2009-11)、EMbase(1980/2009-11)、中国生物医学文献数据库(CBM，1978/2009)、中国期刊全文数据库CNKI(1989/2009)、维普VIP (1989/2009)，纳入牙周夹板修复治疗牙周病松动牙的随机对照试验。由两名评价者独立选择试验、提取资料和进行方法学质量评估。研究数据的统计分析采用Cochrane协作网提供的RevMan 5.0软件进行。
结果与结论：最终纳入9 个随机对照试验，所纳入研究均没有报道与牙周夹板相关的严重不良反应。现有研究结果显示，牙周夹板可以改善牙周病患牙的松动度以及牙周状况，恒久性夹板疗效优于暂时性夹板，固定式恒久夹板的疗效优于可摘式恒久夹板，超强纤维牙周夹板疗效优于传统不锈钢丝联合树脂夹板，贵金属牙周夹板疗效优于贱金属牙周夹板。由于检索到的高质量随机对照试验较少且患者例数有限，存在选择性偏倚和发表偏倚的高度可能性。

关键词: 牙周夹板, 随机对照试验, 系统评价, 牙周病, 口腔生物材料

Abstract:

BACKGROUND: Loosen teeth are a long-term problem for dentists in treatment of periodontal disease, the use of periodontal splints is still in dispute.　
OBJECTIVE: To assess the effectiveness and safety of periodontal splints for the treatment of periodontal mobile teeth.
METHODS: A computer research of Cochrane Library (Issue 4, 2009), MEDLINE (1966/November 2009), EMbase (1980/November 2009), China Biomedicine Database (1978/2009), CNKI (1989/2009), and VIP (1989/2009) was performed to search randomized controlled trials for periodontal splints in treatment of periodontal repair. Quality assessment and data extraction were performed by two reviewers independently. Statistical analysis of the study data was performed with RevMan 5.0 software offered by Cochrane Cooperative net.
RESULTS AND CONCLUSION: Nine studies of randomized controlled trials were included. The included studies did not report the splint-related serious adverse reactions. Existing researches show that periodontal splint can improve the mobility of loosed teeth with periodontal diseases and periodontal status, permanent splints are more effective than temporary splints, fixed permanent splints are more effective than removable permanent splints, super-strong fiber splints are more effective than traditional stainless steel wire combined resin splints, precious metal splints are more effective than cheap metal splints. Due to few high-quality randomized controlled trials and limited cases of patients, there is a high possibility of selection bias and publication bias.

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