青少年在固定正畸中口腔卫生宣教与牙周治疗对牙龈炎影响的Meta分析  

Effects of oral health education and periodontal scaling on gingivitis in the young people with fixed orthodontic treatment:A Meta analysis

作　　者：詹育香[1] 雷蕾[1] 陈阳平[1] 安舒[1] 王军[1] 

机构地区：[1]四川大学华西口腔医院正畸科,四川省成都市610041

出　　处：《中国组织工程研究与临床康复》2010年第37期6873-6876,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景:在正畸治疗过程中,由于黏接材料的刺激以及后牙带环的影响,加上矫治部件的存在,给牙齿的清洁带来了一定困难,常出现牙龈红肿、探诊出血等牙龈炎症状。目的:分析青少年正畸治疗中,进行口腔卫生宣教与定期牙周治疗对牙龈炎的影响。方法:计算机检索近20年中国期刊全文数据库,万方数据库,中文科技期刊全文数据库,CBM文章库,Medline(Ovid),sciencedirect,PubMed数据库以及手工检索并辅以文章追溯的方法收集国内,国外学者20年内公开发布的有关固定正畸治疗中有关口腔卫生宣教与牙周治疗对牙龈炎影响的文献。运用Meta分析技术对两种方法后的牙龈指数,菌斑指数和龈沟出血指数,牙周探诊深度进行综合定量分析,根据资料异质性检验,采用随机效应模型,计算合并加权平均数差及其95%牙龈指数,使用Revman5.0进行数据处理。结果及结论:共纳入4篇文献,共纳入患者292例,资料异质性检验显示,菌斑指数、牙龈指数、龈沟出血指数、牙周探诊深度的异质性检验I2≥50%,具有异质性,采用随机效应模型。Meta分析结果显示,菌斑指数、牙龈指数、龈沟出血指数、牙周探诊深度合并加权平均数差及95%牙龈指数均不包括0,具有显著性意义。提示,青少年在固定正畸治疗中定期的进行牙周治疗比单纯进行口腔卫生宣教可以更好地控制牙龈炎的发生。BACKGROUND：In the course of orthodontic treatment,it is difficult to clean the teeth because of the stimulation of bonding materials and the rings of teeth,as well as the treatment components,thus,it is often appeared the symptoms of gingivitis,suchas inflamed gums and bleeding on probing.OBJECTIVE：To analyze the effects of oral health education and regular periodontal scaling on gingivitis in the young people withfixed orthodontic treatment.METHODS：Databases of CNKI,Wanfang,VIP Chinese periodical database,CBM,Medline（Ovid）,and science direct were searched for studies of the relationships between oral health education and periodontal scaling to gingivitis in the young people with fixed orthodontic treatment,which were published in recent two decades.Meta analysis was used to comprehensive quantitatively analyze the probing depth（PD）,sulcular bleeding index（SBI）,plaque index（PLI） and gingival index（GI） after health-education and regular periodontal scaling in the young people with fixed orthodontic treatment.According to homogeneitytest,random effect model was adopted to calculate weighted mean different（WMD） and 95% confidence interval.Revman5.0 was used for data management.RESULTS AND CONCLUSION：Four studies with 292 patients were included.Homogeneity test showed that PD,SBI,PLI and GI（I2≥50%） were significant heterogeneity,so random effect model was adopted.Result of Meta analysis showed that,the WMD value and 95% confidence interval of the PD,SBI,PLI and GI had significant statistical difference.It suggested that the young people with fixed orthodontic treatment,who take the regular periodontal scaling,can better control the occurrence of gingivitis than simply oral health education.

关 键 词：固定正畸 口腔卫生宣教 牙周治疗 牙龈炎 META分析 

分 类 号：R318[医药卫生—生物医学工程]